Comparison of Post Facilitation Stretch and Active Release Technique in Adhesive Capsulitis in Diabetic Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- ROM Shoulder Abduction
研究概览
简要总结
To determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques
详细描述
There is a very limited literature available Active release technique (ART) and Post Facilitation Stretch (PFS) in frozen shoulder. Additionally there is a very limited literature on the evaluation of ART in comparison with PFS in adhesive capsulitis of diabetic patient. Disease such as rheumatoid arthritis (RA), osteoarthritis (OA) etc that cause stiffness of the shoulder joint also present with altered muscle activity, that in long run becomes one of the main causes of reduces joint range of motion. With this study, we will be able to determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques. This study will also fulfill that research gap and will provide clinicians with an alternative approach in treatment of adhesive capsulitis.
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 (Participant, Investigator)
入排标准
- 年龄范围
- 35 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Controlled diabetic patients (random 200-250mg/dl /fasting 120-160mg/dl).
- •Grade 2 & 3 of adhesive capsulitis,
- •Pain (NPRS) ranging between 3-10
- •Reduced normal shoulder ROM's i.e
- •Flexion less than 160 degrees.
- •Extension less than 50 degrees.
- •Abduction less than 170 degrees.
- •External rotation less than 80 degrees.
- •Internal rotation less than 70 degrees
排除标准
- •Trauma history of shoulder/surgery.
- •Frozen shoulder accompanied with neurological involvement.
- •People with any injury or disability of elbow or hand
研究组 & 干预措施
Post facilitation stretch
Post facilitation stretch with Maitland mobilization
干预措施: Post facilitation stretch (Other)
Active release technique
Active release technique with Maitland mobilization
干预措施: Active release technique (Other)
结局指标
主要结局
ROM Shoulder Abduction
时间窗: 6th week
Goniometer is used to measure the range of the motion of the shoulder Abduction
Shoulder pain and disability Index (SPADI)
时间窗: 6th week
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. Each of the 13 items is to be rated with a number from 0 to 10: For the pain score (first 5 items): 0 means no pain and 10 means worst pain imaginable; For the disability score (last 8 items): 0 means no impairment and 10 means the patient requires help to perform that action
The oxford scale
时间窗: 6th week
The Oxford Scale is a 0-5 scale which is then recorded as 0/5 or 2/5, sometimes with a + or - sign to indicate more or less power but not sufficient to reduce or increase the number.
ROM Shoulder Flexion
时间窗: 6th week
Goniometer is used to measure the range of the motion of the shoulder flexion
ROM Shoulder Extension
时间窗: 6th week
Goniometer is used to measure the range of the motion of the shoulder extension
ROM Shoulder External Rotation
时间窗: 6th week
Goniometer is used to measure the range of the motion of the shoulder External Rotation
Numeric Pain Rating Scale (NPRS)
时间窗: 6th week
The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes.
ROM Shoulder Internal Rotation
时间窗: 6th week
Goniometer is used to measure the range of the motion of the shoulder Internal Rotation
次要结局
未报告次要终点