Adhesive Capsulitis
Conditions
Keywords
Adhesive Capsulitis, ROM, Dynasplint
Brief summary
The purpose of this study is to compare two treatments for adhesive capsulitis.
Detailed description
The purpose of this study is to examine the effects of two treatment regimens for adhesive capsulitis: dynamic splinting and/or manual physical therapy.
Interventions
Dynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture. The Dynasplint or Experimental group will add this therapy to their standard of care regimen
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of idiopathic adhesive capsulitis * greater than 50% limitation in active flexion, internal rotation, or external rotation * Tight GHJ capsule in at least 2 directions * Capsular end-feel primarily limits ROM * Age 40- 64 * Normal X-Rays
Exclusion criteria
* Acute adhesive capsulitis * History of Diabetes Mellitus * Evidence of a cuff tear * Recent history of trauma * Evidence of glenohumeral DJD * History of shoulder surgery * Calcification of tendonitis demonstrated on a current X-Ray * Abnormal X-Ray * Cervical Radiculopathy/brachial plexus lesions * Less than 2+/5 muscle strength during mid-line manual muscle testing * Muscle Atrophy * Presence of associated systematic conditions * History of prior therapy for current condition * Manipulation under anesthesia * Non compliance * Shoulder-Hand syndrome, Complex Regional Pain Syndrome * History of prior injections for the current problem * Patient receiving worker's compensation * Shoulder symptoms with cervical provocative testing * Positive X-ray findings in the acromioclavicular or sternoclavicular joints * Abnormal physical signs or symptoms in the A-C or S-C joint
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of physical therapy treatments required | throughout trial |
| Weeks of Dynasplint treatment | throughout trial |
Secondary
| Measure | Time frame |
|---|---|
| Shoulder Range Of Motion | initial consultation, first visit following injection, and monthly following injection |
| Sharp FAS Neck and Shoulder | initial consultation, immediatly prior to first treatment following injection, and monthly following injection |
| Disabilities of Arm, Hand, and Shoulder Questionnaire | initial visit, first visit following injection, and weekly until discharge |
Countries
United States