Cyriax Inferior Capsule Stretching in Idiopathic Adhesive Capsulitis

Not Applicable

Completed

• Conditions: Adhesive Capsulitis
• Interventions: Other: Manual therapy; Other: Cyriax inferior capsular stretching + Manual Therapy

• Registration Number: NCT04157387
• Lead Sponsor: Riphah International University

Brief Summary

The objective of study is to find out the effectiveness of cyriax capsular stretching in idiopathic adhesive capsulitis and to find out the combined effect of capsular stretching's, mobilization and conservative treatment on pain and Range of Motion (ROM) in idiopathic adhesive capsulitis.

Detailed Description

This Randomized study was carried out at Pakistan Railway Hospital Rawalpindi. A total of 28 patients were screened out as per inclusion criteria and randomly placed into two groups A and B through lottery method. The Visual Analogue scale, Shoulder Pain and Disability Index, and Range of Motion of shoulder joint were used as outcome measures. All the patients were assessed at baseline before intervention and at the completion of 3weeks of treatment.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2018-01-01
• Primary Completion: 2018-06-30
• Study Completion: 2018-06-30
• Study First Submitted: 2019-11-06
• Study First Submitted QC: 2019-11-06
• Study First Posted: 2019-11-08
• Status Verified: 2020-01
• Last Update Submitted: 2020-01-08
• Last Update Posted: 2020-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• Idiopathic Adhesive capsulitis phase 1 and phase 2
• Follow capsular pattern ( ER > Abduction> IR)

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Exclusion Criteria

• Adhesive capsulitis phase 3
• Any intrinsic etiology i.e. rheumatoid arthritis,
• infection,
• gout,
• haemarthrosis or
• tumor or Arthritis in stage III or in stage II with a spastic end-feel

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Manual Therapy	Manual therapy	Analgesic short-wave diathermy Manual Therapy: Kalternbon grade 1 and 2 Mobilization :, Home plan include :, wall walking exercises, pendulum exercises ,towel stretch exercises, Cross Body Adduction.
Cyriax inferior capsular stretching + Manual Therapy	Cyriax inferior capsular stretching + Manual Therapy	Cyriax inferior capsular stretching + Electrotherapy Manual therapy : Kaltenborn grade 1 and 2 Mobilization Active ROM exercises : Home plan include :, wall walking exercises, pendulum exercises ,towel stretch exercises, Cross Body Adduction

Primary Outcome Measures

Name	Time	Method
Shoulder pain and disability index (SPADI)	3rd week	Changes from the Baseline, SPADI is a self-administered questionnaire that aims to measure pain and disability associated with shoulder disease. It consists of two dimensions, one for pain and second for functional activities.; The pain element consists of five questions regarding severity of pain and to measure the degree of severity that an individual faced during various activities of daily life that involve upper extremity use. There are eight questions.; Each subscale is summed up and a total SPADI score is expressed as a percentage.Total pain score : --/50 ×100 = %, Total disability score: --/80 × 100 = %, Total SPADI score: --/130 × 100 = %.; A score of 0 indicates best 100 indicates worst. A higher score shows more disability.
Goniometer	3rd week	Changes from the baseline, Measure the available range of motion or the position of the shoulder joint - typically this is a measure of passive motion like External Rotation, External Rotation and Internal Rotation.
Visual Analogue Scale (VAS)	3rd Week	Changes from the baseline, Normative values are not presented so by using a ruler , the score is calculated by measure the distance on 10cm line between the "no pain" point and the patient's mark, provide a range of score from 0-100. A higher score indicates greater pain intensity.

Trial Locations

Locations (1)

Riphah International university; 🇵🇰 Rawalpindi, Punjab, Pakistan