PNF Technique in Adhesive Capsulitis

Not Applicable

• Conditions: Adhesive Capsulitis
• Interventions: Other: conventional physiotherapy; Other: PNF technique

• Registration Number: NCT05151783
• Lead Sponsor: University of Lahore

Brief Summary

Adhesive capsulitis is painful movement restricted condition linked with pain, restricted range of motion and difficulty in performing daily life activities. Multiple treatment options are there for its treatment. However, role of peripheral neuromuscular facilitation in this regimen is still under consideration.

Detailed Description

Adhesive Capsulitis or peri-arthritis or Frozen Shoulder is self-limiting condition of unknown etiology that usually affects middle aged population of 40-70 years and rarely it occur secondary to rheumatoid arthritis, osteoarthritis, trauma or immobilization of shoulder joint. It is characterized by development of dense adhesions, capsular thickening and restrictions which limits active and passive shoulder range of motion (ROM) with scapular dyskinesia.The aim of the of the study is to investigate the effects of scapular proprioceptive neuromuscular techniques with routine physical therapy on pain, scapular dyskinesia, shoulder ranges of motion and functionality in patients with adhesive capsulitis. Proper functioning of upper extremities requires both motion and stability of scapula on thorax. Prolonged immobilization of shoulder joint leads to ankylosis of joint and scapular dyskinesia. This study will help with a positive effect by using a non-invasive, less painful, cost effective and time saving approach of scapular proprioceptive neuromuscular facilitation techniques among joint mobilization and other therapeutic approaches like intra articular injections and manipulation under anesthesia on alleviating pain, muscle strength, shoulder ranges of motion and early restoration of normal functioning of shoulder joint.

Study Timeline

• Status Verified: 2021-11
• Study First Submitted: 2021-11-04
• Study First Submitted QC: 2021-11-25
• Last Update Submitted: 2021-11-25
• Study First Posted: 2021-12-09
• Last Update Posted: 2021-12-09
• Study Start: 2021-12-10
• Primary Completion: 2022-01-10
• Study Completion: 2022-01-20

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• Diagnosed cases of stage II & III adhesive capsulitis
• Referred by orthopedic physician
• Duration of stage approximately 1 month
• Both male and female
• Age: 40-70 years

Exclusion Criteria

• Recent history of trauma
• Dislocation or fractures of shoulder
• History of diabetes and hypertension
• Congenital shoulder deformity
• Previous surgery patients
• Patients with diagnosed cardiovascular disease
• Patients with malignancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
conventional physiotherapy	conventional physiotherapy	routine physical therapy for adhesive capsulitis
PNF techniques	PNF technique	PNF techniques along with conventional physiotherapy

Primary Outcome Measures

Name	Time	Method
change in shoulder Range of motion	Baseline data will be collected and then at 2nd week and 4th week.	shoulder range of motion through goniometer
change in pain intensity	Baseline data will be collected and then at 2nd week and 4th week.	pain measured by visual analogue scale where o represents no pain and 10 represents severe pain
change in shoulder functional activities	Baseline data will be collected and then at 2nd week and 4th week.	shoulder functional activities by simple shoulder function test
change in scapular mobility	Baseline data will be collected and then at 2nd week and 4th week.	scapular mobility through lateral scapular slide test