Investigation The Efficacy of Manual Therapy and Exercise in Patients With Glenohumeral Arthritis
30 december 2019 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
30
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
-
-
Istanbul
-
Bakırköy, Istanbul, Kalkoen, 34180
- Istanbul University
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-
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
40 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
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
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: ''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.
|
|
Experimenteel: ''Exercise group''
This treatment group will be received only exercise interventions.
|
Exercise interventions include range of motion exercises, stretching exercises, strengthening exercises, and pendulum exercises.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Shoulder Range of Motion (ROM)
Tijdsspanne: 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.
|
The shoulder flexion, abduction, internal and external rotation ROM will be evaluated with digital goniometer while the patient will be in supine position.
|
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.
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) Form
Tijdsspanne: 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.
|
Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
|
Visual Analogue Scale (VAS)
Tijdsspanne: 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
Tijdsspanne: 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.
|
Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
|
|
Short Form 12 (SF-12)
Tijdsspanne: 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
Tijdsspanne: 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.
|
|
The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
Tijdsspanne: 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.
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Sibel Gayretli Atan, sssibel_38@hotmail.com
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
20 mei 2019
Primaire voltooiing (Werkelijk)
29 november 2019
Studie voltooiing (Werkelijk)
30 december 2019
Studieregistratiedata
Eerst ingediend
11 april 2019
Eerst ingediend dat voldeed aan de QC-criteria
20 mei 2019
Eerst geplaatst (Werkelijk)
21 mei 2019
Updates van studierecords
Laatste update geplaatst (Werkelijk)
2 januari 2020
Laatste update ingediend die voldeed aan QC-criteria
30 december 2019
Laatst geverifieerd
1 november 2019
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- ''IU''
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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