Elhafez Technique Combined With Dynamic Scapulohumeral Mobilization in Shoulder Adhesive Capsulitis

NCT ID: NCT06916780

Last Updated: 2025-04-13

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

SUSPENDED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-09

Study Completion Date

2025-08-30

Brief Summary

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Elhafez Technique Combined with Dynamic Scapulohumeral Mobilization in Adhesive Capsulitis

Detailed Description

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Elhafez Technique is an emerging rehabilitation approach that integrates axillary ultrasound, axillary laser therapy, and post-isometric facilitation (PIF) to target capsular stiffness, inflammation, and neuromuscular dysfunction. These techniques aim to enhance tissue healing, improve joint mobility, and reduce pain. When combined with Dynamic Scapulohumeral Mobilization (DSM), which focuses on restoring scapular control and shoulder joint biomechanics, this comprehensive approach may offer superior outcomes compared to conventional treatments.

This study aims to evaluate the biomechanical and functional effects of combining Elhafez Technique with DSM in patients with shoulder adhesive capsulitis. By assessing pain levels, ROM, and functional recovery, this research seeks to determine whether this combined intervention provides faster and more effective relief for patients suffering from this condition.

Conditions

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Adhesive Capsulitis of the Shoulder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Control Group

Participants will receive traditional physical therapy (ultrasonic, laser, exercises and home program)

Group Type ACTIVE_COMPARATOR

Laser and ultrasound

Intervention Type OTHER

Laser and ultrasound will be applied in group A as traditional method. On the other hand they will applied axillary in experimental groups

Elhafez Technique Group

Participants will receive Elhafez technique only

Group Type EXPERIMENTAL

Laser and ultrasound

Intervention Type OTHER

Laser and ultrasound will be applied in group A as traditional method. On the other hand they will applied axillary in experimental groups

Elhafez Technique and DSM Group

Participants will receive Elhafez technique and dynamic scapulohumeral mobilization

Group Type EXPERIMENTAL

Laser and ultrasound

Intervention Type OTHER

Laser and ultrasound will be applied in group A as traditional method. On the other hand they will applied axillary in experimental groups

Interventions

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Laser and ultrasound

Laser and ultrasound will be applied in group A as traditional method. On the other hand they will applied axillary in experimental groups

Intervention Type OTHER

Other Intervention Names

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Post-isometric Facilitation

Eligibility Criteria

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Inclusion Criteria

1. Adults aged 30-60 years diagnosed with Stage 2 (Frozen) or Stage 3 (Thawing) Shoulder Adhesive Capsulitis based on American Shoulder and Elbow Surgeons (ASES) guidelines.
2. Pain score ≥4/10 on the Visual Analog Scale (VAS) for at least 3 months.
3. Restricted external rotation of ≥25% compared to the unaffected shoulder.
4. No prior shoulder injections, surgery, or physiotherapy within the last 3 months.

Exclusion Criteria

1. History of shoulder fractures, rotator cuff tears, or labral injuries.
2. Systemic inflammatory conditions (e.g., Rheumatoid Arthritis, Uncontrolled Diabetes).
3. Neurological disorders affecting the shoulder (e.g., Stroke, Parkinson's Disease).
4. Current participation in another physiotherapy intervent
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role collaborator

Haytham M Elhafez

OTHER

Sponsor Role lead

Responsible Party

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Haytham M Elhafez

Professor of Physical Therapy

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Faculty of Physical Therapy

Dokki, Giza, Giza Governorate, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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P.T.REC/004/007724

Identifier Type: -

Identifier Source: org_study_id

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