Scapular Mobilization Versus Capsular Stretch

Not Applicable

Not yet recruiting

• Conditions: Frozen Shoulder

• Registration Number: NCT06705426
• Lead Sponsor: Cairo University

Brief Summary

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

Detailed Description

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?

Study Timeline

• Status Verified: 2024-11
• Study First Submitted: 2024-11-22
• Study First Submitted QC: 2024-11-22
• Study First Posted: 2024-11-26
• Last Update Submitted: 2024-12-25
• Study Start: 2025-01-01
• Last Update Posted: 2025-03-25
• Primary Completion: 2025-04-01
• Study Completion: 2025-07-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• 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.

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer	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	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	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	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	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	pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
poaterior capsular tension measurement by ruler	pre-intervention, after 2 weeks of treatment and post treatment 4 weeks