Transfer of Energy Capacitive and Resistive Therapy on Shoulder Range of Motion In Idiopathic Adhesive Capsulitis
2026年8月22日 更新者：Mohamed Hemied Nasser、Cairo University
Effect of Transfer of Energy Capacitive and Resistive (TECAR) Therapy on Shoulder Range of Motion In Idiopathic Adhesive Capsulitis
The current study's general aim is to compare the effectiveness of Transfer of Energy Capacitive and Resistive (TECAR) therapy combined with stretching versus stretching alone in patients with adhesive capsulitis stage 2,3 on range of motion, pain, and function.
調査の概要
状態
まだ募集していません
条件
詳細な説明
Adhesive capsulitis or frozen shoulder is often defined as insidious shoulder pain and range of motion (ROM) loss of more than 25% in at least 2 planes. Furthermore, there was passive external rotation loss of more than 50% of the unaffected shoulder, or less than 30° of available external rotation. The specific cause of the rotator interval contracting and the capsule thickening, which results in shoulder pain and a decrease in capsular volume, is still a mystery One of the alternate methods used for the treatment of musculoskeletal diseases is transfer energy capacitive and resistive or TECAR therapy, which is a deep heat-generating modality delivering radiofrequency energy ranging from 300 kHz to 1 MHz. TECAR therapy enhances the physiological tissue metabolism by transferring energy and increasing electrolytic motions within tissues, causing increased deep temperature, microcirculation, vasodilatation, and muscle flexibility Considering the importance of proper adhesive capsulitis treatment and the lack of rigorous studies, especially randomized controlled studies, on the effects of TECAR Therapy in adhesive capsulitis management and capsular extensibility.
Besides, application of TECAR therapy may show added benefit, like decreasing the time needed to gain ROM when compared to stretching only and pain and function. Results could provide more insight into the directional preference of modalities during treatment. Therefore, the results of the current study might help to improve practice, helping clinicians to consider using TECAR therapy as an effective treatment for primary frozen.
研究の種類
介入
入学 (推定)
60
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。
研究連絡先
- 名前：Mohamed H Nasser, Master
- 電話番号：01007966818
- メール：Mohamed.hemiednasser@gmail.com
研究連絡先のバックアップ
- 名前：Nesrin F Mahmoud, PHD
- 電話番号：01127283925
- メール：Dr-nesreenfawzy@cu.edu.eg
研究場所
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Cairo、エジプト
- Cairo University
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コンタクト：
- Mohamed H Nasser, Master
- 電話番号：01007966818
- メール：Mohamed.hemiednasser@gmail.com
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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
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Patients of both genders with primary adhesive capsulitis.
- Patients aged between 40-65.
- Pain duration of three months or more.
- Range of motion loss of greater than 25% in at least 2 planes and passive external rotation loss that is greater than 50% of the uninvolved shoulder or less than 30° of external rotation.
Exclusion Criteria:
- Bilateral adhesive capsulitis,
- Systemic diseases such as rheumatoid arthritis,
- Malignancies,
- Heart diseases
- Infections
- Coagulation disorders
- Full rotator cuff tear
- History of recent shoulder surgery
- Neurological problems involving the upper extremity
- Shoulder joint osteoarthritis
- Upper extremity fractures
- Cervical radiculopathy
- Impaired sensation
- Having a heart pacemaker
- Pregnancy
- Physiotherapy treatment in the previous 6 weeks
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：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：Transfer of Energy Capacitive and Resistive (TECAR) Therapy and stretching exercise group
The participants will receive transfer of energy capacitive and resistive (TECAR) therapy with stretching for limited ROM (Flexion, abduction, internal rotation, and external rotation).
Patients will receive three sessions per week for 1 month.
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To apply TECAR therapy, the patient will lie supine, with the passive electrode, a flexible rectangular stainless steel plate measuring 150 £ 200 mm, placed under the affected side's scapula.
A rigid circular metallic electrode with a 60-mm diameter will be used as the active electrode.
Using the resistive mode with the power of 8 to 10 mA, the active electrode will be circularly moved continuously for 10 minutes on the anterior-inferior shoulder capsule while the patient's arm will be held at the end existing range of abduction and external rotation.
As well, a conductive cream will be used as a coupling medium between the electrodes and the skin.
Based on the manufacturer's recommendation for safe performance, the TECAR intensity will be set as the most effective method, causing no pain based on each patient's feedback.
While the patients were lying on the bed, they would receive cyclic (intermittent) stretching.
Cyclic stretching is the application, release, and reapplication of a relatively short-duration stretch force repeatedly but progressively.
Twenty seconds of stretching and 10 seconds of rest will be used 10 times in each of the following directions (flexion, scapular plane abduction, external rotation, and internal rotation) and stretch to target rotator cuff interval.
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アクティブコンパレータ：Stretching exercise group
The participants will receive stretching alone for limited ROM (Flexion, abduction, internal rotation and external rotation).
Patients will receive three sessions per week for 1 month.
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While the patients were lying on the bed, they would receive cyclic (intermittent) stretching.
Cyclic stretching is the application, release, and reapplication of a relatively short-duration stretch force repeatedly but progressively.
Twenty seconds of stretching and 10 seconds of rest will be used 10 times in each of the following directions (flexion, scapular plane abduction, external rotation, and internal rotation) and stretch to target rotator cuff interval.
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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 |
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Glenohumeral External Rotation range of motion (ROM) in Adducted shoulder
時間枠：1 month
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To measure external rotation range of motion (ROM) with the shoulder adducted, the patient will be positioned in supine with the upper arm positioned at the side and the elbow flexed to 90°.
The examiner will passively externally rotate the glenohumeral joint until end range is reached.
Range of motion will be measured by placing the axis of the goniometer on the olecranon process.
The stationary arm will be aligned with the vertical position.
The movable arm will be aligned with the ulnar styloid process.
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1 month
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Glenohumeral External Rotation range of motion (ROM) in Abducted shoulder
時間枠：1 month
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External rotation range of motion (ROM) may also be measured with the shoulder abducted to 45° or to 90° in the frontal plane (if the patient has the available abduction ROM).
The stationary arm of goniometer will be aligned with the vertical position.
The movable arm will be aligned with the ulnar styloid process.
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1 month
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Glenohumeral Internal Rotation range of motion (ROM) in Abducted shoulder
時間枠：1 month
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Internal rotation range of motion (ROM) will be measured while the patient is positioned in supine, the shoulder abducted to 90°, and the elbow flexed to 90°.
If glenohumeral abduction is less than 90°, a 45° abduction angle can be used.
The examiner passively internally rotates the glenohumeral joint until end range is reached, ensuring that there is no scapular compensation.
Range of motion will be measured by placing the axis of the goniometer on the olecranon process.
The stationary arm will be aligned with the vertical position.
The movable arm will be aligned with the ulnar styloid process
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1 month
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Shoulder Flexion range of motion (ROM)
時間枠：1 month
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To measure flexion range of motion (ROM), the patient will be positioned in supine with the arm rest at the side.
The examiner will passively flex the shoulder until end range is reached (with no compensatory movements from the thorax and the lumbar spine).
Range of motion will be measured by placing the axis of the goniometer on the greater tuberosity.
The stationary arm will be aligned with the midline of the trunk.
The movable arm will be aligned with the lateral epicondyle.
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1 month
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Shoulder Abduction range of motion (ROM)
時間枠：1 month
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To measure abduction range of motion (ROM), the patient will be positioned in supine with the arm comfortably by the side.
The examiner passively abducts the shoulder until end range is reached (shoulder must remain in the same plane).
Range of motion will be measured by placing the axis of the goniometer on the head of the humerus.
The stationary arm will be aligned parallel with the midline of the sternum.
The movable arm will be aligned with the midshaft of the humerus.
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1 month
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Shoulder extension range of motion (ROM)
時間枠：1 month
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To measure extension range of motion (ROM), the patient is positioned in prone position with the arm rest at the side.
The examiner passively extends the shoulder until the end range is reached.
Range of motion will be measured by placing the axis of the goniometer on the greater tuberosity.
The stationary arm will be aligned with the midline of the trunk.
The movable arm will be aligned with the lateral epicondyle.
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1 month
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Assessment of shoulder pain
時間枠：1 month
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The Arabic version of the shoulder pain and disability index (SPADI) will be used.
The 13-item SPADI consists of two primary components, five pain items, and eight disability items.
The five pain items will be recorded to determine pain level.
The weighting of each domain score for the overall score is equal.
The total score for pain is 50.
The overall score is between 0 and 100, with 0 denoting no pain or difficulty.
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1 month
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Assessment of shoulder function
時間枠：1 month
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The Arabic version of the shoulder pain and disability index (SPADI) will be used.
The 13-item SPADI consists of two primary components, five pain items, and eight disability items.
The eight disability items will be recorded to determine shoulder function.
The weighting of each domain score for the overall score is equal.
The total score for the disability scale is 80.
A percentage is used to represent the overall SPADI score.
The overall score is between 0 and 100 ; 0 for best and 100 for worst.
More disability is indicated by a higher score.
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1 month
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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
- スタディディレクター：Mohamed A Mohamed, As.professor、Cairo University
- スタディチェア：Mona M Ibrahim, As.Professor、Cairo University
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 (推定)
2026年9月1日
一次修了 (推定)
2027年3月15日
研究の完了 (推定)
2027年3月30日
試験登録日
最初に提出
2026年8月22日
QC基準を満たした最初の提出物
2026年8月22日
最初の投稿 (実際)
2026年8月26日
学習記録の更新
投稿された最後の更新 (実際)
2026年8月26日
QC基準を満たした最後の更新が送信されました
2026年8月22日
最終確認日
2026年8月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。