Comparative Effects Of Spencer and Reverse Distraction Technique In Patients With Adhesive Capsulitis

Not Applicable

Recruiting

• Conditions: Adhesive Capsulitis
• Interventions: Procedure: Spencer technique; Procedure: reverse distraction technique

• Registration Number: NCT06407817
• Lead Sponsor: Riphah International University

Brief Summary

To compare the effects of spencer and reverse distraction technique in patients with adhesive capsulitis

Detailed Description

Adhesive capsulitis, also known as frozen shoulder, is an inflammatory condition characterized by shoulder stiffness, pain, and significant loss of passive range of motion. Adhesive capsulitis has a prevalence of approximately 2% to 5% in the general population, with a mean onset of age of 55.

A randomized clinical trial will be conducted at Ibne Sina Hospital, Multan . Non probability convenience sampling technique will be applied on 50 patients who will be allocated through computerized randomization into group A \& group B to collect data. Group A will be given spencer technique and group B will be given reverse distraction technique along with baselines. The study will be completed within the time duration of ten months. Primary Outcome measures of the research will be pain, range of motion, function, muscle strength, disability and quality of life will be measured pre and post intervention. The whole treatment protocols will be given for four weeks. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Study Timeline

• Study Start: 2024-02-01
• Study First Submitted: 2024-05-06
• Study First Submitted QC: 2024-05-06
• Study First Posted: 2024-05-09
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-20
• Last Update Posted: 2024-12-27
• Primary Completion: 2025-01
• Study Completion: 2025-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Age group 40-60 years
• Male and female
• Positive Capsular pattern (ER more limited than Abd which is more limited than IR)
• Limitation in shoulder ROM ; Flexion <180 , Abduction <180 , External Rotation <50
• Patients of stage 2 and 3 of adhesive capsulitis

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Exclusion Criteria

• History of surgery of the affected shoulder
• Fractures in around the shoulder
• Neurological disorders leading to altered muscle activity
• Systemic arthritic conditions (RA, Osteoporosis)
• Disorders of the cervical spine

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Spencer's technique	reverse distraction technique	This group will receive the Spencer's technique.
reverse distraction technique	Spencer technique	This group will recieve reverse distraction technique
reverse distraction technique	reverse distraction technique	This group will recieve reverse distraction technique
Spencer's technique	Spencer technique	This group will receive the Spencer's technique.

Primary Outcome Measures

Name	Time	Method
shoulder pain and impairment : SPADI	6 weeks	The SPADI consists of 13 items that assess two domains: a 5-item subscale for pain and an 8-item subscale for disability. The SPADI has since been used in both primary care on mixed diagnosis and surgical patient populations including rotator cuff disease, osteoarthritis, and rheumatoid arthritis, adhesive capsulitis ,joint replacement surgery , and in a large population-based study of shoulder symptoms (37).; Reliability- 0.89, Validity - 0.90
36-Item Short Form Health Survey questionnaire (SF-36)	6 weeks	The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. The ICC for SF-36 PF is (0.96, 95% CI 0.92-0.98) so it's a reliable test.
pain : numerical pain rating scale	6 weeks	Patients' overall assessment of pain will be provided using the numeric pain rating scale (NPRS). The NPRS is known to be a sensitive and reliable scale for clinical and experimental evaluation of pain intensity. The score ranges from 0, indicating no pain, to 10, expressing worst imaginable pain. The reliability of numeric pain rating scale (NPRS) is 0.92 (0.87, 0.95).
range of motion : universal goniometer	6 weeks	Universal Goniometer is the most commonly utilised clinical tool for measuring joint range of motion due to its ease of use, low cost, and demonstrated reasonable levels of reliability and validity in numerous studies. Validity and intertester reliability (r =.97-.98; ICC =.98-.99) are both high

Trial Locations

Locations (1)

Johar Pain Relief Center; 🇵🇰 Lahore, Punjab, Pakistan