Isometric Strengthening Exercises Versus Tens in Management of Shoulder Pain in Diabetic Population
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Assessment of shoulder range of motion
研究概览
简要总结
This study aims to compare the effectiveness of Isometric Strengthening Exercises versus Transcutaneous Electrical Nerve Stimulation in the management of shoulder pain among individuals with diabetes mellitus.
详细描述
Shoulder pain is a prevalent musculoskeletal issue in individuals with diabetes, linked to chronic hyperglycemia and altered collagen structure, leading to mobility restrictions and impaired quality of life. Despite its commonality, there is limited research on specific physiotherapy interventions, particularly isometric strengthening exercises and transcutaneous electrical nerve stimulation. Investigating these interventions is crucial due to the unique pain thresholds and healing issues in diabetic patients. This study aims to provide evidence on how isometric exercises and Transcutaneous Electrical Nerve Stimulation influence pain modulation and functional recovery, potentially optimizing rehabilitation strategies. The findings could support non-pharmacological treatments, reduce reliance on analgesics, and improve patient outcomes in managing shoulder pain in diabetic populations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 40-65 years, diagnosed as type 2 diabetes mellitus for at least 5 years
- •Clinical diagnosis of unilateral frozen shoulder in the painful or stiff stage.
- •Limitation of passive and active range of motion in external rotation, abduction, and flexion.
- •Shoulder pain for at least 3 months.
排除标准
- •Previous shoulder surgery or fracture.
- •Cervical radiculopathy or neurological disorders.
- •Rheumatoid arthritis or severe osteoarthritis.
- •Cardiac pacemaker.
- •Received corticosteroid injection within the last 3 months.
- •diabetes mellitus type 1
- •Participants with Vitamin B12 or D deficiency
- •Osteoarthritis
研究组 & 干预措施
Isometric Exercise group
Twenty-five participants will receive the Isometric Exercise in addition to the conventional physical therapy program
干预措施: Isometric exercise (Other)
Isometric Exercise group
Twenty-five participants will receive the Isometric Exercise in addition to the conventional physical therapy program
干预措施: The conventional exercise program (Other)
Transcutaneous electrical nerve stimulation group
Twenty-five participants will receive Transcutaneous electrical nerve stimulation in addition to a conventional physical therapy program
干预措施: Transcutaneous electrical nerve stimulation (Other)
Transcutaneous electrical nerve stimulation group
Twenty-five participants will receive Transcutaneous electrical nerve stimulation in addition to a conventional physical therapy program
干预措施: The conventional exercise program (Other)
conventional physical therapy group
Twenty-five participants will receive conventional physical therapy program only
干预措施: The conventional exercise program (Other)
结局指标
主要结局
Assessment of shoulder range of motion
时间窗: At baseline and after 6 weeks
Shoulder range of motion (ROM) for flexion, abduction, and external rotation was measured using an electrogoniometer. Participants were positioned according to standardized measurement procedures, and each movement was assessed within the participant's pain-free range. Three consecutive measurements were obtained for each motion, and the average value was recorded in degrees (°) for statistical analysis to improve measurement reliability.
次要结局
- assessment of pain intensity(At baseline and after 6 weeks)
- assessment of activity of daily living of the upper limb(At baseline and after 6 weeks)
研究者
Tariq Eisi Alharbi
Principal Investigator
Kafrelsheikh University