Effects of Scapular Proprioceptive Neuromuscular Facilitation on Pain and Range of Motion in Patients With Adhesive Capsulitis
试验速览
- 阶段
- 不适用
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Shoulder Pain
研究概览
简要总结
The term ''frozen shoulder'' is defined as a clinical condition with restricted active and passive range of motion (ROM) in all directions, including flexion, abduction, and rotation.The objective of the study is to determine the effects of Scapular proprioceptive neuromuscular facilitation and conventional physical therapy among patients with adhesive capsulitis.The study will be a randomized controlled trial (single-blinded parallel study), consisting of 2 groups- interventional group A and interventional group B.Group A will be given conventional physical therapy and group B will be given conventional physical therapy alongwith scapular PNF.Scapular PNF exercises are not included in our routine PT treatment programs and there is limited literature related to the PNF techniques. These techniques help develop muscular strength and endurance, joint stability, mobility, neuromuscular control and coordination all of which are aimed at improving the overall functional ability of patients.
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)
盲法说明
The outcome assessor will not be aware of which group the participant belongs to.
入排标准
- 年龄范围
- 40 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cases diagnosed with adhesive capsulitis, both primary and secondary origin.
- •Stage two and stage three of adhesive capsulitis.
- •Unilateral adhesive capsulitis.
- •Both males and females of the age group 40 years and above.
排除标准
- •History of shoulder surgery or manipulation under anesthesia,
- •Local corticosteroid injection administration to the affected shoulder within the last 3 months.
- •Severe musculoskeletal, neurological and cardiovascular conditions.
研究组 & 干预措施
Conventional PT Group
Conventional group will receive routine physical therapy including
10
ultrasound(1.5w/cm2
,3 MHz continuous type, duration 10 minutes),hot packs (on affected region of shoulder for 10 minutes),shoulder ROM, stretching exercises, and joint mobilization five times per week for two weeks with 40 minutes duration of each session. Maitland mobilization will be given in supine position.
· After giving glenohumeral joint distraction, caudal, dorsal, and ventral glides will be given at a rate of 2-3 oscillation/second for 1 to 2 minutes to patients. Grade I or II rhythmic oscillations will be applied in free range.
干预措施: Conventional Physical Therapy (Procedure)
Scapular PNF + Conventional PT Group
This group will receive scapular PNF techniques along with routine physical therapy (same as above). In this group 20 repetitions of diagonal scapular pattern (anterior elevation and posterior depression, posterior elevation and anterior depression) with 20 seconds rest period will be given to subjects. PNF techniques of rhythmic initiation and repeated contractions will be used in all patterns, applied for 40 minutes.
干预措施: Conventional Physical Therapy (Procedure)
Scapular PNF + Conventional PT Group
This group will receive scapular PNF techniques along with routine physical therapy (same as above). In this group 20 repetitions of diagonal scapular pattern (anterior elevation and posterior depression, posterior elevation and anterior depression) with 20 seconds rest period will be given to subjects. PNF techniques of rhythmic initiation and repeated contractions will be used in all patterns, applied for 40 minutes.
干预措施: PNF techniques (Procedure)
结局指标
主要结局
Shoulder Pain
时间窗: 2 weeks
Shoulder Pain will be measured on the basis of visual analogue scale of 0-100mm. A higher score signifies greater pain.
次要结局
- Shoulder range of motion (ROM)(2 weeks)
- Scapular mobility(2 weeks)