Investigation The Efficacy of Manual Therapy and Exercise in Patients With Glenohumeral Arthritis
2019年12月30日 更新者：Sibel Gayretli Atan、Istanbul University
Istanbul University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation
The aim of the investigator's study is to compare the efficacy of manual therapy and exercise practices compared to exercise practice in patients with Glenohumeral Arthritis.
Thirty volunteer patients will include into the study.
調査の概要
詳細な説明
Patients will randomly divide into two groups.
A common exercise program was applied to both groups during 15 sessions.
Manual therapy techniques will apply to the manual therapy group in addition to exercise practices.
Patients will evaluate in terms of functional status, pain, range of motion, muscle strength and health-related quality before and after 5 weeks of treatment.
Also, patient's satisfaction from treatment will evaluate at the 5th week of the treatment.
DASH and ASES forms for functional status, VAS for pain, digital goniometer for range of motion, manual muscle test for muscle strength, SF-12 for health-related quality of life, and Global Rating of Change (GRC) Scale for patient satisfaction will be used as evaluation criteria.
研究の種類
介入
入学 (実際)
30
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
-
-
Istanbul
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Bakırköy、Istanbul、七面鳥、34180
- Istanbul University
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
40年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- 40 years and older patients
- To be diagnosed with GHOA by specialist physician via MRI, US or radiography and physical examination
- Unilateral shoulder pain lasting more than 2 months seen during daily living activities and at rest
Exclusion Criteria:
Patients with:
- Severe arthrosis
- Tumor
- Cervical radiculopathy
- Emotional or cognitive problems
- A neurological disease that causes muscle weakness on the shoulder
- A skin disease that may affect upper extremity assessment.
- Frozen shoulder
- Thoracic outlet syndrome
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：''Manuel Therapy group''
This treatment group will be received Manuel Therapy techniques and exercise interventions.
|
Shoulder mobilization techniques include glenohumeral traction, anterior, posterior and inferior glide.
We will also use anterior, posterior and inferior joint stretching exercises and scapular mobilization.
Exercise interventions include range of motion exercises, stretching exercises, strengthening exercises, and pendulum exercises.
|
|
実験的：''Exercise group''
This treatment group will be received only exercise interventions.
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Exercise interventions include range of motion exercises, stretching exercises, strengthening exercises, and pendulum exercises.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Shoulder Range of Motion (ROM)
時間枠：Evaluation will be performed first time at baseline and second time will be performed after 5 weeks rehabilitation program. After treatment "change" will be assessed.
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The shoulder flexion, abduction, internal and external rotation ROM will be evaluated with digital goniometer while the patient will be in supine position.
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Evaluation will be performed first time at baseline and second time will be performed after 5 weeks rehabilitation program. After treatment "change" will be assessed.
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) Form
時間枠：Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
ASES is an assessment form prepared by shoulder and elbow surgeons with objective and subjective sections.
The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function.
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Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
|
Visual Analogue Scale (VAS)
時間枠：Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
The levels of pain is felted at rest / activity / night will be measured using Visual Analogue Scale (VAS).Patients will be asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain.
|
Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
|
Manual Muscle Test
時間枠：Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
Manual Muscle Test is a procedure for the evaluation of strength of individual muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM.
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Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
|
Short Form 12 (SF-12)
時間枠：Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
SF-12 will be used to assess physical and mental health-related quality of life.
The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life.
|
Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
|
Global Rating of Change (GRC) Scale
時間枠：Evaluation will be performed after 5 weeks rehabilitation program.
|
Global Rating of Change (GRC) scale will be used to assess the overall satisfaction levels of the patients.
Patients will be asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction.
|
Evaluation will be performed after 5 weeks rehabilitation program.
|
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The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
時間枠：Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
DASH questionnaire inquires about the activities of a person in daily life, the degree of participation in recreational activities, the symptom and psychosocial state that affects their pain, emotional state and sleep quality.
The total score is at least 0 and at most 100, and the high scores are positively correlated with the increased functional impairment.
|
Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Sibel Gayretli Atan、sssibel_38@hotmail.com
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2019年5月20日
一次修了 (実際)
2019年11月29日
研究の完了 (実際)
2019年12月30日
試験登録日
最初に提出
2019年4月11日
QC基準を満たした最初の提出物
2019年5月20日
最初の投稿 (実際)
2019年5月21日
学習記録の更新
投稿された最後の更新 (実際)
2020年1月2日
QC基準を満たした最後の更新が送信されました
2019年12月30日
最終確認日
2019年11月1日
詳しくは
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