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Alterations in central excitability and biomechanical characteristics of the shoulder complex in patients with frozen shoulder

Comparing patients with and without frozen shoulder to finding the differences in muscle activities, scapular kinematics, muscle tone, central excitability

Status
Terminated
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12621001584820
Enrollment
28
Registered
2021-11-19
Start date
2020-07-01
Completion date
2021-05-11
Last updated
2021-11-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The purposes of the study is to investigate the differences of central excitability, muscle tone, muscle activities, and scapular kinematics between individual with and without frozen shoulder and the relationship between muscle activities and central excitability. We hypothesize that central excitability, muscle activities, and scapular kinematics will change and muscle tone will increase in group of frozen shoulder and there will be significant correlation between muscle activities and central excitability.

Interventions

Participants attended a 4-hour session involving four tests performed by a well-trained physiotherapist once only: 1. Muscle tone: used myotonometer to evaluate the muscle tone of the upper trapezius, infraspinatus, and pectoralis major. 20 minutes. 2. Muscle activities: evaluated the muscle activities by surface electromyography of the upper trapezius, infraspinatus, and pectoralis major during arm elevation, hand to neck and hand to back. 30 minutes. 3. Scapular kinematics: evaluated the scap

Participants attended a 4-hour session involving four tests performed by a well-trained physiotherapist once only: 1. Muscle tone: used myotonometer to evaluate the muscle tone of the upper trapezius, infraspinatus, and pectoralis major. 20 minutes. 2. Muscle activities: evaluated the muscle activities by surface electromyography of the upper trapezius, infraspinatus, and pectoralis major during arm elevation, hand to neck and hand to back. 30 minutes. 3. Scapular kinematics: evaluated the scapular movement by magnetic tracking system during arm elevation, hand to neck, and hand to back. 30 minutes 4. Central excitability: the active motor threshold, motor evoked potential, cortical silent period, short-interval intracortical inhibition, and short-interval intracortical facilitation of upper trapezius, infraspinatus, and pectoralis major were measured by transcranial magnetics stimulation (TMS). 150 minutes.

Sponsors

Yi-fen Shih
Lead SponsorIndividual

Eligibility

Sex/Gender
All
Age
40 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

The frozen shoulder group: 1. 40-65 y/o 2. Medical diagnosis of frozen shoulder 3. Pain and stiffness over the affected shoulder greater than or equal to 6 months 4. No resting pain or night pain 5. Range of motion (ROM) limitation of a shoulder joint (ROM decreased more than 25% in at least two directions, and ROM decreased more than 50% or less than 30° in passive external rotation) The healthy control group: 1. Age, gender matched with the frozen shoulder group 2. Without shoulder pain or ROM limitation

Exclusion criteria

1. History of surgery or fracture of the shoulder complex 2. Shoulder joint dislocation 3. Rheumatoid arthritis, diabetes mellitus, rotator cuff tear, calcification tendonitis, osteoarthritis, cervical radiculopathy, or shoulder ROM limitation due to stroke or spinal cord injury 4. Contraindications for transcranial magnetic stimulation (TMS)

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026