Elhafez Technique Combined With Dynamic Scapulohumeral Mobilization in Patients With Shoulder Adhesive Capsulitis
试验速览
- 阶段
- 不适用
- 状态
- 暂停
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Range of motion
研究概览
简要总结
Elhafez Technique Combined with Dynamic Scapulohumeral Mobilization in Adhesive Capsulitis
详细描述
Elhafez Technique is an emerging rehabilitation approach that integrates axillary ultrasound, axillary laser therapy, and post-isometric facilitation (PIF) to target capsular stiffness, inflammation, and neuromuscular dysfunction. These techniques aim to enhance tissue healing, improve joint mobility, and reduce pain. When combined with Dynamic Scapulohumeral Mobilization (DSM), which focuses on restoring scapular control and shoulder joint biomechanics, this comprehensive approach may offer superior outcomes compared to conventional treatments.
This study aims to evaluate the biomechanical and functional effects of combining Elhafez Technique with DSM in patients with shoulder adhesive capsulitis. By assessing pain levels, ROM, and functional recovery, this research seeks to determine whether this combined intervention provides faster and more effective relief for patients suffering from this condition.
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
- Double (Participant, Care Provider)
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
- •Adults aged 30-60 years diagnosed with Stage 2 (Frozen) or Stage 3 (Thawing) Shoulder Adhesive Capsulitis based on American Shoulder and Elbow Surgeons (ASES) guidelines.
- •Pain score ≥4/10 on the Visual Analog Scale (VAS) for at least 3 months.
- •Restricted external rotation of ≥25% compared to the unaffected shoulder.
- •No prior shoulder injections, surgery, or physiotherapy within the last 3 months.
排除标准
- •History of shoulder fractures, rotator cuff tears, or labral injuries.
- •Systemic inflammatory conditions (e.g., Rheumatoid Arthritis, Uncontrolled Diabetes).
- •Neurological disorders affecting the shoulder (e.g., Stroke, Parkinson's Disease).
- •Current participation in another physiotherapy intervent
研究组 & 干预措施
Control Group
Participants will receive traditional physical therapy (ultrasonic, laser, exercises and home program)
干预措施: Laser and ultrasound (Other)
Elhafez Technique Group
Participants will receive Elhafez technique only
干预措施: Laser and ultrasound (Other)
Elhafez Technique and DSM Group
Participants will receive Elhafez technique and dynamic scapulohumeral mobilization
干预措施: Laser and ultrasound (Other)
结局指标
主要结局
Range of motion
时间窗: From enrollment to the end of treatment at 6 weeks
Flexion, abduction and external rotation of the shoulder jooint
次要结局
- Functional activities(From enrollment to the end of treatment at 6 weeks)
研究者
Haytham M Elhafez
Professor of Physical Therapy
Cairo University