Adhesive Capsulitis and Dynamic Splinting

NCT ID: NCT01874821

Last Updated: 2013-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Brief Summary

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The purpose of this study is to examine the efficacy of dynamic splinting in reducing contracture following diagnosis of adhesive capsulitis.

Detailed Description

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This randomized controlled trial will explore the efficacy of dynamic splinting in conjunction with the current standard of care as compared to standard of care alone.

Conditions

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Adhesive Capsulitis

Keywords

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Frozen Shoulder Adhesive Capsulitis ROM Dynasplint

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dynasplint

Along with standard manual physical therapy, patients will have a stretching device (Dynasplint) used in rehabilitation to regain ROM in stiff joints. Patients will use this device 20-30 minutes 2 times per day at home.

Group Type EXPERIMENTAL

Dynasplint

Intervention Type DEVICE

Dynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture. The Dynasplint or "Experimental" group will add this therapy to their standard of care regimen

Standard of Care

Intervention Type OTHER

The current Standard of Care for treating this condition includes corticosteroid injections and physical therapy.

Control

Patient's in the Physical Therapy Group will have the standard manual treatments during their usual physical therapy visits with no additional intervention

Group Type OTHER

Standard of Care

Intervention Type OTHER

The current Standard of Care for treating this condition includes corticosteroid injections and physical therapy.

Interventions

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Dynasplint

Dynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture. The Dynasplint or "Experimental" group will add this therapy to their standard of care regimen

Intervention Type DEVICE

Standard of Care

The current Standard of Care for treating this condition includes corticosteroid injections and physical therapy.

Intervention Type OTHER

Other Intervention Names

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Shoulder

Eligibility Criteria

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Inclusion Criteria

* Greater than 25% reduction in maximal external rotation plus greater than 25% reduction in at least one other plane of motion (elevation or abduction), as compared to the asymptomatic shoulder, measure supine with humerus abducted to 90ยบ
* Duration from onset less than 12 months.
* Pain that is worsened by moving the arm in that direction

Exclusion Criteria

* Any previous shoulder surgery.
* Brachial plexus injuries
* Neurologically mediated pain and fibromatosis-like contracture
* Concomitant neurologic complaints or abnormalities
* Glenohumeral impingement or mechanical blockage
* Oncological process affecting the shoulder
* Previous total mastectomy
* Glenohumeral arthritis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dynasplint Systems, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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New York University

New York, New York, United States

Site Status

Countries

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United States

References

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Baums MH, Spahn G, Nozaki M, Steckel H, Schultz W, Klinger HM. Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis. Knee Surg Sports Traumatol Arthrosc. 2007 May;15(5):638-44. doi: 10.1007/s00167-006-0203-x. Epub 2006 Oct 10.

Reference Type BACKGROUND
PMID: 17031613 (View on PubMed)

Castellarin G, Ricci M, Vedovi E, Vecchini E, Sembenini P, Marangon A, Vangelista A. Manipulation and arthroscopy under general anesthesia and early rehabilitative treatment for frozen shoulders. Arch Phys Med Rehabil. 2004 Aug;85(8):1236-40. doi: 10.1016/j.apmr.2003.12.032.

Reference Type BACKGROUND
PMID: 15295746 (View on PubMed)

Farrell CM, Sperling JW, Cofield RH. Manipulation for frozen shoulder: long-term results. J Shoulder Elbow Surg. 2005 Sep-Oct;14(5):480-4. doi: 10.1016/j.jse.2005.02.012.

Reference Type BACKGROUND
PMID: 16194738 (View on PubMed)

Hsu AT, Hedman T, Chang JH, Vo C, Ho L, Ho S, Chang GL. Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. Phys Ther. 2002 Jun;82(6):544-56.

Reference Type BACKGROUND
PMID: 12036396 (View on PubMed)

Rundquist PJ, Anderson DD, Guanche CA, Ludewig PM. Shoulder kinematics in subjects with frozen shoulder. Arch Phys Med Rehabil. 2003 Oct;84(10):1473-9. doi: 10.1016/s0003-9993(03)00359-9.

Reference Type BACKGROUND
PMID: 14586914 (View on PubMed)

Vermeulen HM, Rozing PM, Obermann WR, le Cessie S, Vliet Vlieland TP. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Ther. 2006 Mar;86(3):355-68.

Reference Type BACKGROUND
PMID: 16506872 (View on PubMed)

Other Identifiers

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SHD

Identifier Type: OTHER

Identifier Source: secondary_id

2010.005

Identifier Type: -

Identifier Source: org_study_id