Trial Outcomes & Findings for Changes in Subjects With Posterior Capsule Tightness (NCT NCT02353442)

NCT ID: NCT02353442

Last Updated: 2017-03-21

Results Overview

It was assessed in degrees with 3D system pre and post treatment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

59 participants

Primary outcome timeframe

4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)

Results posted on

2017-03-21

Participant Flow

The participation of all subjects was voluntary and no incentives were given to encourage enrollment. Fliers posted in the local university setting and surrounding community were used to recruit individuals from March 2015 to March 2016.

Participant milestones

Participant milestones
Measure
Control Group
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Overall Study
STARTED
28
31
Overall Study
COMPLETED
25
27
Overall Study
NOT COMPLETED
3
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Control Group
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Overall Study
Withdrawal by Subject
3
4

Baseline Characteristics

Changes in Subjects With Posterior Capsule Tightness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Group
n=28 Participants
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
n=31 Participants
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Total
n=59 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
28 Participants
n=5 Participants
31 Participants
n=7 Participants
59 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
40.08 years
STANDARD_DEVIATION 12.08 • n=5 Participants
41.18 years
STANDARD_DEVIATION 12.84 • n=7 Participants
40.63 years
STANDARD_DEVIATION 12.46 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
8 Participants
n=7 Participants
21 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
23 Participants
n=7 Participants
38 Participants
n=5 Participants
Region of Enrollment
Brazil
28 participants
n=5 Participants
31 participants
n=7 Participants
59 participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)

It was assessed in degrees with 3D system pre and post treatment.

Outcome measures

Outcome measures
Measure
Control Group
n=25 Participants
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
n=27 Participants
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Pre Internal Rotation
34.58 degrees
Standard Error 0.69
36.00 degrees
Standard Error 0.68
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Post Internal Rotation
34.76 degrees
Standard Error 0.79
35.72 degrees
Standard Error 0.77
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Pre Upward Rotation
-18.12 degrees
Standard Error 0.68
-16.47 degrees
Standard Error 0.66
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Post Upward Rotation
-17.85 degrees
Standard Error 0.58
-14.37 degrees
Standard Error 0.57
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Pre Posterior Tilt
-3.23 degrees
Standard Error 0.59
-2.41 degrees
Standard Error 0.58
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Post Posterior Tilt
-3.66 degrees
Standard Error 0.60
-2.27 degrees
Standard Error 0.59

PRIMARY outcome

Timeframe: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)

It was assessed in millimeters with 3D system pre and post treatment.

Outcome measures

Outcome measures
Measure
Control Group
n=25 Participants
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
n=27 Participants
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Humeral Translations at 4weeks (Pre and Post Treatment).
Pre Anterior Translation
1.22 Millimeters
Standard Error 0.36
0.85 Millimeters
Standard Error 0.35
Humeral Translations at 4weeks (Pre and Post Treatment).
Post Anterior Translation
0.68 Millimeters
Standard Error 0.32
0.96 Millimeters
Standard Error 0.32
Humeral Translations at 4weeks (Pre and Post Treatment).
Pre Superior Translation
1.38 Millimeters
Standard Error 0.28
1.21 Millimeters
Standard Error 0.27
Humeral Translations at 4weeks (Pre and Post Treatment).
Post Superior Translation
1.12 Millimeters
Standard Error 0.22
0.66 Millimeters
Standard Error 0.22

SECONDARY outcome

Timeframe: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)

The strength was evaluated with digital dynamometer in Newton pre and post treatment.

Outcome measures

Outcome measures
Measure
Control Group
n=25 Participants
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
n=27 Participants
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Strength of the Shoulder External Rotators at 4weeks (Pre and Post Treatment).
Pre External rotators strength
89.08 Newton
Standard Deviation 32.86
90.96 Newton
Standard Deviation 28.71
Strength of the Shoulder External Rotators at 4weeks (Pre and Post Treatment).
Post External rotators strength
88.98 Newton
Standard Deviation 34.73
94.71 Newton
Standard Deviation 27.59

SECONDARY outcome

Timeframe: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)

It was measured by a digital algometer in kPa pre and post treatment.

Outcome measures

Outcome measures
Measure
Control Group
n=25 Participants
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
n=27 Participants
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Pre Upper Trapezius
287.40 kPa
Standard Deviation 90.52
312.12 kPa
Standard Deviation 135.02
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Post Upper Trapezius
351.47 kPa
Standard Deviation 174.59
355.82 kPa
Standard Deviation 161.77
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Pre Infraspinatus
351.33 kPa
Standard Deviation 129.94
409.46 kPa
Standard Deviation 198.58
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Post Infraspinatus
403.25 kPa
Standard Deviation 211.70
438.51 kPa
Standard Deviation 189.71
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Pre Supraspinatus
259.15 kPa
Standard Deviation 86.68
321.07 kPa
Standard Deviation 133.72
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Post Supraspinatus
343.88 kPa
Standard Deviation 159.75
353.40 kPa
Standard Deviation 161.16
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Pre Deltoid
301.78 kPa
Standard Deviation 92.58
310.90 kPa
Standard Deviation 147.84
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Post Deltoid
338.00 kPa
Standard Deviation 149.94
344.56 kPa
Standard Deviation 143.10
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Pre Levator Scapulae
256.63 kPa
Standard Deviation 85.43
261.14 kPa
Standard Deviation 125.89
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Post Levator Scapulae
267.26 kPa
Standard Deviation 108.97
269.25 kPa
Standard Deviation 109.36
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Pre Anterior Tibialis
711.31 kPa
Standard Deviation 227.74
676.57 kPa
Standard Deviation 270.60
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Post Anterior Tibialis
714.12 kPa
Standard Deviation 272.46
748.09 kPa
Standard Deviation 256.98

SECONDARY outcome

Timeframe: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)

For these measures, the SPADI (Shoulder Pain and Disabilities Index) questionnaire was used, pre and post treatment. The is a self-assessment questionnaire with 5 questions about pain and 8 about functional activities. The final score (0-100) of the questionnaire is provided in percentage and a maximum score of 100 implies the worst possible condition.

Outcome measures

Outcome measures
Measure
Control Group
n=25 Participants
This group will perform during 4 weeks: * placebo ultrasound during 5min ; * scapular squeezing in the sitting position (3x10repetitions); * upper trapezius stretching (in sitting position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Experimental Group
n=27 Participants
This group will perform during 4 weeks: * posterior shoulder mobilizations during 5min (mobilizations during 30s and 30s of rest); * external rotators strengthening in sidelying positions with load (3x10repetitions); * posterior capsule stretching (sleeper stretch in sidelying position, 3x30s and 30s of rest). Posterior shoulder mobilizations: The subjects will be randomized to Experimental or control group.
Pain and Function at 4weeks (Pre and Post Treatment)
Pre SPADI score
46.01 scores on a scale
Standard Deviation 24.11
45.26 scores on a scale
Standard Deviation 23.22
Pain and Function at 4weeks (Pre and Post Treatment)
Post SPADI score
27.10 scores on a scale
Standard Deviation 23.75
17.22 scores on a scale
Standard Deviation 15.04

Adverse Events

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Experimental Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dayana Rosa

São Carlos Fedetal University

Phone: +55 16 33066695

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place