Effect of shoulder internal rotator muscles and fascia movement in shoulder stiffness

Completed

Conditions: Adhesive capsulitis of shoulder,

Registration Number: CTRI/2020/03/024276

Lead Sponsor: Amita Aggarwal

Brief Summary: **Title**- Effect of myofascial release of shoulder internal rotatorsin patients with idiopathic frozen shoulder

**Need of the study**- Shoulderpain with limited ranges in idiopathic frozen shoulder are not only relatedto capsular and ligamentous tightness but also fascial restrictions, muscletightness and trigger points within the muscles. This can happen out ofguarding or body response to prevent pain in Activity of daily living. AlsoScapular dyskinesia, one of the important manifestation in adhesive capsulitisand its association with muscle imbalance makes it important to address musclerole with the pathology. As capsular pattern has major component that beginswith external rotation limitation maximally followed by abduction and theninternal rotation, this study is undertaken to see if there is any effect ofshoulder internal rotators myofascial release on pain, range, disability,scapula position along with all strength changes in idiopathic frozen shoulderpatients.

**Objectives**

1. To find the effect ofconventional rehabilitation on shoulder pain,disability,range,scapula positionand strength in idiopathic frozen shoulder.

2. To find the effect ofshoulder internal rotators myofascial release with conventional rehabilitationon pain,disability,range, scapula position andstrength in idiopathic frozen shoulder .

3. To compare the effect ofconventional rehabilitation versus conventional rehabilitation with shoulderinternal rotators myofascial release on pain,disability,range, scapulaposition and strength in idiopathic frozen shoulder .

**Methodology-**Based oninclusion and exclusion criteria 62 subjects will be divided into twogroups.

Group A (Control) wasgiven conventional treatment

Group B (Experimental) wasgiven myofascial release to shoulder internal rotators with conventionaltreatment

The treatment will be givenfor 2 weeks,5 days a week.

Patients will be assessedfor pain, disability, range, scapula position and strength as outcomemeasures at baseline and after 10 sessions.

Samples completed

Data analysis completed.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 62

Inclusion Criteria

1 Unilateral Idiopathic or secondary adhesive capsulitis patients in stage 1 and 2 2 Tightness in any shoulder internal rotator as evidenced by reduced external rotation range in particular position 3 At least 90 degrees of elevation on affected shoulder.

Exclusion Criteria

1 Patients with associated neurological conditions such as stroke, Parkinsonism, upper or lower motor neuron disease.
2 Any history of upper extremity fracture, clavicle fracture in last 3 months.
3 Structural Scoliosis 4 Cervical spondylitis with radiating pain in arm and forearm 5 CABG or any associated cardiac disorder 6 Uncontrolled diabetes in last 3 months.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
NPRS,Pressure pain threshold, SPADI, Shoulder range of motion,Scapular position,EMG	On first session and after 10th session

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Dr. D.Y. Patil College of Physiotherapy OPD
🇮🇳
Pune, MAHARASHTRA, India
Dr. D.Y. Patil College of Physiotherapy OPD
🇮🇳Pune, MAHARASHTRA, India
Amita Aggarwal
Principal investigator
7986972513
amita15pgi@gmail.com