Effectiveness of Kaltenborn Mobilizations Versus Muscle Energy Technique in Adhesive Capsulitis.

NCT ID: NCT05189626

Last Updated: 2022-01-12

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-06

Study Completion Date

2022-03-31

Brief Summary

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Total of 30 patients are selected according to inclusion criteria by convenient sampling and randomly allocated by sealed envelop method into two groups. Group 1 is treated with Muscle energy technique(Post isometric relaxation) and Group 2 is treated with Grade II,III Kaltenborn mobilizations and both groups also receives conventional therapy in form of Codman exercise and Wall ladder exercises.Data will be collected at baseline then after 2 weeks and after 4 weeks of intervention.

Detailed Description

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The purpose of study is to determine effectiveness of muscle energy techniques(Post Isometric relaxation) and Kaltenborn mobilizations and to compare the effectiveness of both techniques on pain and functional disability in patients with Adhesive capsulitis.Several studies about the effects of Maitland mobilizations and Muscle energy technique have been conducted. Evidence regarding the comparison of Kaltenborn mobilizatuons and post isometric relaxation is sparse. There has been no work regarding effectiveness of these two techniques in improving pain and functional disability in patients of Adhesive capsulitis.

Kaltonborn Mobilizations involves the application of a passive sustained stretch technique to enhance joint mobility without articular surface suppression. The forces applied to increase joint mobility are graded from I-III. Grade I applies a distraction of minor intensity that hardly causes stress within the joint capsule; it is often used to decrease pain. Grade II refers to a force that stretches the periarticular tissue; such stimulus is colloquially referred to as "taking up the slack." Finally, Grade III force causes enough distraction or gliding so that joint capsule can sufficiently stretch; it is often used for enhancing ROM.

MET is unique in its application as the client provides the initial effort while the practitioner facilitates the process. One of the main uses of this method is to normalize joint range, rather than increase flexibility, and techniques can be used on any joints with restricted Range of Motion (ROM) identified during the passive assessment. The main effects of MET can be explained by two distinct physiological processes: Post Isometric Relaxation (PIR) and Reciprocal Inhibition (RI). Post isometric contraction decrease muscle tone in single group of muscle after brief period of submaximal isometric contraction of same muscle.

Conditions

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Adhesive Capsulitis of Shoulder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

There are two groups Group 1 and 2.Group 1 is treated with Muscle energy techniques and Group 2 is treated with kaltenborn mobilizations for 30 minutes per session,3 days per week for 4 weeks.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers
It is a single blinded study.

Study Groups

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Group A

Muscle energy technique

Group Type EXPERIMENTAL

Muscle energy technique

Intervention Type OTHER

Post Isometric relaxation(muscle energy technique) 3 days/ week for 4 weeks

Group B

Kaltonborn mobilizations

Group Type EXPERIMENTAL

Kaltonborn mobilizations

Intervention Type OTHER

Kaltonborn mobilizations grade II and III will be performed on Glenohumeral joints 3 days/ week for 4 weeks.

Interventions

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Muscle energy technique

Post Isometric relaxation(muscle energy technique) 3 days/ week for 4 weeks

Intervention Type OTHER

Kaltonborn mobilizations

Kaltonborn mobilizations grade II and III will be performed on Glenohumeral joints 3 days/ week for 4 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 20 and 60 years.
* Duration of complaint for more than 3 months.
* Gender: Both Male and Female.
* Patients with idiopathic frozen shoulder
* Patients having restriction in more than 2 ranges
* Patients with diabetes

Exclusion Criteria

* Shoulder dislocation, fracture or labral tear.
* Shoulder girdle motor control deficit associated with neurological disorder.
* Any bony deformities acquired or congenital in glenohumeral joint.
* Patients with language barrier.
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Health Education Research Foundation (HERF)

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aqsa Anwar, DPT

Role: PRINCIPAL_INVESTIGATOR

Rawalpindi Medical College

Locations

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Holy family hospital

Rawalpindi, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Waqar Ahmed Awan, PhD

Role: CONTACT

+923335348846

Waqar Ahmed Awan, PhD

Role: CONTACT

+923335348846

Facility Contacts

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Nida khan, DPT

Role: primary

03310404000

Aqsa Anwar, DPT

Role: backup

03215172551

Other Identifiers

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142/IREF/RMU/2021

Identifier Type: -

Identifier Source: org_study_id

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