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Muscle Energy Technique With Or Without First Rib Mobilization In Adhesive Capsulitis

Not Applicable
Completed
Conditions
Adhesive Capsulitis
Registration Number
NCT05655611
Lead Sponsor
Riphah International University
Brief Summary

This study will be a randomized control trial. Study will be conducted in 40 patients in the age range 40-70 years, which will be selected by using non proability convenient sampling technique. Subjects will be divided in 2 groups. Group A will receive first rib mobilization along with METS and conventional treatment, group B will receive METS and conventional physical therapy treatment only. Treatment will be given thrice per week for 3 weeks. Data will be collected pre and post treatment, for data collection numeric pain rating scale, shoulder pain and disability index (SPADI) will be used. Joint range of motion will be measured using goniometer. After collection data from defined study setting, data will be entered and analyzed at Riphah International University, Lahore.

Detailed Description

Adhesive capsulitis, also known as "frozen shoulder," is a common condition of the shoulder defined as a pathologic process in which contracture of the gleno-humeral capsule is a hallmark. Clinically, it presents as pain, stiffness, and dysfunction of the affected shoulder. Adhesive capsulitis is thought to afflict between 2 and 5% of the general population, with women affected more frequently than men. Individuals of middle age are most often affected, typically during the 5th to 7th decades of life.

Muscle energy techniques is a manual therapy that uses the gentle muscle contractions to relax and lengthen muscles and normalize joint motion. It is a class of soft tissue osteopathic manipulation consisting of isometric contraction designed to improve musculoskeletal function and reduce pain. The application of MET relaxes and improves biomechanics and result in improving functional ability.

Although conventional physical therapy treatment are used to treat frozen shoulder and effectiveness of muscle energy technique is proven, but the effect of first rib mobilization and MET has not been studied.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Age between 40-70 years
  • Gender (both male and female)
  • Subjects with adhesive capsulitis stage (II and III)
Exclusion Criteria
  • Previous surgery on affected shoulder
  • Recent trauma to shoulder
  • fracture

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
shoulder pain and disability index for shoulder pain3 weeks

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.

Numeric pain rating scale for pain3 weeks

Scale consists of 4 questions regarding actual pain level, zero indicates no pain and 10 indicates worst pain imaginable

Secondary Outcome Measures
NameTimeMethod
goniometer for measuring shoulder ranges3 weeks

it is used to measure shoulder ranges such as flexion, abduction , internal and external rotation

Trial Locations

Locations (1)

Rabia welfare hospital

🇵🇰

Lahore, Punjab, Pakistan

Rabia welfare hospital
🇵🇰Lahore, Punjab, Pakistan

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