Frozen Shoulder, Scapular Mobilization, Scapular Proprioceptive Neuromuscular Facilitation
Conditions
Brief summary
This study will be conducted to examine and compare the effects of SM versus SPNF on shoulder pain, ROM and functional disabilities in patients with frozen shoulder.
Detailed description
This study will be conducted to examine and compare the effects of SM versus SPNF on shoulder pain, ROM and functional disabilities in patients with frozen shoulder.
Interventions
OTHERGroup A SCAPULAR MOBILIZATION
Two treatment groups will receive interventions as follows: Group A (n = 21): will receive scapular mobilization combined with mobilization with movement (MWM) and capsular stretch for 4 weeks. Group B (n = 21): will receive scapular proprioceptive neuromuscular facilitation combined with (MWM) and capsular stretch for 4 weeks.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
triple-blinded clinical randomized trial
Intervention model description
Two treatment groups will receive interventions as follows: Group A (n = 21): will receive scapular mobilization combined with mobilization with movement (MWM) and capsular stretch for 4 weeks. Group B (n = 21): will receive scapular proprioceptive neuromuscular facilitation combined with (MWM) and capsular stretch for 4 weeks.
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
\- All the patients refferd from orthopaedic surgeon with diagnosis of adhesive capsulitis. Patients will be included in this study if they fulfil the following criteria 1. Case diagnosed with adhesive capsulitis, both primary and secondary. 2. Both males and females of the age group 40 to 60 years. 3. Limited active and passive movement of the shoulder joint movements, as well as difficulties with ADLs. 4- The onset of symptoms between 3 to 12 months. 5. Unilateral adhesive capsulitis.
Exclusion criteria
* 1\. History of shoulder surgery or manipulation under anaesthesia, local corticosteroid injection administration to the affected shoulder within the last 6 months, 2. Neurological deficit affecting the shoulder function during daily activities, 3. Pathology of the shoulder joint other than adhesive capsulitis including rotator cuff tear, tendonitis at the shoulder and neck region, malignancies, history of trauma or accidental injuries of the upper limb. 4- Other pathological conditions including, a history of stroke, history of mastectomy and coronary artery bypass grafting (CABG). 5\. Rheumatoid arthritis, osteoporosis, or disorders of the cervical spine, elbow, wrist or hand.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder disability | 4 weeks | Shoulder Pain and Disability Index (SPADI) The translated version of SPADI in the Arabic language showed excellent internal consistency and test-retest reliability. Validity was shown by substantial correlations between SPADI and Quick DASH, NRS, and active shoulder ROM. The Arabic SPADI is recommended for the evaluation of patients with shoulder dysfunction |
| Shoulder range of motion | 4 weeks | A goniometer is a device used to measure the range of motion (in degrees) of joints for either active or passive range. Shoulder flexion, extension, abduction adduction, internal rotation and external rotation will be assessed by Goniometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Scapular upward rotation | 4 weeks | The Plurimeter-V gravity inclinometer will be used effectively and reliably for measuring upward rotation of the scapula in all ranges of shoulder abduction in the coronal plane |
| Lateral scapular slide test | 4 weeks | The three test positions will be used. For test position one (LSST-1), the subjects were instructed to keep their upper extremities relaxed at their sides. For test position two (LSST-2), the subjects were instructed to actively place both hands on the ipsilateral hips, and consequently, the humerus was positioned in medial rotation at 45° of abduction in the coronal plane. For test position three (LSST-3), the subjects were instructed to actively extend both elbows and to elevate both upper extremities to 90° in the coronal plane with maximal internal rotation. In this procedure, the distance between inferior aspect of the inferior angle of the scapula and the closest spinous process in the same horizontal plane was measured bilaterally with a tape measure for all three positions. A difference of 1.5 cm or more in any of the three positions was considered a positive result of the LSST |
Countries
Egypt
Outcome results
None listed