Scapular Mobilization Versus Posterior Capsular Stretch in Frozen Shoulder
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 34
- 主要终点
- Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer
研究概览
简要总结
The goal of this study is to compare the effect of scapular mobilization versus posterior capsular stretch on pain, function, range of motion, and posterior capsular tension in patient with frozen shoulder
详细描述
Frozen shoulder is a musculoskeletal condition that is commonly encountered in physical therapy practice. It is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Frozen shoulder affects about 2% of the general population, with a higher prevalence in people between their 40s and 60s. Frozen shoulder occurs more in diabetic patient.
The traditional principles of treatment of frozen shoulder are to relieve pain, maintain range of motion, and ultimately to restore function. The physiotherapy treatment of frozen shoulder consists of different modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Therapy (IFT), Ultrasound, Short Wave Diathermy (SWD) etc., and the physical therapy exercises such as stretching, Codman exercise can be used.
Scapular-mobility exercises, or scapular-mobilization (SM) techniques is widely used in the management of musculoskeletal disorders of the shoulder. Scapular mobilization can cause pain reduction with improvement in the shoulder range of motion. Scapular mobilization can reduce the disability in patients with shoulder dysfunction.
Posterior capsular stretch is applied along with mobilization which causes significant improvement in increasing range of motion and functional disability. Capsular stretching showed a more significant reduction in pain when compared to general exercises.
Therefore, what are the possible effect of scapular mobilization versus posterior capsular stretch in treating patients with frozen shoulder?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males and females aged from 40-65 years old.
- •Diabetic and non-diabetic patients' diagnosis of stage 3 frozen shoulder (frozen phase) by an orthopedist.
- •The presence of pain and limited movement in the shoulder for at least 2 months.
- •Passive joint movements are limited when compared with the normal side.
- •Unilateral involvement.
排除标准
- •Recent joint infection or surgery.
- •History of shoulder subluxation, dislocation, or ligamentous injury.
- •Shoulder arthroplasty.
- •Shoulder and cervical pathology.
- •Recent trauma.
- •Neurological disorders with muscle weakness in the shoulder joint.
- •Infection, pregnancy, carcinoma patients, severe cardiac or psychiatric conditions.
- •Previous shoulder surgeries to the affected shoulder.
- •Previous manipulations under anesthesia of the affected shoulder.
- •Radiological evidence for glenohumeral joint arthritis.
研究组 & 干预措施
Scapular mobilization group A
Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
干预措施: Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises (Other)
Posterior capsular stretch group B
Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
干预措施: Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises (Other)
结局指标
主要结局
Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder abduction range of motion to measure shoulder joint active range of motion (abduction) by bubble inclinometer
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder internal rotation range of motion to measure shoulder joint active range of motion (internal rotation) by bubble inclinometer
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder external rotation range of motion to measure shoulder joint active range of motion (external rotation) by bubble inclinometer
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder pain and disability index to measure the shoulder pain the maximum possible score for the pain scale is 50
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Shoulder pain and disability index to measure the disability level the maximum possible score for the disability scale is 80
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
poaterior capsular tension measurement by ruler
时间窗: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
次要结局
未报告次要终点
研究者
Omnia Ahmed Abd Elmeged
Principal Investiator
Cairo University