Effect Of Extracorporeal Shockwave Therapy On Pain, Range Of Motion, Function And Quality Of Life In Patients With Adhesive Capsulitis. A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Goniometry
Study Overview
Brief Summary
Adhesive capsulitis (frozen shoulder) is a highly disabling condition characterized by progressive fibrosis and contracture of the glenohumeral joint capsule, leading to pain, restricted range of motion, functional limitations, and decreased quality of life. Its prevalence is estimated at 2–5% in the general population and 10–20% among individuals with diabetes, predominantly affecting those aged 40–60 years. Conventional physiotherapy treatments, including electrotherapy modalities, passive and active range of motion exercises, stretching, strengthening, and manual therapy techniques such as the Spencer technique, have demonstrated effectiveness in improving mobility and reducing pain. Extracorporeal Shockwave Therapy (ESWT) has recently emerged as an innovative modality that promotes tissue healing, reduces pain, and improves shoulder function. Therefore, there is a need to compare the effects of the Spencer technique combined with ESWT versus the Spencer technique alone on pain, range of motion, function, and quality of life in patients with adhesive capsulitis.
Null hypothesis (Ho): There will be comparable effect on pain, range of motion, function and quality of life between Spencer Technique with Extracorporeal shockwave therapy and Spencer technique alone in patients with adhesive capsulitis.
Alternate Hypothesis :
(H1) - Spencer technique with Extracorporeal shockwave therapy will be more effective than Spencer technique alone on pain, range of motion, function and quality of life in patients with adhesive capsulitis.
(H2) Spencer technique alone will be more effective than Spencer technique with Extracorporeal shockwave therapy on pain, range of motion, function and quality of life in patients with adhesive capsulitis.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 40.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients with adhesive capsulitis of Age 40-60 years of either gender.
- •Patients following formal diagnostic criteria.
- •Freezing/ painful stage (8 weeks to 9 months).
Exclusion Criteria
- •Contraindications to ESWT.
- •(pacemaker, anticoagulant therapy, defibrillators, respiratory insufficiency, arterial diseases, coagulation disorders, haemophilia, pregnancy, neoplasia) 2) History of shoulder dislocation, subluxation, fracture at shoulder complex 3) Rotator cuff pathology 4) Recent shoulder surgeries 5) Rheumatic disease.
Outcomes
Primary Outcomes
Goniometry
Time Frame: At baseline(0 weeks) and after intervention (4 weeks)
Secondary Outcomes
- 2) Numerical pain rating scale(3) Shoulder pain and disability index)