Effect Of Extracorporeal Shockwave Therapy On Pain, Range Of Motion, Function And Quality Of Life In Patients With Adhesive Capsulitis. A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Goniometry
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 40.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •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).
排除标准
- •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.
结局指标
主要结局
Goniometry
时间窗: At baseline(0 weeks) and after intervention (4 weeks)
次要结局
- 2) Numerical pain rating scale(3) Shoulder pain and disability index)