Combined Effects of Niel Asher Technique and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale
研究概览
简要总结
One of the most common shoulder condition in developed and developing countries is Adhesive Capsulitis, also known as Frozen Shoulder. Adhesive Capsulitis is a major cause of shoulder functional disability in patient as it is characterized by painful, restricted range of motion and capsular stiffness leading to difficulty in performing normal ADLs, causing an individual's activity limitations in dressing one's self, performing household chores and participation in the society. This study aims to determine the combined effects of Niel Asher Technique (NAT) and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in patients with Adhesive Capsulitis.
This Randomized Controlled Trial will be conducted was conducted in RC medical Centre Lahore, over a 9-month period. A sample of 34 participants, aged 40-55 years were selected using non-probability convenient sampling. Informed
Consent was obtained from all participants. Participants were divided into two groups:
Group A received Niel Asher Technique and Scapular Clock Exercises along with conventional physical therapy, while Group B received only conventional physical therapy which included a moist hot pack, Therapeutic ultrasound, Shoulder Active Range of Motion Exercises and Maitland's Mobilization. Treatment duration will be 3 sessions/week for 4 weeks. Outcome measures including Numeric Pain Rating Scale (NPRS), Universal Goniometer and Shoulder Pain and Disability Index (SPADI) Urdu were assessed at baseline and after 4 weeks. Inclusion Criteria includes Stage II and III Adhesive Capsulitis, Positive Capsular pattern with limited both Active and Passive range of motion, shoulder pain with an NPRS score >3 to ≤8. Exclusion Criteria includes patients with any systemic illness, metabolic disorder, prior history of shoulder surgery or shoulder dislocation. Data was analyzed using IBM SPSS version 27.0.
详细描述
One of the most common shoulder condition in developed and developing countries is Adhesive Capsulitis, also known as Frozen Shoulder. Adhesive Capsulitis is a major cause of shoulder functional disability in patient as it is characterized by painful, restricted range of motion and capsular stiffness leading to difficulty in performing normal ADLs, causing an individual's activity limitations in dressing one's self, performing household chores and participation in the society. This study aims to determine the combined effects of Niel Asher Technique (NAT) and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in patients with Adhesive Capsulitis.
This Randomized Controlled Trial will be conducted was conducted in RC medical Centre Lahore, over a 9-month period. A sample of 34 participants, aged 40-55 years were selected using non-probability convenient sampling. Informed
Consent was obtained from all participants. Participants were divided into two groups:
Group A received Niel Asher Technique and Scapular Clock Exercises along with conventional physical therapy, while Group B received only conventional physical therapy which included a moist hot pack, Therapeutic ultrasound, Shoulder Active Range of Motion Exercises and Maitland's Mobilization. Treatment duration will be 3 sessions/week for 4 weeks. Outcome measures including Numeric Pain Rating Scale (NPRS), Universal Goniometer and Shoulder Pain and Disability Index (SPADI) Urdu were assessed at baseline and after 4 weeks. Inclusion Criteria includes Stage II and III Adhesive Capsulitis, Positive Capsular pattern with limited both Active and Passive range of motion, shoulder pain with an NPRS score >3 to ≤8. Exclusion Criteria includes patients with any systemic illness, metabolic disorder, prior history of shoulder surgery or shoulder dislocation. Data was analyzed using IBM SPSS version 27.0.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Age Group between 40-55 years
- •Gender: Both Male and Female
- •Pain Persisted for more than 3 months.
- •Primary Adhesive Capsulitis Stage II and III
- •Limited passive range of motion (PROM) with 40% reduction in atleast two of these shoulder movements (flexion, external rotation, internal rotation, and abduction) compared to unaffected side for more than 3 months atleast.
- •Capsular Pattern +ve
- •Impingement Tests (Neers Test, Hawkins Kennedy Test) -ve
- •NPRS score of >3 to ≤8 of having shoulder pain
排除标准
- •• Patient with systemic disease (Diabetes Mellitus, Thyroid Disorders, RA, Trauma, rotator cuff tears, malignancy, shoulder ligament injuries).
- •Previous shoulder surgery or Manipulation under anesthesia (MUA)
- •Prior history of shoulder dislocation
结局指标
主要结局
Numeric Pain Rating Scale
时间窗: From the start upto 4 weeks
NPRS is a scale that has eleven points to rate the pain intensity in the individuals by assigning a numeric value from 0 (marked as "no pain") to 10 (marked as "worst possible pain") points. This outcome measure has been widely used in studies and has found to be effective and reliable in the assessment of shoulder pain.
Shoulder Pain and Disability Index
时间窗: From start of study upto 4 weeks
SPADI is a self-report questionnaire that is widely used for assessment of intensity of shoulder pain and its influence on activity of daily living and functional restrictions. It consists of 13 items further sub-divided into pain scale and disability scale that assesses the degree of pain intensity and the problems experiences by the subject in performing everyday tasks such as lifting, reaching activities and sleeping. For each item, the person must assign a score ranging from 0 to 10 points, where a higher score indicates a greater level of pain or disability. The total score of the SPADI is calculated by averaging the results of the two subscales. SPADI has been shown to have good reliability and construct validity for assessing shoulder impairments majorly in patients presenting at the primary care level with shoulder pain
Universal Goniometer
时间窗: From start of study upto 4 weeks
Health care practitioners often use universal goniometer to assess objective measurements of joint mobility to find out the baseline mobility status and to evaluating efficacy of treatment
次要结局
未报告次要终点