Frozen Shoulder
Conditions
Keywords
frozen shoulder, manual therapy, proprioceptive neuromuscular facilitation, neuroplasticity, diabetes
Brief summary
The aim of this study is to compare the effects of activity versus structural oriented treatment approach on pain, range of motion, and function in diabetic patients with frozen shoulder.
Detailed description
Frozen shoulder, also known as adhesive capsulitis, is a condition of uncertain etiology, characterized by shoulder stiffness, severe pain, significant restriction of range of motions, and limitation in participation in socio-economical life. According to a concept, pain causes changes in the brain making it learn the non-use, and therefore, even after healing of peripheral structures has occurred, the brain may not be able to organize voluntary actions owing to the induced central changes. Physical therapy plays an important role to bring pain relief and return of functional motion in frozen shoulder and there are many approaches available that can be used but literature on treatments based on neuroplasticity is comparatively less. According to the research available, neuroplasticity has been effective in treating frozen shoulder. Similarly, PNF, home exercises, and joint mobilizations have also proven to be effective. The effects of the activity related and structural-oriented treatment on the frozen shoulder has not been addressed in diabetic patients yet. More RCTs are required to determine the best treatment for managing adhesive capsulitis in diabetics. Therefore, this research will be conducted which will compare the activity-based approach and the conventional approach to treating frozen shoulder in diabetics. The results may open new aspects of treating frozen shoulder in diabetics which can be cost-effective as well.
Interventions
OTHERActivity oriented treatment
15 patients will be treated with activity oriented therapy. All subjects will receive 20 therapeutic sessions, 5 times a week over the time span of 4 weeks.
OTHERStructural oriented treatment
15 patients will be treated with structural oriented therapy. All subjects will receive 20 therapeutic sessions, 5 times a week over the time span of 4 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed with frozen shoulder, limited ROM, and pain in the shoulder region * Patients with diabetes from 10+ years
Exclusion criteria
* History of headaches and dizziness * Pain and limited ROM in the cervical spine * Pain and limited ROM in temporomandibular joint
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NPRS for pain | 4th week | The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). |
| Goniometer for range of motion | 4th week | It will be used to measure flexion, extension, abduction, adduction, and internal and external rotation of shoulder. |
| SPADI for pain and disability | 4th week | Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty. |
Countries
Pakistan
Contacts
Primary ContactImran Amjad, PhD
Outcome results
None listed