Adhesive Capsulitis of Shoulder
Conditions
Keywords
adhesive capsulitis, post isometric facilitation, axillary phonophoresis
Brief summary
the aim of this study is to compare the effect of Axillary Phonophoresis versus Post isometric facilitation in subjects with Adhesive capsulitis
Detailed description
Adhesive Capsulitis is a common cause of shoulder pain and disability and also a condition involving glen humeral pain and loss of motion. It is characterized by significant restriction of both active and passive motion that occurs in the absence of a known intrinsic shoulder disorder. The intervention strategies for AC include a trial of conservative therapy followed by more invasive procedures.it may be primary-onset is generally idiopathic or Secondary- results from known cause. Clinically, patients may present with pain and mild restriction of movement which can lead to a gross loss of function predisposing factor or surgical event . it is most frequent in women, diabetic population and patient older than 40 years .It is described as having 3 stages. Stage Ⅰ involves pain (freezing or painful stage) and lasts from 3 to 9 months and is characterized by an acute synovitis of the glen humeral joint. Stage Ⅱ (frozen or transitional stage) includes pain and restricted movement and lasts from 4 to 12 months. Stage Ⅲ (thawing stage) involves painless restriction and lasts from 12 to 42 months. Contributing factors include diabetes mellitus, stroke, thyroid disorder, dupuytren disease, complex regional pain syndrome and metabolic syndrome. Axillary Phonophoresis and Post isometric facilitation play a major role in the treatment of adhesive capsulitis so this trial was conducted to determine which one has superiority. this trial has three groups. two experimental and one control group. pain ,function, pressure pain threshold will be measured.
Interventions
OTHERAxillary Diclofenac phonophoresis
axillary diclophenac phonophoresis (voltaren gel) will be received three times per week for four weeks
Post isometric facilitation exercise will be received three times per week for four weeks
OTHERTraditional physiotherapy
Traditional physiotherapy will be received three times per week for four weeks
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
opaque sealed envelope
Intervention model description
this trial has three group; two experimental and one control
Eligibility
Sex/Gender
ALL
Age
30 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* The patient age will range from 30to 40years old from both sexes (male and female). * All recruited subjects in the 2nd stage of adhesive capsulitis (transitional stage). * The patient will be diagnosed and referred by orthopedist as Adhesive capsulitis. * The diagnosis will be confirmed by shoulder MRI. * The diagnosis will be confirmed by shrug test. * The patient will be referred by anterior shoulder pain or anterolateral shoulder pain. * Inclusion requirement include two or more of the following pain complaints: Grooming ones hair, Scratching your back and getting dressed, Overhead activities or Difficulty in the action of throwing the ball and giving a high -five. * All patients will sign the informed consent before joining the study.
Exclusion criteria
* Previous fracture with or without internal fixation in the shoulder joint * Any previous surgery in the shoulder joint and patient with tendon calcification * Local corticosteroid injection to the affected shoulder within the last three months or recent ones (Michener et al, 2004). * Neuromuscular disease * Rotator cuff tear * History of metastatic cancer or diagnosis of cancer within 12 months * Unstable angina
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | up to six weeks | numerical rating scale (NRS) will be used for assessment of pain intensity. the scale from 0 to 10 where 0 is no pain and 10 is the worst pain |
| pressure pain threshold | up to six weeks | commander algometer will be used for measuring pressure pain threshold |
| shoulder range of motion | up to six weeks | digital goniometer will be used for measuring range of motion |
| shoulder functional activity | up to six months | Disability of the Arm, Shoulder, and Hand questionnaire (DASH) will be used for measuring shoulder function activity. it is a shortened version of the DASH questionnaire that uses 11 items to measure the degree of difficulty in performing various physical activities due to a shoulder, arm, or hand problem (6 items); the severity of pain and tingling (2 items); and the problem's effect on social activities, work, and sleep (3 items) |
Contacts
Primary ContactHaytham M el-hafez, professor
Backup ContactMarwa El-sayed, Bachlore
Outcome results
None listed