Effects of Deltoid Strengthening Exercises in Patients With Adhesive Capsulitis
2026年6月8日 更新者：Riphah International University
Effects of Deltoid Strengthening Exercises on Pain, Range of Motion, Muscle Strength and Disability in Patients With Adhesive Capsulitis
Adhesive capsulitis, also known as frozen shoulder, is a musculoskeletal condition that causes significant shoulder pain and restricted joint mobility.
It affects the glenohumeral joint and is commonly seen in individuals between the ages of 40 and 60 year.
It affects 3 to 5% of the general population with a higher prevalence among females and patients with diabetes or thyroid disorders.
Adhesive capsulitis progresses in four stages: painful, freezing, frozen, and thawing, and the condition may persist for 1 to 2 years.
This study aims to determine the effects of Deltoid Strengthening Exercises on pain, range of motion, muscle strength and disability in patients with Adhesive Capsulitis.
研究概览
详细说明
This study will be a Randomized Controlled Trial and will be conducted in Physiotherapy Outpatient Department of Tehsil Head Quarter Hospital, Daska.
Non-Probability Convenience Sampling will be used to collect the data.
A sample of subjects aged 40 to 60 years with stage II and III adhesive capsulitis will be selected based on inclusion and exclusion criteria.
Informed consent will be obtained from all participants.
Outcome measures will include Numeric Pain Rating Scale (NPRS) for pain, Shoulder Pain and Disability Index (SPADI) for disability, Goniometer for Range of Motion, and Arm Abduction and Lowering Test for muscle strength.
48 subjects will be divided into two groups, 24 in each group by random number generator table.
Both groups will receive a standard physical therapy protocol consisting of Ultrasound, Glenohumeral Mobilization and Home Exercises.
In addition to standard physical therapy protocol, Group A will receive Deltoid Strengthening Exercises: Week 1: Isometric exercises (1×10 reps); Week 2 : Theraband exercises (1×10 reps); Week 3 - Dumbbell exercises with 1 kg (1×10 reps) and Week 4: Dumbbell exercises with 1.5 kg (1×10 reps), targeting anterior, middle, and posterior Deltoid.
Group B will receive only the standard physiotherapy protocol without strengthening.
Outcome measures will be measured at baseline and after 4 weeks.
Data analysis will be done by SPSS version 25.
研究类型
介入性
注册 (估计的)
48
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Sumrod Akram
- 电话号码：03324806143
- 邮箱：samrood.akram@riphah.edu.pk
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
不
描述
Inclusion Criteria:
• Both male and female gender
- Subjects with age ranging from 40 to 60 years
- Subjects with stage II and III adhesive capsulitis
Exclusion Criteria:
• Subjects with rotator cuff tears
- Subjects with glenohumeral arthritis
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Deltoid strengthening exercises
Deltoid Strengthening Exercises:
|
a) Deltoid Isometrics The following isometrics of Deltoid will be performed:
|
|
有源比较器：Standard Physical therapy
Ultrasound Glenohumeral Distraction Manual therapy Codman's Pendulum Exercise Finger Ladder exercise Wand Exercise
|
Ultrasound Glenohumeral Distraction Manual therapy Codman's Pendulum Exercise Finger Ladder exercise Wand Exercise
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Pain-Numeric Pain Rating Scale
大体时间：upto 4 weeks
|
In current study, patients with Adhesive Capsulitis having Numeric Pain Rating Scale (NPRS) score of greater or equal to 3 and less than 7 will be included.
Numeric Pain Rating Scale (NPRS) is used to measure pain levels in all subjects.
NPRS is self-reported, single-dimensional 11 point scale between 0 and 10.
The NPRS has a moderate test-retest reliability in patients with a primary complaint of shoulder pain with ICC=0.74,
MCID of 1.1 points and MDC of 2.5 points.
|
upto 4 weeks
|
|
Disability-Shoulder Pain and Disability Index
大体时间：upto 4 weeks
|
Patients with Adhesive Capsulitis having Shoulder Pain and Disability Index (SPADI) score of 41 to 60 will be included in the current study.
The Shoulder Pain and Disability Index (SPADI) is used for measuring the level of disability in patients.
This self-administered index consists of 13 items divided into two subscales: 5 items for pain and 8 items for disability.
It is a practical outcome measure that will be completed by patients in less than 5 min and will be scored by clinician.
It has a high internal consistency with Cronbach α typically exceeding 0.90 and a good test-retest reliability with ICC values ranging from 0.84 to 0.95.
When the SPADI is used more than once on the same subject i.e. at initial consultation and then at discharge, the minimal detectible change (MDC 95%) is 18 points
|
upto 4 weeks
|
|
Range of motion-Universal Goniometer
大体时间：upto 4 weeks
|
Adhesive capsulitis' patients have a capsular pattern of restriction of glenohumeral joint.
Universal goniometer (UG) will be used to measure external rotation, internal rotation, abduction and flexion.
Universal Goniometer is defined as a high-resolution plastic goniometer that permits observation of the axis of motion and ROM of the joint being measured.
UG has been considered the gold standard for clinical assessment of ROM.
It has a good reliability for AROM with ICC ranging from 0.53 to 0.65, and SEM calculated to be 14-25.
|
upto 4 weeks
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Noha Arshad, MSPT*、Riphah International University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Nakandala P, Nanayakkara I, Wadugodapitiya S, Gawarammana I. The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review. J Back Musculoskelet Rehabil. 2021;34(2):195-205. doi: 10.3233/BMR-200186.
- Ramirez J. Adhesive Capsulitis: Diagnosis and Management. Am Fam Physician. 2019 Mar 1;99(5):297-300.
- Seher Z, Goher N, Hamid A, Latif U, Bukhari A, Rafique H, et al. Prevalence of adhesive capsulitis among diabetics and non-diabetics with shoulder pain in general population: prevalence of adhesive capsulitis. Pakistan Journal of Health Sciences. 2023:67-71.
- Rawat P, Eapen C, Seema KP. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: A randomized controlled trial. J Hand Ther. 2017 Jul-Sep;30(3):235-241.e8. doi: 10.1016/j.jht.2016.10.007. Epub 2016 Nov 21.
- Sung JH, Lee JM, Kim JH. The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Feb 7;19(3):1859. doi: 10.3390/ijerph19031859.
- Heinecke ML, Thuesen ST, Stow RC. Graston technique on shoulder motion in overhead athletes. J Undergrad Kinesiol Res. 2014;10(1):27-39.
- Mustafa Z, Zafar MA, Zafar S, Aslam F, Nasir A, Ahmad M, et al. Prevalence of adhesive capsulitis in non-diabetic participants within age 50-70 years in Multan. International Journal of Natural Medicine and Health Sciences. 2024;3(2):40-2.
- Reinold MM, Macrina LC, Wilk KE, Fleisig GS, Dun S, Barrentine SW, Ellerbusch MT, Andrews JR. Electromyographic analysis of the supraspinatus and deltoid muscles during 3 common rehabilitation exercises. J Athl Train. 2007 Oct-Dec;42(4):464-9.
- Moser T, Lecours J, Michaud J, Bureau NJ, Guillin R, Cardinal E. The deltoid, a forgotten muscle of the shoulder. Skeletal Radiol. 2013 Oct;42(10):1361-75. doi: 10.1007/s00256-013-1667-7. Epub 2013 Jun 20.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年6月6日
初级完成 (估计的)
2026年10月6日
研究完成 (估计的)
2026年11月6日
研究注册日期
首次提交
2026年6月1日
首先提交符合 QC 标准的
2026年6月8日
首次发布 (实际的)
2026年6月12日
研究记录更新
最后更新发布 (实际的)
2026年6月12日
上次提交的符合 QC 标准的更新
2026年6月8日
最后验证
2026年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.