Effectiveness of Combined Neural Mobilization Techniques and Capsular Stretching Exercises in Patients With Adhesive Capsulitis.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- pain intensity
研究概览
简要总结
Restriction of glenohumeral (GH) mobility in patients with adhesive capsulitis (AC) was known owing to capsular adhesion. There is a little evidence about the involvement of neural restriction in limiting range of motion (ROM) of the GH joint in patients with AC. Objectives: The purpose of this study is to investigate the combined effect of median nerve mobilization and capsular stretching on improving shoulder external rotation, abduction and internal rotation ROM among patients with AC. Methods Thirty patients will be randomly assigned into two equal groups : Group (A) will receive median nerve mobilization and capsular stretching while Group (B) will receive only capsular stretching (anterior, posterior and anteroinferior capsular stretching). Both groups will receive passive and self-assisted exercises. All patients in both groups will be evaluated pre and post treatment for GH external rotation, abduction and internal rotation ROM.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients from both gender (male &female) will be included if they would have second or third stage AC with their age between forty and seventy years
- •experiencing pain, capsular adhesions, and a reduction of greater than fifty percentage in passive ROM of the GH joint (external rotation, abduction, and internal rotation compared to the sound side
- •lasting for a minimum of three months. Patients with positive upper limb tension test-1 will be also included in this study
排除标准
- •they would have stroke,Parkinson's diseases that interfere with shoulder muscles activity
- •traumatic shoulder conditions
- •glenohumeral osteoarthritis confirmed by x-ray
- •previous surgery, and manipulation of the affected GH joint under general anesthesia
- •Patients with passive elbow extension ROM
研究组 & 干预措施
Neural mobilization group
neural mobilization plus capsular stretching
干预措施: capsular stretching plus neural mobilization (Other)
Capsular stretching group
capsular stretching
干预措施: anterior, inferior and posterior capsular stretching (Other)
Control group
traditional execises
干预措施: traditional exercises (Other)
结局指标
主要结局
pain intensity
时间窗: 4 Weeks
pain was assessed by VAS which has two ends. the left end indicates no pain where the right end indicates maximal pain
central sensitization
时间窗: 4 weeks
central sensitization will be assessed by the the arabic version of central sensitizatuion questionnaire. To understand CSI scores, the following severity categories have been established: subclinical = 0 to 29; mild = 30 to 39; moderate = 40 to 49; severe = 50 to 59; and extreme = 60 to 100
次要结局
未报告次要终点
研究者
Mohammad Moustafa Aldosoukki Hegazy
assisstant professor , department of health and rehabilitation sciences, college of applied medical siences
Prince Sattam Bin Abdulaziz University