Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises on Pain, Function, Scapular Dyskinesia and Proprioception in Patients With Adhesive Capsulitis.
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Bubble inclinometer for shoulder ROM and JPS
研究概览
简要总结
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.
详细描述
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.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.)
结局指标
主要结局
Bubble inclinometer for shoulder ROM and JPS
时间窗: 6th week
A bubble Inclinometer is used for measuring the range of motion and joint position sense in patients.
NPRS for pain
时间窗: 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).
SPADI for pain and disability
时间窗: 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
时间窗: 6th week
A lateral scapular slide test is used to assess scapular position in shoulder pathologies.
SDT for dynamic scapular movement
时间窗: 6th week
The scapular dyskinesia test is used to measure dynamic scapular movement.
次要结局
未报告次要终点