Effects of the Myofascial Arm Pull With and Without Active Release Technique in Adhesive Capsulitis

NCT ID: NCT06108843

Last Updated: 2023-10-31

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

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-08

Study Completion Date

2024-01-31

Brief Summary

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The aim of the study is to determine the effects of the myofascial arm pull with and without active release technique on pain, ROM and disability in adhesive capsulitis.

Detailed Description

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Adhesive capsulitis (frozen shoulder), a painful disorder caused by capsular inflammation that results in fibrosis and rigidity of the glenohumeral joint capsule, is characterized by a progressive loss of both active and passive glenohumeral movements. Frozen shoulder can be primary (also known as idiopathic) if there is no underlying cause of disease or it can be secondary. The term "secondary frozen shoulder" is associated with injury, trauma, cardiovascular diseases, hemiparesis, or diabetes.Active release technique and myofascial arm pull technique are both effective treatment options for patients with adhesive capsulitis. These techniques help to improve range of motion and reduce pain by releasing tension and adhesions in the affected area. Active release technique focuses on releasing tension and adhesions in the soft tissues surrounding the affected joint, while the Myofascial arm pull technique aims to improve range of motion by stretching the muscle and fascia in the affected area. By incorporating these techniques into a comprehensive treatment plan, patients of adhesive capsulitis can see significant improvement in their pain, range of motion and disability.

Because the method of treatment is inexpensive, findings of this study could be beneficial in revision of the clinical protocols to manage the patients of adhesive capsulitis.

Conditions

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Adhesive Capsulitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A type of intervention model describing a clinical trial in which two or more groups of participants receive different interventions.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
A participant in a single-blind study does not know which study group they are in, but the study doctor does.

Study Groups

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Myofascial arm pull technique and Active Release Technique

Participant will receive both Myofascial arm pull and active release technique along with Ultrasound therapy.

Group Type EXPERIMENTAL

Myofascial Arm Pull and Active Release Technique

Intervention Type OTHER

Six weekly sessions of the treatment will be given over the course of four weeks. Baseline treatment includes Ultrasound for 10 minutes.

Myofascial arm pull technique

Participant will receive Myofascial arm pull along with ultrasound therapy.

Group Type ACTIVE_COMPARATOR

Myofacial Arm Pull

Intervention Type OTHER

Six weekly sessions of the treatment will be given over the course of four weeks. Baseline treatment includes Ultrasound for 10 minutes.

Interventions

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Myofascial Arm Pull and Active Release Technique

Six weekly sessions of the treatment will be given over the course of four weeks. Baseline treatment includes Ultrasound for 10 minutes.

Intervention Type OTHER

Myofacial Arm Pull

Six weekly sessions of the treatment will be given over the course of four weeks. Baseline treatment includes Ultrasound for 10 minutes.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Both Male and Female; mean age (35-60).
* Case diagnosed with adhesive capsulitis, both primary and secondary origin.
* Freezing stage of adhesive capsulitis.
* Those with at least a 50% reduction in the range of motion (ROM).

Exclusion Criteria

* History of shoulder surgery or manipulation under anesthesia, local corticosteroid injection administration to the affected shoulder within the last 3 months.
* Neurological deficit affecting the shoulder functioning during daily activities.
* Pathology of the shoulder joint other than adhesive capsulitis.
* Pain or disorder of the cervical spine, elbow, wrist or hand.
* Patients diagnosed with cancer
Minimum Eligible Age

35 Years

Maximum Eligible Age

60 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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FAIZA AMJAD, M.PHILL

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Arif Memorial Teaching Hospital

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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IMRAN AMJAD, PHD

Role: CONTACT

03324390125

IMRAN AMJAD, PHD

Role: CONTACT

051-5481826

Facility Contacts

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FAIZA AMJAD, M.PHILL

Role: primary

03338013182

References

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Angst F, Goldhahn J, Pap G, Mannion AF, Roach KE, Siebertz D, Drerup S, Schwyzer HK, Simmen BR. Cross-cultural adaptation, reliability and validity of the German Shoulder Pain and Disability Index (SPADI). Rheumatology (Oxford). 2007 Jan;46(1):87-92. doi: 10.1093/rheumatology/kel040. Epub 2006 May 23.

Reference Type BACKGROUND
PMID: 16720638 (View on PubMed)

Mullaney MJ, McHugh MP, Johnson CP, Tyler TF. Reliability of shoulder range of motion comparing a goniometer to a digital level. Physiother Theory Pract. 2010 Jul;26(5):327-33. doi: 10.3109/09593980903094230.

Reference Type BACKGROUND
PMID: 20557263 (View on PubMed)

Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther. 1987 Dec;67(12):1867-72. doi: 10.1093/ptj/67.12.1867.

Reference Type BACKGROUND
PMID: 3685114 (View on PubMed)

Sumariva-Mateos J, Leon-Valenzuela A, Vinolo-Gil MJ, Bautista Troncoso J, Del Pino Algarrada R, Carmona-Barrientos I. Efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization: A randomized, single-blind, controlled trial. Complement Ther Clin Pract. 2022 Aug;48:101580. doi: 10.1016/j.ctcp.2022.101580. Epub 2022 Apr 4.

Reference Type BACKGROUND
PMID: 35397306 (View on PubMed)

Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother. 2011;57(3):197. doi: 10.1016/S1836-9553(11)70045-5.

Reference Type BACKGROUND
PMID: 21843839 (View on PubMed)

Dogru H, Basaran S, Sarpel T. Effectiveness of therapeutic ultrasound in adhesive capsulitis. Joint Bone Spine. 2008 Jul;75(4):445-50. doi: 10.1016/j.jbspin.2007.07.016. Epub 2008 May 2.

Reference Type BACKGROUND
PMID: 18455944 (View on PubMed)

Other Identifiers

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REC/RCR&AHS/23/0162

Identifier Type: -

Identifier Source: org_study_id

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