Scapular Mobilization Versus Capsular Stretch

December 25, 2024 updated by: Omnia Ahmed Abd Elmeged, Cairo University

Scapular Mobilization Versus Posterior Capsular Stretch in Frozen Shoulder

The goal of this study is to compare the effect of scapular mobilization versus posterior capsular stretch on pain, function, range of motion, and posterior capsular tension in patient with frozen shoulder

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Frozen shoulder is a musculoskeletal condition that is commonly encountered in physical therapy practice. It is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Frozen shoulder affects about 2% of the general population, with a higher prevalence in people between their 40s and 60s. Frozen shoulder occurs more in diabetic patient.

The traditional principles of treatment of frozen shoulder are to relieve pain, maintain range of motion, and ultimately to restore function. The physiotherapy treatment of frozen shoulder consists of different modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Therapy (IFT), Ultrasound, Short Wave Diathermy (SWD) etc., and the physical therapy exercises such as stretching, Codman exercise can be used.

Scapular-mobility exercises, or scapular-mobilization (SM) techniques is widely used in the management of musculoskeletal disorders of the shoulder. Scapular mobilization can cause pain reduction with improvement in the shoulder range of motion. Scapular mobilization can reduce the disability in patients with shoulder dysfunction.

Posterior capsular stretch is applied along with mobilization which causes significant improvement in increasing range of motion and functional disability. Capsular stretching showed a more significant reduction in pain when compared to general exercises.

Therefore, what are the possible effect of scapular mobilization versus posterior capsular stretch in treating patients with frozen shoulder?

Study Type

Interventional

Enrollment (Estimated)

34

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 Contact Backup

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
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Males and females aged from 40-65 years old.
  • Diabetic and non-diabetic patients' diagnosis of stage 3 frozen shoulder (frozen phase) by an orthopedist.
  • The presence of pain and limited movement in the shoulder for at least 2 months.
  • Passive joint movements are limited when compared with the normal side.
  • Unilateral involvement.

Exclusion Criteria:

  • Recent joint infection or surgery.
  • History of shoulder subluxation, dislocation, or ligamentous injury.
  • Shoulder arthroplasty.
  • Shoulder and cervical pathology.
  • Recent trauma.
  • Neurological disorders with muscle weakness in the shoulder joint.
  • Infection, pregnancy, carcinoma patients, severe cardiac or psychiatric conditions.
  • Previous shoulder surgeries to the affected shoulder.
  • Previous manipulations under anesthesia of the affected shoulder.
  • Radiological evidence for glenohumeral joint arthritis.

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Scapular mobilization group A
Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Other: Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Experimental: Posterior capsular stretch group B
Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Other: Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder abduction range of motion to measure shoulder joint active range of motion (abduction) by bubble inclinometer
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder internal rotation range of motion to measure shoulder joint active range of motion (internal rotation) by bubble inclinometer
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder external rotation range of motion to measure shoulder joint active range of motion (external rotation) by bubble inclinometer
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder pain and disability index to measure the shoulder pain the maximum possible score for the pain scale is 50
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder pain and disability index to measure the disability level the maximum possible score for the disability scale is 80
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
poaterior capsular tension measurement by ruler
Time Frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

Collaborators and Investigators

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

Sponsor

Cairo University

Investigators

  • Principal Investigator: Karima A Hassan, Karima.abdelaty@pt.cu.edu.eg

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 (Estimated)

January 1, 2025

Primary Completion (Estimated)

April 1, 2025

Study Completion (Estimated)

July 1, 2025

Study Registration Dates

First Submitted

November 22, 2024

First Submitted That Met QC Criteria

November 22, 2024

First Posted (Actual)

November 26, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

December 25, 2024

Last Verified

November 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P.T.REC/012/005349

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

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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