SCAPULAR MOBILIZATION VERSUS SCAPULAR PROPRIOCEPTIVE NEURO MUSCULAR FACILITATION ON FROZEN SHOUDER
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Cairo University
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- Shoulder disability
Study Overview
Brief Summary
This study will be conducted to examine and compare the effects of SM versus SPNF on shoulder pain, ROM and functional disabilities in patients with frozen shoulder.
Detailed Description
This study will be conducted to examine and compare the effects of SM versus SPNF on shoulder pain, ROM and functional disabilities in patients with frozen shoulder.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Masking Description
triple-blinded clinical randomized trial
Eligibility Criteria
- Ages
- 40 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •- All the patients refferd from orthopaedic surgeon with diagnosis of adhesive capsulitis. Patients will be included in this study if they fulfil the following criteria
- •Case diagnosed with adhesive capsulitis, both primary and secondary.
- •Both males and females of the age group 40 to 60 years.
- •Limited active and passive movement of the shoulder joint movements, as well as difficulties with ADLs.
- •4- The onset of symptoms between 3 to 12 months.
- •Unilateral adhesive capsulitis.
Exclusion Criteria
- •1. History of shoulder surgery or manipulation under anaesthesia, local corticosteroid injection administration to the affected shoulder within the last 6 months,
- •Neurological deficit affecting the shoulder function during daily activities,
- •Pathology of the shoulder joint other than adhesive capsulitis including rotator cuff tear, tendonitis at the shoulder and neck region, malignancies, history of trauma or accidental injuries of the upper limb.
- •4- Other pathological conditions including, a history of stroke, history of mastectomy and coronary artery bypass grafting (CABG).
- •5. Rheumatoid arthritis, osteoporosis, or disorders of the cervical spine, elbow, wrist or hand.
Arms & Interventions
group A
Group A (n = 21): will receive scapular mobilization combined with mobilization with movement (MWM) and capsular stretch for 4 weeks.
Mulligan Mobilization with Movement for peripheral joints combines sustained manual application of 'gliding' force to a joint, with the aim of repositioning the positional faults with concurrent physiological motion of the joint, either performed actively by the subject or passively by the therapist
Intervention: Group A SCAPULAR MOBILIZATION (Other)
group B
Group B (n = 21): will receive scapular proprioceptive neuromuscular facilitation combined with (MWM) and capsular stretch for 4 weeks.
Scapular PNF incorporates functional or diagonal patterns (anterior elevation - posterior depression and posterior elevation - anterior depression) for performing the exercises and can be used to stretch or strengthen the muscles selectively. These techniques help the muscles to relearn the normal timing of recruitment and the amount of activation to sustain the balance between different groups of muscles
Intervention: Group A SCAPULAR MOBILIZATION (Other)
Outcomes
Primary Outcomes
Shoulder disability
Time Frame: 4 weeks
Shoulder Pain and Disability Index (SPADI) The translated version of SPADI in the Arabic language showed excellent internal consistency and test-retest reliability. Validity was shown by substantial correlations between SPADI and Quick DASH, NRS, and active shoulder ROM. The Arabic SPADI is recommended for the evaluation of patients with shoulder dysfunction
Shoulder range of motion
Time Frame: 4 weeks
A goniometer is a device used to measure the range of motion (in degrees) of joints for either active or passive range. Shoulder flexion, extension, abduction adduction, internal rotation and external rotation will be assessed by Goniometer
Secondary Outcomes
- Lateral scapular slide test(4 weeks)
- Scapular upward rotation(4 weeks)
Investigators
Mohamed Mahmoud El morsy
Dr.
Cairo University