Effects of the Myofascial Arm Pull With and Without Active Release Technique in Adhesive Capsulitis

Not Applicable

Recruiting

• Conditions: Adhesive Capsulitis
• Interventions: Other: Myofacial Arm Pull; Other: Myofascial Arm Pull and Active Release Technique

• Registration Number: NCT06108843
• Lead Sponsor: Riphah International University

Brief Summary

The aim of the study is to determine the effects of the myofascial arm pull with and without active release technique on pain, ROM and disability in adhesive capsulitis.

Detailed Description

Adhesive capsulitis (frozen shoulder), a painful disorder caused by capsular inflammation that results in fibrosis and rigidity of the glenohumeral joint capsule, is characterized by a progressive loss of both active and passive glenohumeral movements. Frozen shoulder can be primary (also known as idiopathic) if there is no underlying cause of disease or it can be secondary. The term "secondary frozen shoulder" is associated with injury, trauma, cardiovascular diseases, hemiparesis, or diabetes.Active release technique and myofascial arm pull technique are both effective treatment options for patients with adhesive capsulitis. These techniques help to improve range of motion and reduce pain by releasing tension and adhesions in the affected area. Active release technique focuses on releasing tension and adhesions in the soft tissues surrounding the affected joint, while the Myofascial arm pull technique aims to improve range of motion by stretching the muscle and fascia in the affected area. By incorporating these techniques into a comprehensive treatment plan, patients of adhesive capsulitis can see significant improvement in their pain, range of motion and disability.

Because the method of treatment is inexpensive, findings of this study could be beneficial in revision of the clinical protocols to manage the patients of adhesive capsulitis.

Study Timeline

• Study Start: 2023-05-08
• Status Verified: 2023-10
• Study First Submitted: 2023-10-25
• Study First Submitted QC: 2023-10-30
• Last Update Submitted: 2023-10-30
• Study First Posted: 2023-10-31
• Last Update Posted: 2023-10-31
• Primary Completion: 2023-12
• Study Completion: 2024-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Both Male and Female; mean age (35-60).
• Case diagnosed with adhesive capsulitis, both primary and secondary origin.
• Freezing stage of adhesive capsulitis.
• Those with at least a 50% reduction in the range of motion (ROM).

Exclusion Criteria

• History of shoulder surgery or manipulation under anesthesia, local corticosteroid injection administration to the affected shoulder within the last 3 months.
• Neurological deficit affecting the shoulder functioning during daily activities.
• Pathology of the shoulder joint other than adhesive capsulitis.
• Pain or disorder of the cervical spine, elbow, wrist or hand.
• Patients diagnosed with cancer

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Myofascial arm pull technique	Myofacial Arm Pull	Participant will receive Myofascial arm pull along with ultrasound therapy.
Myofascial arm pull technique and Active Release Technique	Myofascial Arm Pull and Active Release Technique	Participant will receive both Myofascial arm pull and active release technique along with Ultrasound therapy.

Primary Outcome Measures

Name	Time	Method
Shoulder Pain and disability index (SPADI)	4 week	Changes from Baseline. The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability
Numeric Pain Rating Scale (NPRS)	4 week	Changes from Baseline. The NPRS is a self-reported, or clinician administered, measurement tool The scale is typically set up on a horizontal or vertical line, ranges most commonly from 0-10.; 0=No pain; 1 to 4=Mild pain. 5 or 6=Moderate pain 7 to 10=Severe pain
Goniometer	4 week	Changes from Baseline. Physical therapists use goniometry to objectively measure passive and active range of motion (ROM).

Trial Locations

Locations (1)

Arif Memorial Teaching Hospital; 🇵🇰 Lahore, Punjab, Pakistan