Effects of Activity Versus Structural Oriented Treatment Approach in Patients With Frozen Shoulder.

Not Applicable

Recruiting

• Conditions: Frozen Shoulder
• Interventions: Other: Activity oriented treatment; Other: Structural oriented treatment

• Registration Number: NCT05391984
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study is to compare the effects of activity versus structural oriented treatment approach on pain, range of motion, and function in diabetic patients with frozen shoulder.

Detailed Description

Frozen shoulder, also known as adhesive capsulitis, is a condition of uncertain etiology, characterized by shoulder stiffness, severe pain, significant restriction of range of motions, and limitation in participation in socio-economical life. According to a concept, pain causes changes in the brain making it learn the non-use, and therefore, even after healing of peripheral structures has occurred, the brain may not be able to organize voluntary actions owing to the induced central changes. Physical therapy plays an important role to bring pain relief and return of functional motion in frozen shoulder and there are many approaches available that can be used but literature on treatments based on neuroplasticity is comparatively less.

According to the research available, neuroplasticity has been effective in treating frozen shoulder. Similarly, PNF, home exercises, and joint mobilizations have also proven to be effective. The effects of the activity related and structural-oriented treatment on the frozen shoulder has not been addressed in diabetic patients yet. More RCTs are required to determine the best treatment for managing adhesive capsulitis in diabetics. Therefore, this research will be conducted which will compare the activity-based approach and the conventional approach to treating frozen shoulder in diabetics. The results may open new aspects of treating frozen shoulder in diabetics which can be cost-effective as well.

Study Timeline

• Study First Submitted: 2022-05-23
• Study First Submitted QC: 2022-05-23
• Study First Posted: 2022-05-26
• Study Start: 2022-06-07
• Status Verified: 2022-10
• Last Update Submitted: 2022-10-17
• Last Update Posted: 2022-10-19
• Primary Completion: 2023-01-01
• Study Completion: 2023-01-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Diagnosed with frozen shoulder, limited ROM, and pain in the shoulder region
• Patients with diabetes from 10+ years

Exclusion Criteria

• History of headaches and dizziness
• Pain and limited ROM in the cervical spine
• Pain and limited ROM in temporomandibular joint

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Activity oriented	Activity oriented treatment	Activity-oriented therapy will be given to 15 patients which will train the structures around the shoulder in different activities of daily life.
Structural oriented	Structural oriented treatment	Structural-oriented therapy will be given to 15 patients including a fixed sequence of physiotherapy techniques.

Primary Outcome Measures

Name	Time	Method
SPADI for pain and disability	4th week	Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty.
Goniometer for range of motion	4th week	It will be used to measure flexion, extension, abduction, adduction, and internal and external rotation of shoulder.
NPRS for pain	4th week	The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

Trial Locations

Locations (1)

Social security hospital, Kot Lakhpat; 🇵🇰 Lahore, Punjab, Pakistan