Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises in Adhesive Capsulitis.

Not Applicable

• Conditions: Adhesive Capsulitis
• Interventions: Other: scapular stabilization exercises along with conventional physiotherapy; Other: conventional physiotherapy

• Registration Number: NCT05403918
• Lead Sponsor: Riphah International University

Brief Summary

The objective of this study will be to determine the Effects of conventional physical therapy with and without scapular stabilization exercises on pain, function, scapular dyskinesia, and proprioception in patients with adhesive capsulitis.

Detailed Description

Adhesive capsulitis is characterized by the gradual onset of severe shoulder pain with the progressive limitation of active and passive glenohumeral range of motion. Due to capsular tightness and pain, scapular positioning and proprioception get affected. An increase in the abnormal positioning of the scapula and proprioception deficit disturbs the whole biomechanics of the shoulder joint and are the main causes of residual pain and stiffness following PT treatment.

In previous studies, several studies have reported the effects of scapular stabilization exercises on pain, ROM, and function but there is a paucity of literature available on specifically addressing scapular dyskinesis and joint position sense in patients with adhesive capsulitis. Scapular stabilization techniques will help to improve proprioception and the length-tension relationship of the scapular muscles, which may effectively reduce the time taken for the rehabilitation of the patient with adhesive capsulitis of the shoulder joint.

Study Timeline

• Status Verified: 2022-05
• Study First Submitted: 2022-05-31
• Study First Submitted QC: 2022-05-31
• Last Update Submitted: 2022-05-31
• Study Start: 2022-06
• Study First Posted: 2022-06-03
• Last Update Posted: 2022-06-03
• Primary Completion: 2023-01-01
• Study Completion: 2023-01-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Diagnosis of idiopathic adhesive capsulitis for more than 4 months (Stage 2)
• Unilateral idiopathic adhesive capsulitis
• Shoulder Pain on NPRS ≥5
• Restricted ROM (loss of ≥ 25% relative to non-involved shoulder in one or multidirectional)
• Patients volunteered to participate in the study and signed informed consent.

Exclusion Criteria

• History of shoulder surgery or manipulation under anesthesia
• Unstable fractures, rheumatoid arthritis and those with severe joint pain unrelieved by rest
• Neurologic deficits affecting shoulder functioning during daily activities
• Pain or disorders of the cervical spine, elbow, wrist, or hand
• Other pathological conditions involving the shoulder (rotator cuff tear, tendinitis, etc.)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
scapular stabilization exercises along with conventional physiotherapy	scapular stabilization exercises along with conventional physiotherapy	15 participants will receive conventional treatment along with scapular stabilization exercises program consisting of strengthening exercises (Middle Trapezius, Lower Trapezius, Serratus Anterior, and Rhomboid Muscles) and stretching exercises (Pectoralis Minor, Levator Scapulae, Upper Trapezius, Teres Major). Appropriate exercises will be given to patients according to the type of Scapular Dyskinesia.
conventional physiotherapy	conventional physiotherapy	15 patients will receive conventional physiotherapy including a hot pack, TENS, therapeutic ultrasound, shoulder anteroposterior, posteroanterior, and inferior glides followed by active and active-assisted range of motion exercises, isometric exercises, Codman's pendulum exercises, wand, pulley, and finger ladder exercises.

Primary Outcome Measures

Name	Time	Method
NPRS for pain	6th week	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Bubble inclinometer for shoulder ROM and JPS	6th week	A bubble Inclinometer is used for measuring the range of motion and joint position sense in patients.
SPADI for pain and disability	6th week	Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty.
LSST for static scapular movement	6th week	A lateral scapular slide test is used to assess scapular position in shoulder pathologies.
SDT for dynamic scapular movement	6th week	The scapular dyskinesia test is used to measure dynamic scapular movement.

Trial Locations

Locations (1)

Physical therapy department, Qari Hospital, Okara.; 🇵🇰 Okara, Punjab, Pakistan