Capsulitis of Shoulder, Frozen Shoulder
Conditions
Keywords
adhesive capsulitis, frozen shoulder, manual therapy, therapeutic exercise
Brief summary
The main objective is to evaluate whether a treatment program combining manual therapy (joint mobilization) and exercise is more effective in the treatment of adhesive capsulitis than an exercise program applied in isolation. The researchers will compare both groups (experimental group and control group) using the different techniques. During the sessions, mobility will be evaluated with a goniometer and data will be recorded to monitor progress, maintaining a confidential record of the data.
Interventions
They will be divided into two groups, one experimental (they will be mobilized and given exercises to see whether or not they gain joint range in the different movements of flexion-extension, abduction-adduction and internal rotation-external rotation) and another control group ( The patients will be blindly evaluated and they will be given the same exercises as the experimental group)
Sponsors
Study design
Intervention model description
The evaluation of each group will be carried out in different rooms of the university, a team of 6 physiotherapists divided into two groups, where 3 will evaluate with knowledge of the pathology and the other 3 without knowledge of it. The experimental group will receive mobilization treatment and exercises, while the control group will receive only exercises. Weekly one-hour sessions will be held, from Monday to Friday, with two times available for each patient. The experimental group, treated by physiotherapists who know the pathology, will be applied Maitland mobilization techniques, focused on passive neural and joint mobilizations. Flexion-extension, abduction-adduction, and external and internal rotation movements will be performed. The control group, treated by physiotherapists who will blindly evaluate the patients, will only be prescribed exercises, the same as the experimental group.
Eligibility
Inclusion criteria
* men and women from 40 to 60 years old, whether or not they carry out physical activity * intervention through therapeutic exercise and/or joint mobility.
Exclusion criteria
* children * older people * people with previous shoulder pathology * people with cognitive impairment who cannot complete questionnaires * treatment that does not include exercise or joint mobility * treatment with machines.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of the improvement of shoulder mobility in patients with adhesive capsulitis by performing by an exercise program, mobilization or boths techniques. | 3-4 months | study and measure if there is improvement in adhesive capsulitis of the shoulder with the proposed exercise programs versus exercise plus manual therapy in 108 subjects, 54 subjects in each group and a descriptive analysis of the data will be carried out, examining the initial homogeneity between the groups. in terms of the variables age, sex, pain, range of motion and functionality. The Shoulder Pain and Disability Index (SPADI) questionnaire and the visual analogue scale (VAS) will be used to assess pain. |
Countries
Spain