Adhesive Capsulitis, Shoulder
Conditions
Keywords
Pain, Shoulder, Vibration
Brief summary
We hypothesize that focal vibration therapy will reduce pain, increase the mobilization of the glenohumeral joint, and will improve functionality in patients with adhesive capsulitis.
Detailed description
The underlying mechanism of focal vibration therapy in individuals with adhesive capsulitis still remains unclear. Considering the physiological mechanism of focal vibration therapy, the effect of focal vibration therapy on pain, function, and resting muscle tone in patients with adhesive capsulitis will be evaluated. There are no studies examining the effect of focal vibration therapy on shoulder muscle tone in individuals with adhesive capsulitis.
Interventions
Myovolt delivers oscillatory mechanical vibration of focussed frequency and low amplitude to stimulate physiological benefits in soft tissues. Myovolt is non-aggressive and gentle to the body so can be safely targeted. Digitally tuned to transmit a discrete vibration frequency range between 30 - 100Hz for effective neuromuscular stimulation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged \> 18 years * Unilateral adhesive capsulitis of the shoulder * The symptom duration \> 3 months * Shoulder pain * The limited glenohumeral joint active range of motion of greater than 50% in at least three specific movements among abduction, flexion, internal rotation, and external rotation
Exclusion criteria
* Previous shoulder surgeries * Massive, minor, and major rotator cuff tears * Pain and muscle strength loss due to neurological causes * History or presence of malignancy * Osteoporosis * Diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Shoulder Pain at 4 weeks | At 4 week | Evaluation of shoulder pain was performed using the Visual Analog Scale. The score is determined by measuring the distance (mm) on the 10-cm line between the no pain on the far left and the most intense pain imaginable on the far right.The patient places a mark at a point on the line corresponding to the patient's rating of pain intensity. A higher score indicates greater pain intensity. |
| Change from 4 weeks Shoulder Pain at 6 weeks | At 6 week | Evaluation of shoulder pain was performed using the Visual Analog Scale. The score is determined by measuring the distance (mm) on the 10-cm line between the no pain on the far left and the most intense pain imaginable on the far right.The patient places a mark at a point on the line corresponding to the patient's rating of pain intensity. A higher score indicates greater pain intensity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Shoulder Function at 4 weeks | At 4 weeks | Function was assessed using the self-administered Shoulder Pain and Disability Index.The Shoulder Pain and Disability Index contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability. Each subscale is summed and transformed to a score out of 100. A mean is taken of the two subscales to give a total score out of 100, higher score indicating greater impairment or disability. |
| Change from Baseline Range of Motion of Shoulder Joint at 4 weeks | At 4 weeks | The joint movements of the affected shoulder was measured using a digital electrogoniometer. A higher score indicates greater improvement. |
| Change from 4 weeks Shoulder Function at 6 weeks | At 6 weeks | Function was assessed using the self-administered Shoulder Pain and Disability Index.The Shoulder Pain and Disability Index contains 13 items that assess two domains; a 5-item sub-scale that measures pain and an 8-item sub-scale that measures disability. Each sub-scale is summed and transformed to a score out of 100. A mean is taken of the two sub-scales to give a total score out of 100, higher score indicating greater impairment or disability. |
| Change from 4 weeks Range of Motion of Shoulder Joint at 6 weeks | At 6 weeks | The joint movements of the affected shoulder was measured using a digital electrogoniometer. A higher score indicates greater improvement. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Shoulder Muscle Tone at 6 weeks | At 6 weeks | The muscle tone which is a biomechanical property of the shoulder muscles will be evaluated with a portable hand-held myotonometer. This myotonometer (MyotonPRO - Tallinn, Estonia) is non-invasive and provides a quantitative assessment of a muscle's biomechanical properties. The MyotonPRO applies a short-intensity mechanical impulse on the skin overlying the muscle. The tissue's response then generates a signal that is recorded, and an internal software program produces an acceleration graph. |
Countries
Turkey (Türkiye)