Mulligan Mobilization Technique and Muscle Energy Technique on Pain and ROM

NCT ID: NCT04993092

Last Updated: 2021-08-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-01-10
• Study Completion Date: 2021-08-10

Brief Summary

this study will be a randomized clinical trial. This study will be conducted in Nishat Latif Hospital, Barath, Sialkot. A sample size of 22 patients will be taken. Patients will be divided into two groups by lottery method. Group A will be treated with mulligan mobilization technique and conventional physiotherapy with Transcutaneous electrical nerve stimulation and electrical heating pad. Group B will be treated with muscle energy technique and conventional treatment of Transcutaneous electrical nerve stimulation and electrical hot pack. Both groups will receive treatment for5 weeks,2 sessions in a week with baseline and 6 weeks treatment reading will be taken. The outcome measures Numeric pain rating scale, disabilities of the arm, shoulder and hand, Shoulder Pain and Disability Index . data will be analyzed by Statistical Package for the Social Sciences 25.

Detailed Description

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. A condition in which a person has severe limitation of the range of motion of the shoulder due to scarring around the shoulder joint. Adhesive capsulitis is an unwanted consequence of rotator cuff disease that involves damage to the rotator cuff. Muscle energy technique involves careful positioning of an area of the body by the physical therapist. After positioning, you will be asked to contract the muscle or resist a movement done by the physical therapist. This will be followed by a stretch to lengthen the same or opposite muscle group.

This will be followed by a stretch to lengthen the same or opposite muscle group. Mulligan's technique "combines the sustained application of manual gliding force to a joint, with the aim of repositioning bone positional faults while enabling concurrent physiological (osteo-kinematic) motion of the joint. Essentially, this means repositioning a joint to enable proper motion while taking that joint through pain-free passive and active range of motion (ROM).

Mulligan Manual Therapy can be used to help treat a variety of injuries and pain including neck pain, back pain and upper and lower extremity injuries. Designed to reduce pain and improve the patient's range of motion the Mulligan technique involves Natural Apophyseal Glides (NAGS), Sustained Natural Apophyseal Glides (SNAGS) and Mobilization with Movement (MWM) for the treatment of musculoskeletal injuries.

The American Academy of Orthopedic Surgeons describe three stages: Freezing, or painful stage: Pain increases gradually, making shoulder motion harder and harder. Pain tends to be worse at night. Frozen: Pain does not worsen, and it may decrease at this stage. The shoulder remains stiff. Thawing: Movement gets easier and may eventually return to normal. Signs and symptoms typically begin gradually, worsen over time and then resolve, usually within one to three years.

Conditions

Adhesive Capsulitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

mulligan mobilization technique

Sustain Posterolateral glide with belt and then told Patient to move in following pattern (internal rotation, external rotation, abduction, wall sliding)

Group Type: EXPERIMENTAL

mulligan mobilization technique

Intervention Type: OTHER

Sustain Posterolateral glide with belt and then told Patient to move in following pattern (internal rotation, external rotation, abduction, wall sliding)

muscle energy technique

Post facilitation stretch Patient perform isometrics for 15 seconds then therapist rapidly move the shoulder to the end range

Group Type: ACTIVE_COMPARATOR

muscle energy technique

Intervention Type: OTHER

Post facilitation stretch Patient perform isometrics for 15 seconds then therapist rapidly move the shoulder to the end range

Interventions

muscle energy technique

Post facilitation stretch Patient perform isometrics for 15 seconds then therapist rapidly move the shoulder to the end range

Intervention Type: OTHER

mulligan mobilization technique

Sustain Posterolateral glide with belt and then told Patient to move in following pattern (internal rotation, external rotation, abduction, wall sliding)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Pain in shoulder for at least 3 months
• Unilateral frozen shoulder of stage 3 and 4
• Capsular pattern i.e. (lateral rotation, Abduction, Medial rotation)

Exclusion Criteria

• Secondary capsulitis
• Shoulder injury such as proximal humerus fracture.
• History of Neurological deficit i.e. cervical stenosis, myelopathy.
• Prolong immobilization due to cardiothoracic surgery, neurosurgery.
• Shoulder surgical history such as shoulder arthroplasty.
• History of other pathological condition of shoulders i.e. Impingement syndrome, rotator cuff tear or any shoulder injury

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Sanaullah, MS

Role: PRINCIPAL_INVESTIGATOR

Study Principal Investigator

Locations

Sumaira Nawaz

Sialkot, Sialkot,Punjab,Pakistan, Pakistan

Countries

Pakistan

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Other Identifiers

REC/Lhr/20/0115 Sumaira

Identifier Type: -

Identifier Source: org_study_id