Adhesive Capsulitis of Shoulder
Conditions
Brief summary
Breast cancer surgeries particularly mastectomy results in limited shoulder movement which can lead to arm, shoulder pain and stiffness. Females who underwent mastectomy have reported a significantly higher incidence of shoulder morbidity
Detailed description
Exercise therapy might help in reduction of pain and restoration of the range, coordination and control of movement in patients with adhesive capsulitis. Graded resistance exercises are effective in decreasing fatigue levels, enhancing functional capacity and muscle strength. Rehabilitation exercises which strengthen the scapular stability can be extremely beneficial in rehabilitation treatment of patients with shoulder pain and problems
Interventions
Hot packs, active range of motion exercises, pendular exercises, wall climb exercises, mobilization exercises, and shoulder capsular stretching
graded Thera band exercises for shoulder flexion, abduction, internal, and external rotation
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ranged from 40-60 years. * 2nd stage of adhesive capsulitis, * Shoulder pain and stiffness for at least 3 months. * Restriction in shoulder flexion, abduction, internal and external rotation ROM less than 50% when compared to the other shoulder.
Exclusion criteria
* Shoulder or acromioclavicular joint osteoarthritis. * Bone diseases. * Infection. * Severe osteoporosis. * Tumors or metastasis. * History of previous shoulder trauma or accidental injuries. * Previous history of dislocation. * Previous history of surgery on the specific shoulder. * Any other shoulder problems.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder range of motion | at baseline | A digital goniometer flexion and abduction, internal and external rotation range of motion |
| physical function | at baseline | the Disability of the Arm, Shoulder, and Hand questionnaire \[DASH\] is used to measure physical function |
| Health-related quality of life | at baseline | assessed using the Medical Outcomes Study short-form (SF-36). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscle strength | at baseline | A handheld dynamometer (J Tech Commender Muscle Tester, Salt Lake City, Utah, USA) |
| Visual analogue scale | at baseline | used to assess the intensity of shoulder pain. consists of 10-cm line, and was utilized to quantify the pain severity within shoulder, where the score of zero means no pain, while a score of ten means significant pain |
Countries
Egypt