Adhesive Capsulitis of Shoulder, Frozen Shoulder, Shoulder Adhesive Capsulitis
Conditions
Keywords
adhesive capsulitis, clinical trial, manipulation
Brief summary
This study evaluates the addition of translational manipulation under interscalene block, to a course of orthopaedic manual physical therapy for treatment of adhesive capsulitis of the shoulder. Half the patients will receive a translational manipulation under interscalene block, plus 6 sessions of orthopaedic manual physical therapy. The other half will receive 7 sessions of physical therapy. The investigators hypothesize that the translational manipulation under interscalene block will provide additional benefit beyond the effect of in-clinic orthopaedic manual physical therapy alone.
Detailed description
Both translational manipulation under interscalene block and in-clinic orthopaedic manual physical therapy are thought to be useful for treating adhesive capsulitis of the shoulder. However, no single intervention for this condition has been proven to be superior to others. The translational manipulation under interscalene block may improve pain-free motion of the involved shoulder, by releasing tight tissue without the guarding and motion-limiting effect of active muscle tension. The interscalene block prevents the patient from actively contracting the muscles that control the involved shoulder, during the manipulation procedure. One additional possible benefit of the translational manipulation under interscalene block, is that the technique loads the joint structures--bone, joint capsule--in a safer way with less angular torque than conventional/traditional manipulation under anaesthesia. This minimizes the risk of physical/mechanical harm from the procedure.
Interventions
PROCEDURETranslational manipulation
After the patient receives an interscalene block on the affected side, a physical therapist performs a series of thrust manipulations on the participant's affected shoulder. The participant's identified limitations of physiological and accessory motion revealed during manual examination guided the physical therapist's choice of technique, which primarily consisted of an accessory superior to inferior accessory gliding motion performed in a physiological position of limited motion. Additional gliding manipulations in combined movement positions such as increased flexion or abduction plus internal or external rotation were utilized until full passive physiologic motion was restored.
PROCEDUREManual therapy
The first clinic treatment session for all study participants included instruction in the home program of static stretching, resistive exercise, and ice, issue of an illustrated handout and digital video disc detailing the same program, and manual therapy (MT) by a physical therapist that included all indicated grades of non-thrust manipulation of the joints and soft tissue. The MT intervention was targeted toward any identifiable upper quarter pain or movement impairments. Subsequent clinic treatment sessions included additional MT, progression of the strengthening exercises, and reinforcement of the home program.
Sponsors
Daniel G. Rendeiro
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcomes assessors are blinded to the study arm to which participants are assigned
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Military healthcare system beneficiaries 18 years old or older * Chief complaint of loss of shoulder range of motion * Passive glenohumeral abduction less than 75 degrees * Sufficient English-language skills to understand the study protocol.
Exclusion criteria
* Clinical diagnosis of diabetes (type I or II) * Clinically evident and symptomatic rotator cuff tear or cervical radiculopathy * Pain as the primary impairment (versus limitation of motion as the primary impairment) * Having contraindications to an interscalene block.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Shoulder Pain and Disability Index (SPADI) | baseline, 3 months, 6 months, 12 months, 48 months | Measure of individual pain and disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of normal | 48 months | Patient estimate of percent of full functional capacity of involved shoulder |
| Activity limitations | 48 months | Patient estimate of identified activities limited by involved shoulder function |
| Medication use | 48 months | Patient estimate of medications taken due to involved shoulder pain |
Countries
United States
Outcome results
None listed