Comparison of Theraband, Co-contraction and Isometric Exercises in Frozen Shoulder

Not Applicable

Completed

Interventions: Other: Co-contraction exercises
Other: Theraband exercises
Other: Isometric exercises

Brief Summary: This project was a Randomized control trial conducted to check the effects of in patients with chronic frozen shoulder theraband, isometric and co-contraction exercises so that we can have best treatment option for patients with chronic frozen shoulder. upper cross syndrome, duration was of 6months,convenient sampling was done, subject following eligibility criteria from DHQ hospital Sheikhupura, were randomly allocated in three groups via lottery method, baseline assessment was done, Group A participants were given baseline treatment along with theraband exercises , Group B participants were given baseline treatment along with co-contraction exercises and Group C were given baseline treatment along with isometric exercises on 3rd and 6th week, post intervention assessment was done via, Numeric pain rating scale(NPRS),Shoulder Pain And Disability Index (SPADI) and goniometric measurements of shoulder ranges ,3 sessions per week were given, data was analyzed by using SPSS version 26.

Detailed Description: Frozen shoulder is among the most commonly reported problems to physicians, orthopedics and physical therapists. Even before reporting to clinics there is long history of using over the counter pain killers. Pain avoidance behaviors let the joint stiff so much that a clinician help is sought. Most times the cause of frozen shoulder is not known, therefore is termed as 'idiopathic frozen shoulder'.There is huge literature regarding the management of frozen shoulder and yet after the decades of research there are gaps in treatment options. In modern age of health care, it is common goal of every health care to make patient self-sufficient as early as possible. The self-care models have tremendous advantages. The current study has compared the use of theraband, co-contraction and isometric exercises. The current study was novel in a way that there is limited literature about treating shoulder hypomobility with physical strengthening exercises. All three methods were employed to see if they improve ranges along with accompanying pain and disability.

Recruitment & Eligibility

Inclusion Criteria

Idiopathic with 6 month chronicity.
Patients with AROM/PROM less than or equal to 90 degrees.
Affected shoulder has not more than 90 degrees of abduction & 50% decreased external rotation as compared to normal side/normal ROM values.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Co-contraction exercises	Co-contraction exercises	Group B: baseline physical therapy treatment along with co-contraction exercises
Theraband exercises	Theraband exercises	Group A: baseline physical therapy treatment along with theraband exercises
isometric exercises	Isometric exercises	Group C: baseline physical therapy treatment along with isometric exercises

Primary Outcome Measures

Name	Time	Method
Numeric Pain rating scale (NPRS)	3rd day	Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain

Secondary Outcome Measures

Name	Time	Method
SPADI	3rd day	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. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.

Receive instant email notifications about changes in this clinical trial

Receive instant email notifications about changes in this clinical trial