Effects of Scapular Proprioceptive Neuromuscular Facilitation Techniques in Addition to Routine Physical Therapy on Clinical Outcomes in Patients With Adhesive Capsulitis:a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 48
- 主要终点
- change in shoulder Range of motion
研究概览
简要总结
Adhesive capsulitis is painful movement restricted condition linked with pain, restricted range of motion and difficulty in performing daily life activities. Multiple treatment options are there for its treatment. However, role of peripheral neuromuscular facilitation in this regimen is still under consideration.
详细描述
Adhesive Capsulitis or peri-arthritis or Frozen Shoulder is self-limiting condition of unknown etiology that usually affects middle aged population of 40-70 years and rarely it occur secondary to rheumatoid arthritis, osteoarthritis, trauma or immobilization of shoulder joint. It is characterized by development of dense adhesions, capsular thickening and restrictions which limits active and passive shoulder range of motion (ROM) with scapular dyskinesia.The aim of the of the study is to investigate the effects of scapular proprioceptive neuromuscular techniques with routine physical therapy on pain, scapular dyskinesia, shoulder ranges of motion and functionality in patients with adhesive capsulitis. Proper functioning of upper extremities requires both motion and stability of scapula on thorax. Prolonged immobilization of shoulder joint leads to ankylosis of joint and scapular dyskinesia. This study will help with a positive effect by using a non-invasive, less painful, cost effective and time saving approach of scapular proprioceptive neuromuscular facilitation techniques among joint mobilization and other therapeutic approaches like intra articular injections and manipulation under anesthesia on alleviating pain, muscle strength, shoulder ranges of motion and early restoration of normal functioning of shoulder joint.
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
- Double (Investigator, 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
- •Diagnosed cases of stage II & III adhesive capsulitis
- •Referred by orthopedic physician
- •Duration of stage approximately 1 month
- •Both male and female
- •Age: 40-70 years
排除标准
- •Recent history of trauma
- •Dislocation or fractures of shoulder
- •History of diabetes and hypertension
- •Congenital shoulder deformity
- •Previous surgery patients
- •Patients with diagnosed cardiovascular disease
- •Patients with malignancy
结局指标
主要结局
change in shoulder Range of motion
时间窗: Baseline data will be collected and then at 2nd week and 4th week.
shoulder range of motion through goniometer
change in pain intensity
时间窗: Baseline data will be collected and then at 2nd week and 4th week.
pain measured by visual analogue scale where o represents no pain and 10 represents severe pain
change in shoulder functional activities
时间窗: Baseline data will be collected and then at 2nd week and 4th week.
shoulder functional activities by simple shoulder function test
change in scapular mobility
时间窗: Baseline data will be collected and then at 2nd week and 4th week.
scapular mobility through lateral scapular slide test
次要结局
未报告次要终点
研究者
Muhammad Shazib Butt
Principal investigator
University of Lahore