Comparison of PFS and ART in Adhesive Capsulitis in Diabetic Patients

Not Applicable

Completed

• Conditions: Adhesive Capsulitis
• Interventions: Other: Post facilitation stretch; Other: Active release technique

• Registration Number: NCT04561310
• Lead Sponsor: Riphah International University

Brief Summary

To determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques

Detailed Description

There is a very limited literature available Active release technique (ART) and Post Facilitation Stretch (PFS) in frozen shoulder. Additionally there is a very limited literature on the evaluation of ART in comparison with PFS in adhesive capsulitis of diabetic patient. Disease such as rheumatoid arthritis (RA), osteoarthritis (OA) etc that cause stiffness of the shoulder joint also present with altered muscle activity, that in long run becomes one of the main causes of reduces joint range of motion. With this study, we will be able to determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques. This study will also fulfill that research gap and will provide clinicians with an alternative approach in treatment of adhesive capsulitis.

Study Timeline

• Study Start: 2020-06-15
• Status Verified: 2020-09
• Study First Submitted: 2020-09-17
• Study First Submitted QC: 2020-09-22
• Study First Posted: 2020-09-23
• Primary Completion: 2021-01-01
• Study Completion: 2021-01-30
• Last Update Submitted: 2021-03-22
• Last Update Posted: 2021-03-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Controlled diabetic patients (random 200-250mg/dl /fasting 120-160mg/dl).

• Grade 2 & 3 of adhesive capsulitis,

• Pain (NPRS) ranging between 3-10

• Reduced normal shoulder ROM's i.e

  • Flexion less than 160 degrees.
  • Extension less than 50 degrees.
  • Abduction less than 170 degrees.
  • External rotation less than 80 degrees.
  • Internal rotation less than 70 degrees

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Exclusion Criteria

• Trauma history of shoulder/surgery.
• Frozen shoulder accompanied with neurological involvement.
• People with any injury or disability of elbow or hand

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Post facilitation stretch	Post facilitation stretch	Post facilitation stretch with Maitland mobilization
Active release technique	Active release technique	Active release technique with Maitland mobilization

Primary Outcome Measures

Name	Time	Method
ROM Shoulder Abduction	6th week	Goniometer is used to measure the range of the motion of the shoulder Abduction
Shoulder pain and disability Index (SPADI)	6th week	The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities.; Each of the 13 items is to be rated with a number from 0 to 10: For the pain score (first 5 items): 0 means no pain and 10 means worst pain imaginable; For the disability score (last 8 items): 0 means no impairment and 10 means the patient requires help to perform that action
The oxford scale	6th week	The Oxford Scale is a 0-5 scale which is then recorded as 0/5 or 2/5, sometimes with a + or - sign to indicate more or less power but not sufficient to reduce or increase the number.
ROM Shoulder Flexion	6th week	Goniometer is used to measure the range of the motion of the shoulder flexion
ROM Shoulder Extension	6th week	Goniometer is used to measure the range of the motion of the shoulder extension
ROM Shoulder External Rotation	6th week	Goniometer is used to measure the range of the motion of the shoulder External Rotation
Numeric Pain Rating Scale (NPRS)	6th week	The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes.
ROM Shoulder Internal Rotation	6th week	Goniometer is used to measure the range of the motion of the shoulder Internal Rotation

Trial Locations

Locations (1)

Asif Hospital Wah Cantt; 🇵🇰 Islamabad, Punjab, Pakistan