Adhesive Capsulitis, Diabetes Mellitus
Conditions
Keywords
Adhesive capsulitis, Frozen shoulder, Diabetes, Physiotherapy
Brief summary
This pilot randomized trial will compare the preliminary effect of a regular physiotherapy (PT) program to a regular PT combined with a progressive walking program (PT+) in patients with and without diabetes who have adhesive capsulitis. After signing the consent form, recruited participants will be randomized into either PT group (control) or PT+ group (experimental). Participants in both groups will be referred to a physical therapy facility. The intervention will be chosen by treating physical therapist. In PT+ group, participants will also be asked to perform free walking at their own pace. Outcomes measures for the primary outcome (shoulder functional performance) will be evaluated at baseline and after 6 weeks. Secondary outcomes (shoulder ROM, pain and function, muscle strength, and physical activity level) will be evaluated at baseline, at 3 and 6 weeks, and again at 12 weeks after enrolment. We expect adding a progressive walking program to regular PT will result in better outcomes.
Detailed description
In this pilot randomized clinical trial, participants will be recruited from an Orthopedic clinic at St. Joseph's Health Care Centre via surgeon referrals and from local primary health care clinics via posters advertising the study. Potential participants will be contacted by the research team at Hand and Upper Limb Centre (HULC) to arrange for their initial evaluation and sign a consent form. Participants who agree to participate in this study will be asked to complete 2 outcomes questionnaires (i.e. SPADI, RAPA) and Katz comorbidity scale. Next, patients will be randomly assigned to one of the two groups: regular Physical Therapy program (PT) or regular PT which add a progressive walking program (PT+). Stratified randomization by diabetic status and sex will be used. All participants will be referred to a physical therapy facility according to their preferences and the intervention will be chosen by the treating physical therapist. In PT+ group, participants will be asked to perform free walking at their own pace for 30-45 min, 5 days per week for 6 consecutive weeks and to record their walking date/time on a diary form provided by the research team before commencing the study. Participants in PT+ group will also be provided with accelerometer to accurately estimate their physical activity level. Outcomes measures for the shoulder functional performance test (primary outcome) will be evaluated at baseline and after 6 weeks. Secondary outcomes (shoulder ROM, pain and function, muscle strength, and physical activity level) will be evaluated at baseline, at 3 and 6 weeks, and again at 12 weeks after enrollment.
Interventions
OTHERPhysical Therapy program
The physical therapy program will be chosen by the treating therapist. However, the most common physiotherapy interventions include therapeutic exercises, joint mobilization techniques and electrotherapy.
Sponsors
Western University, Canada
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients with and without diabetes who have adhesive capsulitis
Exclusion criteria
* Previous shoulder surgery or dislocation * Shoulder severe osteoarthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of shoulder performance from baseline to 6 weeks after physiotherapy | At baseline and again after 6 weeks | This test is based on repeated shoulder movements at waist and eye level, and over head work. The test will be performed using Functional Impairment Test- Hand and Neck/ Shoulder/Arm (FIT-HaNSA) tests. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder range of motion | at baseline, at 3 and 6 weeks, and again at 12 weeks after enrollment | Shoulder range of motion in flexion, abduction, and external rotation |
| Shoulder pain and function | at baseline, at 3 and 6 weeks, and again at 12 weeks after enrollment | Shoulder pain and function will be assessed using Shoulder Pain and Disability Index (SPADI) questionnaire |
| Muscle strength | at baseline, at 3 and 6 weeks, and again at 12 weeks after enrollment | The muscle power of the shoulder flexors and abductors muscles will be assessed |
| Physical activity level | at baseline, at 3 and 6 weeks, and again at 12 weeks after enrollment | The level of activity will be assessed using Rapid Assessment of Physical Activity (RAPA) questionnaire |
Countries
Canada
Contacts
Primary ContactSanaa A Alsubheen, PhD (c)
Outcome results
None listed