Glenohumeral Arthritis
Conditions
Keywords
Glenohumeral Arthritis, Pain, Mobilisation, Physiotherapy, Rehabilitation
Brief summary
The aim of the investigator's study is to compare the efficacy of manual therapy and exercise practices compared to exercise practice in patients with Glenohumeral Arthritis. Thirty volunteer patients will include into the study.
Detailed description
Patients will randomly divide into two groups. A common exercise program was applied to both groups during 15 sessions. Manual therapy techniques will apply to the manual therapy group in addition to exercise practices. Patients will evaluate in terms of functional status, pain, range of motion, muscle strength and health-related quality before and after 5 weeks of treatment. Also, patient's satisfaction from treatment will evaluate at the 5th week of the treatment. DASH and ASES forms for functional status, VAS for pain, digital goniometer for range of motion, manual muscle test for muscle strength, SF-12 for health-related quality of life, and Global Rating of Change (GRC) Scale for patient satisfaction will be used as evaluation criteria.
Interventions
OTHERManuel Therapy plus Exercise Intervention
Shoulder mobilization techniques include glenohumeral traction, anterior, posterior and inferior glide. We will also use anterior, posterior and inferior joint stretching exercises and scapular mobilization. Exercise interventions include range of motion exercises, stretching exercises, strengthening exercises, and pendulum exercises.
OTHERExercise Intervention
Exercise interventions include range of motion exercises, stretching exercises, strengthening exercises, and pendulum exercises.
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 40 years and older patients * To be diagnosed with GHOA by specialist physician via MRI, US or radiography and physical examination * Unilateral shoulder pain lasting more than 2 months seen during daily living activities and at rest
Exclusion criteria
Patients with: * Severe arthrosis * Tumor * Cervical radiculopathy * Emotional or cognitive problems * A neurological disease that causes muscle weakness on the shoulder * A skin disease that may affect upper extremity assessment. * Frozen shoulder * Thoracic outlet syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Range of Motion (ROM) | Evaluation will be performed first time at baseline and second time will be performed after 5 weeks rehabilitation program. After treatment change will be assessed. | The shoulder flexion, abduction, internal and external rotation ROM will be evaluated with digital goniometer while the patient will be in supine position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) | Evaluation will be performed before treatment and after 5 weeks rehabilitation program. | The levels of pain is felted at rest / activity / night will be measured using Visual Analogue Scale (VAS).Patients will be asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain. |
| Manual Muscle Test | Evaluation will be performed before treatment and after 5 weeks rehabilitation program. | Manual Muscle Test is a procedure for the evaluation of strength of individual muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM. |
| ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) Form | Evaluation will be performed before treatment and after 5 weeks rehabilitation program. | ASES is an assessment form prepared by shoulder and elbow surgeons with objective and subjective sections. The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function. |
| Global Rating of Change (GRC) Scale | Evaluation will be performed after 5 weeks rehabilitation program. | Global Rating of Change (GRC) scale will be used to assess the overall satisfaction levels of the patients. Patients will be asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction. |
| The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire | Evaluation will be performed before treatment and after 5 weeks rehabilitation program. | DASH questionnaire inquires about the activities of a person in daily life, the degree of participation in recreational activities, the symptom and psychosocial state that affects their pain, emotional state and sleep quality. The total score is at least 0 and at most 100, and the high scores are positively correlated with the increased functional impairment. |
| Short Form 12 (SF-12) | Evaluation will be performed before treatment and after 5 weeks rehabilitation program. | SF-12 will be used to assess physical and mental health-related quality of life. The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life. |
Countries
Turkey (Türkiye)
Outcome results
None listed