Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis
Study Details
Study Description
Brief Summary
The aim of this research is to determine the effects of capsular stretching versus passive joint mobilization on Pain, range of motion and Quality of life in patients with Idiopathic Adhesive capsulitis.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
In reference study, patients with Adhesive capsulitis were given the option to examine the immediate effects of posterior capsule stretching and scapular mobilization. They came to the conclusion that extending the posterior capsule improved shoulder range of motion. Current study will assess all shoulder movements and also showing effect on Quality of life of patients with adhesive capsulitis.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Cyriax capsular stretching Patient will be subjected to Hot Pack prior to treatment. Detailed intervention will include Active range of motion exercises,Home plan exercises.Anterior, Posterior and inferior capsular stretching. |
Other: Cyriax capsular stretching
Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins.
Anterior, Posterior and inferior capsular stretching would be performed. Each stretch should be held15-30 seconds and repeated 2 to 4 times.
|
| Active Comparator: Mobilization Patient will be subjected to Hot Pack prior to treatment. Detailed intervention will include Active range of motion exercises,Home plan exercises and Maitland's Mobilization: |
Other: Mobilization
Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins.
Maitland's Mobilization: Inferior glide (10x3), posterior glide, (10 reps x 3 sets), anterior glide (10 reps x 3 sets)
|
Outcome Measures
Primary Outcome Measures
- Numeric Pain rating scale [4th week]
The Numeric Pain rating scale is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.
- Range of motion (shoulder flexion) [4th week]
changes in shoulder flexion Range of motion from baseline to final session was measured
- Range of motion (shoulder extension) [4th week]
changes in shoulder extension Range of motion from baseline to final session was measured
- Range of motion (shoulder abduction) [4th week]
changes in shoulder abduction Range of motion from baseline to final session was measured
- Range of motion (shoulder external rotation) [4th week]
changes in shoulder external rotation Range of motion from baseline to final session was measured
- Range of motion (internal rotation) [4th week]
changes in shoulder internal rotation Range of motion from baseline to final session was measured
Eligibility Criteria
Criteria
Inclusion Criteria:
Both genders
-
Age : 30-50 years
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Pain and Restricted movements of shoulder.
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Patient With Adhesive Capsulitis of Stage 2
Exclusion Criteria:
-
Patient with any Intrinsic Etiology such as Haemarthrosis, rheumatoid arthritis ,infection or gout
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Patient with any severe trauma, Shoulder dislocation, subluxation or ligament injury of the shoulder
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Fractures of the shoulder
-
Peripheral neurological involvement in the upper extremity.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Lady reading hospital | Peshawar | Khyber Pakhtunkhwa | Pakistan | 25000 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Ramsha Tariq, MS-OMPT, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
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- Janela D, Costa F, Molinos M, Moulder RG, Lains J, Francisco GE, Bento V, Cohen SP, Correia FD. Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study. J Pain Res. 2022 Jan 8;15:53-66. doi: 10.2147/JPR.S343308. eCollection 2022.
- Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M. Frozen shoulder: MR arthrographic findings. Radiology. 2004 Nov;233(2):486-92. doi: 10.1148/radiol.2332031219. Epub 2004 Sep 9.
- Paul A, Rajkumar JS, Peter S, Lambert L. Effectiveness of sustained stretching of the inferior capsule in the management of a frozen shoulder. Clin Orthop Relat Res. 2014 Jul;472(7):2262-8. doi: 10.1007/s11999-014-3581-2. Epub 2014 Mar 25.
- Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, Ashraf R, Fisher M, Kelly IG. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elbow Surg. 2007 Nov-Dec;16(6):748-51. doi: 10.1016/j.jse.2007.02.133.
- Riphah IU Maria Safdar