Effect of Myofascial Release of Subscapularis Along With Shoulder Mobilization in Adhesive Capsulitis

NCT ID: NCT05325255

Last Updated: 2023-02-16

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-26

Study Completion Date

2023-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This randomized control trial aims to compare the effect of myofascial release of subscapularis along with shoulder mobilization VS mobilization alone among patients with adhesive capsulitis. The study will be conducted at physiotherapy outpatient department (OPD) of Sindh Institute of physical medicine and rehabilitation, and Dow University Ojha Campus, Karachi. According to study criteria, 70 patients with sub-acute adhesive capsulitis will be selected through a non-randomized purposive sampling technique by a consultant physician. After taking informed consent, participants will be randomly divided into 2 groups through the sealed envelope method. Both the groups will receive conventional treatment while Group 1 will be given an additional treatment of myofascial release of subscapularis through ischemic compression technique. Total 6 treatment sessions will be provided and assessment will be done at baseline and end of the 6th session.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The sample size of 31 per group was determined using planning and specification software (PASS) version 15 software based on two independent sample t-test using 95%confidence interval and 80% power of the test. This sample was raised to 35 per group with 4 patients as drop out per group. Mean and standard deviation will be calculated for the quantitative variables while frequency and percentages will be calculated for qualitative variables. Inter-group comparison at baseline will be calculated using an independent sample t-test. The mean difference between both the techniques in terms of numeric pain rating scale (NPRS), range of motion (ROM), shoulder pain and disability index (SPADI), and pain pressure threshold(PPT) will be determined using Repeated measure 2-way ANOVA.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Adhesive Capsulitis of Shoulder

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Maitland mobilization with myofascial trigger point release group

Maitland technique: caudal, anteroposterior (AP), and posteroanterior (PA) glides 5 sets of 2-3 glides per second of Grade III and IV for 30 seconds with a rest interval of 30 second between sets.

Ischemic Compression technique: on subscapularis trigger points for 90 secs thrice a week for 2 weeks.

Stretching exercises in direction of abduction, external rotation (ER), internal rotation (IR), and flexion. 6 repetitions of each stretch for 10 seconds Cold pack for 20 mins

Group Type EXPERIMENTAL

Myofascial release of subscapularis

Intervention Type OTHER

It is the application of manual pressure over myofascial trigger point that induces ischemia and causes release of trigger points

Maitland mobilization

Intervention Type OTHER

It is the type of mobilization technique that uses passive accessory mobilization to reduce pain and stiffness and increasing range of motion

Stretching exercises

Intervention Type OTHER

It is the technique use to increase flexibility and range of motion of short and hypomobile structures

Cold pack

Intervention Type OTHER

It is the application of cold to provide analgesic effects

Maitland mobilization alone group

Maitland technique: caudal, anteroposterior (AP), and posteroanterior (PA) glides 5 sets of 2-3 glides per second of Grade III and IV for 30 seconds with a rest interval of 30 second between sets.

Stretching exercises in direction of abduction, external rotation (ER), internal rotation (IR), and flexion. 6 repetitions of each stretch for 10 seconds Cold pack for 20 mins

Group Type ACTIVE_COMPARATOR

Maitland mobilization

Intervention Type OTHER

It is the type of mobilization technique that uses passive accessory mobilization to reduce pain and stiffness and increasing range of motion

Stretching exercises

Intervention Type OTHER

It is the technique use to increase flexibility and range of motion of short and hypomobile structures

Cold pack

Intervention Type OTHER

It is the application of cold to provide analgesic effects

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Myofascial release of subscapularis

It is the application of manual pressure over myofascial trigger point that induces ischemia and causes release of trigger points

Intervention Type OTHER

Maitland mobilization

It is the type of mobilization technique that uses passive accessory mobilization to reduce pain and stiffness and increasing range of motion

Intervention Type OTHER

Stretching exercises

It is the technique use to increase flexibility and range of motion of short and hypomobile structures

Intervention Type OTHER

Cold pack

It is the application of cold to provide analgesic effects

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients aged between 40-65 years
* Diagnosed with sub-acute adhesive capsulitis
* Pain range of 3 to 8 on NPRS
* SPADI score of \>40
* Presence of myofascial trigger point in subscapularis muscle

Exclusion Criteria

* History of fracture
* Rheumatoid arthritis
* Shoulder osteoarthritis
* Any malignancy
* Shoulder dislocation
* Subacute adhesive capsulitis with impingement syndrome
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Dow University of Health Sciences

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Umama Abbasi

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Umama Abbasi, DPT

Role: PRINCIPAL_INVESTIGATOR

Dow University of Health Sciences

Rabail R Soomro, PhD Scholar

Role: STUDY_DIRECTOR

Sindh Institute of Physical Medicine and Rehabilitation

Aftab Ahmed Mirza Baig, MSAPT

Role: STUDY_DIRECTOR

Sindh Institute of Physical Medicine and Rehabilitation

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Sindh Institute Physical Medicine and Rehabilitation

Karachi, Sindh, Pakistan

Site Status RECRUITING

Dow University Hospital Ojha Campus

Karachi, Sindh, Pakistan

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Pakistan

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Umama Abbasi, DPT

Role: CONTACT

+923122930340

Aftab Ahmed Mirza Baig, MSAPT

Role: CONTACT

+923002739920

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Aftab Ahmed Mirza Baig, MSAPT

Role: primary

+923002739920

Umama Abbasi, PG student

Role: primary

+923122930340

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

UAbbasi

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.