Randomized Controlled Trial, Manual Treatment and Classical Physiotherapy for One Group, PNF and Classical Physiotherapy for Other Group
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Range of motion change
研究概览
简要总结
This study aim was to compare the effectiveness of manual treatment and proprioceptive neuromuscular fasilitation (PNF) techniques in patients with adhesive capsulitis. One group will receive classical physical therapy including hotpack,ultrason and in additon manual treatment application. Other group receive classical physical therapy including hotpack, ultrason and in addition PNF techniques. Two group will be made wand exercise at home three times a day 10 times at one session.
详细描述
There is no consensus physical therapy treatment protocol in adhesive capsulitis. It is because it etiology and pathophysiology is unknown. Also it has different clinical stage. PNF techniques often used by physical therapist in adhesive capsulitis aim increasing range of motion, improving muscle strenght and decreasing pain. PNF techniques improves neuromusculer control of central nervous system via stimulating muscle spindles, golgi tendon organs and other receptors in connective tissue. However, there is limited evidence effectivenes of PNF techniques in adhesive capsulitis.
Other technique often used by physical therapist in adhesive capsulitis is manual treatment. Manual treatment decreases pain and improves function. It re-arrange glenohumeral joint arthrocinematic. It diminishes capsule fibrosis.
There is no reasearh aimed comparing the PNF and manual treatment. Our aim was to compare the effectiveness of manual treatment and PNF techiques in patients with adhesive capsulitis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 35 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adhesive capsulitis due to idiopathic or acquired reasons
排除标准
- •Cervical disk hernia
- •Neuromusculer disease
- •Shoulder impingement syndrome
- •Rotator cuff tear
- •Corticosteroid enjeksion in shoulder
- •Physical therapy or manual treatment is implemented same shoulder last 6 months
研究组 & 干预措施
edit arms
classical physiotherapy and manual treatment. Classical physiotherapy consisting of hotpack and ultrason. Hotpack duration is 20 minutes and ultrason duration is 5 minutes in one session. Manual treatment is consist of scapular mobilization, glenohumeral joint inferior and posterior mobilization. Treatment modality is implemented by physical therapist three times a week for 8 weeks.
干预措施: Manual treatment (Other)
edit arm/intervention cross
classical physiotherapy and proprioceptive neuromusculer fasilitation. Classical physiotherapy consist of hotpack and ultrason. Hotpack duration is 20 minutes and ultrason duration is 5 minutes in one session. Scapular PNF and upper extremity PNF (flexion-abduction-external rotation) pattern. Treatment programme was implemented by physical therapist three times a week for 8 weeks.
干预措施: Manual treatment (Other)
结局指标
主要结局
Range of motion change
时间窗: change from baseline range of motion assessment at 8 weeks
Flexion, abduction, internal and external rotation range of motion will assessed with universal goniometer.
次要结局
- Subjective pain assessment: VAS(Change from baseline subjective pain assessment at 8 weeks)
- General arm function(Change from baseline shoulder function assessment at 8 weeks)
- Muscle strenght(Change from baseline muscle strenght assessment at 8 weeks)
- Self-assessment of symptoms and function of the shoulder(Change from baseline general health level assessment at 8 weeks)
- To assess functional disability of the shoulder(Change from baseline general health level assessment at 8 weeks)
- Scapular dyskinesis(Change from baseline scapular dyskinesis assessment at 8 weeks)
- Health quality depent on health(Change from baseline health quality assessment at 8 weeks)
- Health quality is not related to health(Change from baseline health quality assessment at 8 weeks)
- general health level(Change from baseline general health level assessment at 8 weeks)
- Self rated upper extremity disablity and symptoms.(Change from baseline general health level assessment at 8 weeks)
研究者
Kübra Canli
research assistant
Hacettepe University