OMT for adhæsiv capsulitis
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:
- standard course of prescribed physical therapy
- standard course of prescribed physical therapy and an injection of an anti-inflammatory and anesthetics in the shoulder
- standard course of prescribed physical therapy and (up to) 4 OMT sessions
- 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
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Sophie Chuinard, BA
- Telefonnummer: 231-409-4156
- E-mail: sophie.chuinard@uhhospitals.org
Undersøgelse Kontakt Backup
- Navn: Kevin Killian, DO
- Telefonnummer: 216-844-7200
- E-mail: Kevin.Killian@uhhospitals.org
Studiesteder
-
-
Ohio
-
Beachwood, Ohio, Forenede Stater, 44122
- UH Ahuja Medical Center
-
Kontakt:
- Sophie Chuinard, BA
- Telefonnummer: 231-409-4156
- E-mail: sophie.chuinard@uhhospitals.org
-
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:
- Kevin Killian, DO
- Telefonnummer: 216-844-2015
- E-mail: kevin.killian@uhhospitals.org
-
Westlake, Ohio, Forenede Stater, 44145
- UH Westlake Health Center
-
Kontakt:
- Kevin Killian, DO
- Telefonnummer: 216-844-2015
- E-mail: kevin.killian@uhhospitals.org
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
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
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / 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
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
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
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Kevin Killian, DO, University Hospitals
Publikationer og nyttige links
Generelle publikationer
- Vita F, Pederiva D, Tedeschi R, Spinnato P, Origlio F, Faldini C, Miceli M, Stella SM, Galletti S, Cavallo M, Pilla F, Donati D. Adhesive capsulitis: the importance of early diagnosis and treatment. J Ultrasound. 2024 Sep;27(3):579-587. doi: 10.1007/s40477-024-00891-y. Epub 2024 Jun 6.
- Veera S, Chin J, Kleyn L, Spinelli S, Tafler L. Use of Osteopathic Manipulation for Treatment of Chronic Shoulder Injury Related to Vaccine Administration. Cureus. 2020 Jul 12;12(7):e9156. doi: 10.7759/cureus.9156.
- Allen GM. The diagnosis and management of shoulder pain. J Ultrason. 2018;18(74):234-239. doi: 10.15557/JoU.2018.0034.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- STUDY20260072
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