Comparison of PFS and ART in Adhesive Capsulitis in Diabetic Patients

NCT ID: NCT04561310

Last Updated: 2021-03-24

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

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-15

Study Completion Date

2021-01-30

Brief Summary

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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

Detailed Description

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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.

Conditions

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Adhesive Capsulitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Post facilitation stretch

Post facilitation stretch with Maitland mobilization

Group Type EXPERIMENTAL

Post facilitation stretch

Intervention Type OTHER

Post facilitation stretch with maitland mobilization Grade I \& II Maitland mobilization of shoulder joint in 1st and 2nd week progressing to Grade III oscillatory mobilization of shoulder joint in 3rd week. It will further progress to Grade IV Maitland oscillatory mobilizations in the 4th or 5th week.

Treatment will be provided 3 session/week for 6 weeks with 40 minutes/session

Active release technique

Active release technique with Maitland mobilization

Group Type ACTIVE_COMPARATOR

Active release technique

Intervention Type OTHER

Active release technique with maitland mobilization Grade I \& II Maitland mobilization of shoulder joint in 1st and 2nd week progressing to Grade III oscillatory mobilization of shoulder joint in 3rd week. It will further progress to Grade IV Maitland oscillatory mobilizations in the 4th or 5th week.

Treatment will be provided 3 session/week for 6 weeks with 40 minutes/session

Interventions

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Post facilitation stretch

Post facilitation stretch with maitland mobilization Grade I \& II Maitland mobilization of shoulder joint in 1st and 2nd week progressing to Grade III oscillatory mobilization of shoulder joint in 3rd week. It will further progress to Grade IV Maitland oscillatory mobilizations in the 4th or 5th week.

Treatment will be provided 3 session/week for 6 weeks with 40 minutes/session

Intervention Type OTHER

Active release technique

Active release technique with maitland mobilization Grade I \& II Maitland mobilization of shoulder joint in 1st and 2nd week progressing to Grade III oscillatory mobilization of shoulder joint in 3rd week. It will further progress to Grade IV Maitland oscillatory mobilizations in the 4th or 5th week.

Treatment will be provided 3 session/week for 6 weeks with 40 minutes/session

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* Trauma history of shoulder/surgery.
* Frozen shoulder accompanied with neurological involvement.
* People with any injury or disability of elbow or hand
Minimum Eligible Age

35 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nazish Rafique, MSPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Asif Hospital Wah Cantt

Islamabad, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Rose PG. Effective Reduction of Adhesive Capsulitis Pain with a Suprascapular Nerve Block Given in a Primary Care Clinic. InConference Highlights (p. 30).

Reference Type BACKGROUND

Ewald A. Adhesive capsulitis: a review. Am Fam Physician. 2011 Feb 15;83(4):417-22.

Reference Type BACKGROUND
PMID: 21322517 (View on PubMed)

Tighe CB, Oakley WS Jr. The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J. 2008 Jun;101(6):591-5. doi: 10.1097/SMJ.0b013e3181705d39.

Reference Type BACKGROUND
PMID: 18475240 (View on PubMed)

Garcilazo C, Cavallasca JA, Musuruana JL. Shoulder manifestations of diabetes mellitus. Curr Diabetes Rev. 2010 Sep;6(5):334-40. doi: 10.2174/157339910793360824.

Reference Type BACKGROUND
PMID: 20701586 (View on PubMed)

Hsu CL, Sheu WH. Diabetes and shoulder disorders. J Diabetes Investig. 2016 Sep;7(5):649-51. doi: 10.1111/jdi.12491. Epub 2016 Mar 16. No abstract available.

Reference Type BACKGROUND
PMID: 27182002 (View on PubMed)

Donatelli R, Ruivo RM, Thurner M, Ibrahim MI. New concepts in restoring shoulder elevation in a stiff and painful shoulder patient. Phys Ther Sport. 2014 Feb;15(1):3-14. doi: 10.1016/j.ptsp.2013.11.001. Epub 2013 Nov 16.

Reference Type BACKGROUND
PMID: 24315683 (View on PubMed)

Anton HA. Frozen shoulder. Can Fam Physician. 1993 Aug;39:1773-8.

Reference Type BACKGROUND
PMID: 8374364 (View on PubMed)

Gutierrez Espinoza HJ, Pavez F, Guajardo C, Acosta M. Glenohumeral posterior mobilization versus conventional physiotherapy for primary adhesive capsulitis: a randomized clinical trial. Medwave. 2015 Sep 22;15(8):e6267. doi: 10.5867/medwave.2015.08.6267. English, Spanish.

Reference Type BACKGROUND
PMID: 26485477 (View on PubMed)

Ravichandran H, Balamurugan J. Effect of proprioceptive neuromuscular facilitation stretch and muscle energy technique in the management of adhesive capsulitis of the shoulder. Saudi Journal of Sports Medicine. 2015 May 1;15(2):170.

Reference Type BACKGROUND

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)

Gupta S, Jaiswal P, Chhabra D. A comparative study between postisometric relaxation and isometric exercises in non-specific neck pain. Journal of exercise science and physiotherapy. 2008;4(2):88.

Reference Type BACKGROUND

Kim JH, Lee HS, Park SW. Effects of the active release technique on pain and range of motion of patients with chronic neck pain. J Phys Ther Sci. 2015 Aug;27(8):2461-4. doi: 10.1589/jpts.27.2461. Epub 2015 Aug 21.

Reference Type BACKGROUND
PMID: 26357426 (View on PubMed)

Shih YF, Liao PW, Lee CS. The immediate effect of muscle release intervention on muscle activity and shoulder kinematics in patients with frozen shoulder: a cross-sectional, exploratory study. BMC Musculoskelet Disord. 2017 Nov 28;18(1):499. doi: 10.1186/s12891-017-1867-8.

Reference Type BACKGROUND
PMID: 29183307 (View on PubMed)

Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of Different Types of Mobilization Techniques in Patients With Primary Adhesive Capsulitis of the Shoulder: A Systematic Review. Arch Phys Med Rehabil. 2016 May;97(5):815-25. doi: 10.1016/j.apmr.2015.07.025. Epub 2015 Aug 15.

Reference Type BACKGROUND
PMID: 26284892 (View on PubMed)

Hung CJ, Hsieh CL, Yang PL, Lin JJ. Relationships between posterior shoulder muscle stiffness and rotation in patients with stiff shoulder. J Rehabil Med. 2010 Mar;42(3):216-20. doi: 10.2340/16501977-0504.

Reference Type BACKGROUND
PMID: 20411215 (View on PubMed)

Other Identifiers

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REC/00241 Ummal Baneen

Identifier Type: -

Identifier Source: org_study_id

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