Mobilization With Movement Techniques of Shoulder Girdle in Patients With Chronic Adhesive Capsulitis

September 15, 2023 updated by: Riphah International University

Effects of Mobilization With Movement Techniques of Shoulder Girdle on Pain, Range of Motion and Function in Patients With Chronic Adhesive Capsulitis

Study will be a Randomized clinical trial to check Effects of mobilization with movement techniques of shoulder girdle on pain, range of motion and function in patients with chronic adhesive capsulitis so that we can devise a treatment protocol Total Thirty subjects will be included in this study .Out of total 15 will be randomly allocated via lottery method in group 1 and 15 will be allocated in group 2. Group 1 will receive hot packs for 15 minutes for warming up, shoulder girdle mobilization with movement techniques along with other shoulder girdle joints mobilizations (sternoclavicular, acromioclavicular, cervicothoracic and scapulothoracic joints) and conventional physical therapy treatment while group 2 will receive only hot pack for 15 minutes and conventional physical therapy management. All patients will be treated for 12 sessions, two sessions per week for 6 weeks. Shoulder pain and disability index consist of two parts, part one which assesses pain severity and part two which assesses functional disability. Study setting will be suraiya majeed trust hospital. Assessment will be done at 0 weeks, 3 weeks, and 6 weeks. Data was analysed by using SPSS version 26.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The term "adhesive capsulitis describes the condition in which there is a restriction of active and passive ranges of the shoulder joint due to the thickening of the synovial capsule, pain, and stiffness. Our ability to interact with our surroundings is made possible by the shoulder's exceptional range of motion (ROM), which makes it a special anatomical structure. This study aims to determine the effects of mobilization with movement techniques of shoulder girdle on pain, range of motion, and function in patients with chronic adhesive capsulitis. Patients of both genders, idiopathic adhesive capsulitis, age group between 25-55 years, minimum six weeks chronicity of adhesive capsulitis, and patients with positive Apley's scratch test for adhesive capsulitis will be included, Patients having bilateral adhesive capsulitis, fractures of the Shoulder girdle, Rheumatoid arthritis/ osteoarthritis, severe joint pain unrelieved by rest and any bony or soft tissue systemic disease will be excluded In the previous literature there is study gap that provides a comprehensive treatment strategy for patients having chronic adhesive capsulitis The aim of this study is to apply MWM in patients having chronic adhesive capsulitis. A regional interdependence approach to shoulder dysfunction will be used in the treatment plan, taking into account the fact that glenohumeral function depends on scapular function, which in turn can also be affected by upper kinetic chain segments depending upon the patient's presentation, because of the close relation of surrounding joints (sternoclavicular, acromioclavicular, and scapulothoracic joints) with glenohumeral joint to gain complete effective shoulder ranges. That is why there is a great need for this study and in previous studies primarily acute patients were included therefore now it is necessary to draw attention to chronicity in adhesive capsulitis patients.

Mobilization with movement at the glenohumeral joint for improving flexion, abduction internal and external rotation. 3 sets of painless glides of 10 repetitions were given, with 1-minute rest between sets. and progression was added

Both groups received hot packs for 15 minutes for warming up and conventional physical therapy treatment

Study Type

Interventional

Enrollment (Actual)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Pakistan
    • Punjab
      • Faisalābad, Punjab, Pakistan, 54700
        • Suraiya majeed trust hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • • Patients of Both gender

    • Age 25-55 years
    • Minimum 6 weeks chronicity of adhesive capsulitis
    • Positive Apley's scratch test for adhesive capsulitis
    • Idiopathic adhesive capsulitis

Exclusion Criteria:

  • • Bilateral adhesive capsulitis

    • Fractures of the Shoulder girdle
    • Rheumatoid arthritis/ osteoarthritis
    • Severe joint pain unrelieved by rest.
    • Any bony or soft tissue systemic disease

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: mobilization with movement Group

Week 1 & 2: mobilization with movement at glenohumeral joint for improving flexion, abduction internal and external rotation. 3 sets of painless glides of 10 repetitions will be given, with 1 minute rest between sets.

  • Week 2 & 4:MWM at glenohumeral joint and then we will add progression by adding glides at sternoclavicular and acromioclavicular joint.5 sets of painless glides of 10 repetitions will be given, with 3-minute rest between sets.
  • Week 3 & 6:MWM at glenohumeral joint and glides at sternoclavicular, acromioclavicular along with glides at scapulothoracic. 5 sets of painless glides for 10 repetitions were given. Progression can be introduced by increasing the number of repetitions performed exercises for 3 weeks.
Other: mobilization with movement
MWM at glenohumeral joint and then we will add progression by adding glides at sternoclavicular and acromioclavicular joint.5 sets of painless glides of 10 repetitions will be given, with 3-minute rest between sets.
Other: conventional physical therapy
Hot pack for 15 minutes
Other: conventional physical therapy
Hot pack for 15 minutes

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric pain rating scale
Time Frame: up to 6 weeks
Patients are asked to circle the number on a Numerical Rating Scale (NRS) that best describes their level of discomfort between 0 and 10, 0 and 20, or 0 and 100. The lower limit often denotes "the least amount of suffering ," whereas zero typically denotes "no pain at all."
up to 6 weeks
Goniometer
Time Frame: up to 6 weeks
The most popular and reliable approach for determining shoulder range of motion (ROM) is by utilizing a goniometer. A goniometer is a straightforward instrument that has two arms joined at a hinge. The goniometer's second arm would be used to measure the joint angle while the physiotherapist placed one arm of the patient against the patient's body
up to 6 weeks
Shoulder pain and disability index (SPADI)
Time Frame: up to 6 weeks
The Shoulder Discomfort and Disability Index is a tool that may be used to determine the level of pain in people with adhesive capsulitis (SPADI). It was created to assess current shoulder discomfort and impairment in outpatients.(9) The Shoulder Pain and Disability Index (SPADI), a patient-completed questionnaire of 13 items, measures the severity of pain and the degree to which daily activities involving the use of the upper extremities are made more difficult. There are 5 items on the pain subscale and 8 on the disability subscale.
up to 6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: khadija Musarat, MS*, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 15, 2023

Primary Completion (Actual)

August 5, 2023

Study Completion (Actual)

August 15, 2023

Study Registration Dates

First Submitted

March 8, 2023

First Submitted That Met QC Criteria

March 31, 2023

First Posted (Actual)

April 12, 2023

Study Record Updates

Last Update Posted (Actual)

September 18, 2023

Last Update Submitted That Met QC Criteria

September 15, 2023

Last Verified

September 1, 2023

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/23/0115

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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