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OMT for adhæsiv capsulitis

2. oktober 2026 opdateret af: Kevin Killian, University Hospitals Cleveland Medical Center

Osteopatisk Manipulativ Behandling som en Tilføjelsesterapi for Adhesiv Kapsulitis

The goal of this clinical trial is to learn if Osteopathic Manipulative Treatment (OMT) is an effective addition to treatment of adhesive capsulitis. OMT is a non-invasive treatment in which a doctor gently moves and stretches muscles, joints, and tissues manually. Adhesive capsulitis is more commonly known as "frozen shoulder" and describes a shoulder that becomes stiff, painful, and limited in its motion due to some structural change in the joint. The main questions it aims to answer are:

Is recovery faster when OMT is added to regular treatment? Are patients that underwent OMT more satisfied with their treatment?

Researchers will compare patients who underwent OMT to patients who did not to see if OMT is an effective additional treatment for frozen shoulder.

Participants will:

  • Be assigned to one of the four experimental groups

  • Visit clinic and/or physical therapy to undergo the treatments associated with their group:

    1. standard course of prescribed physical therapy
    2. standard course of prescribed physical therapy and an injection of an anti-inflammatory and anesthetics in the shoulder
    3. standard course of prescribed physical therapy and (up to) 4 OMT sessions
    4. standard course of prescribed physical therapy, an injection of an anti-inflammatory and anesthetics in the shoulder, and (up to) 4 OMT sessions.
  • Visit clinic 1 month, 3 months, 6 months, and 1 year after treatment is complete

  • Complete a survey about how satisfied they are with their treatment 1 month, 3 months, 6 months, and 1 year after it is complete

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

300

Fase

  • Fase 4

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

    • Ohio
      • Beachwood, Ohio, Forenede Stater, 44122
        • UH Ahuja Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Kevin Killian, DO
        • Underforsker:
          • Madison Sandrella, DO
      • Westlake, Ohio, Forenede Stater, 44145
        • UH St. John Health Center
        • Ledende efterforsker:
          • Kevin Killian, DO
        • Underforsker:
          • Madison Sandrella, DO
        • Kontakt:
      • Westlake, Ohio, Forenede Stater, 44145

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 89 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • patients diagnosed with adhesive capsulitis who have not received prior treatment for it

Exclusion Criteria:

  • patients with contraindications to corticosteroid injections (uncontrolled diabetes, active infection, bleeding disorders, or corticosteroid hypersensitivity)
  • patients diagnosed with adhesive capsulitis who have received (or are currently receiving) treatment for it

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: PT only

Patients in this group will receive the standard treatment for adhesive capsulitis: prescription for physical therapy

Aktiv komparator: PT and Injection

Patients in this group will receive an intra-articular injection consisting of a corticosteroid (methylprednisolone acetate) and anesthetics (Lidocaine and Ropivacaine) in addition to the standard prescription for physical therapy

Intra-articular injection consisting of 80 mg of methylprednisolone acetate, 2 mL of lidocaine (1%), and 4 mL of ropivacaine (0.5%)

Eksperimentel: PT and OMT

Patients in this group will receive (up to) 4 sessions of OMT spaced at least 2 weeks apart in addition to the standard prescription for physical therapy

Non-invasive, manual manipulation of the shoulder joint and its surrounding muscles and tissues

Eksperimentel: PT, Injection, and OMT

Patients in this group will receive an intra-articular injection consisting of a corticosteroid (methylprednisolone acetate) and anesthetics (Lidocaine and Ropivacaine) and (up to) 4 sessions of OMT in addition to the standard prescription for physical therapy

Intra-articular injection consisting of 80 mg of methylprednisolone acetate, 2 mL of lidocaine (1%), and 4 mL of ropivacaine (0.5%)

Non-invasive, manual manipulation of the shoulder joint and its surrounding muscles and tissues

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Time to Recovery as Measured in Months
Tidsramme: Up to 12 months

The number of months separating the initial visit and the final treatment visit. The time taken for the provider to deem further treatment unnecessary

Up to 12 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Range of Motion of the Shoulder Relative to Baseline
Tidsramme: Baseline (before treatment) and then 1 month, 3 months, 6 months, and 12 months after treatment has ended

Measured by forward flexion/extension (0deg - 170deg), external rotation (0deg - 60deg), internal rotation (side only - vertebrae), and abduction (0deg - 90deg)

Baseline (before treatment) and then 1 month, 3 months, 6 months, and 12 months after treatment has ended
Change in Patient Satisfaction as Measured by Treatment Satisfaction Questionnaire for Medication (TSQM)
Tidsramme: Measured 1 month, 3 months, 6 months, and 12 months after the end of treatment.

Scaled on a score from 0 (lowest possible satisfaction) to 100 (highest possible satisfaction)

Measured 1 month, 3 months, 6 months, and 12 months after the end of treatment.
Change in Pain as Measured by Patient-Reported Pain Score
Tidsramme: Measured at baseline (before treatment) then at 3 months, 6 months, and 12 months after treatment has ended.

Measured using the Visual Analogue Scale (VAS), which yields a score from 0 (no pain) to 10 (worst pain imaginable)

Measured at baseline (before treatment) then at 3 months, 6 months, and 12 months after treatment has ended.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Kevin Killian, DO, University Hospitals

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. december 2026

Primær færdiggørelse (Anslået)

1. april 2027

Studieafslutning (Anslået)

1. maj 2028

Datoer for studieregistrering

Først indsendt

23. marts 2026

Først indsendt, der opfyldte QC-kriterier

23. marts 2026

Først opslået (Faktiske)

27. marts 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • STUDY20260072

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

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