Adhesive Capsulitis of Shoulder
Conditions
Keywords
Adhesive capsulitis, Functional Disability, Range of Motion
Brief summary
A Randomized Clinical Trial will be conducted at DHQ hospital kasur,BIT hospital kasur,Arif memorial hospital Lahore.Pre-diagnosed patients will be reassessed by applying (Shoulder Shrug Sign, Hand to neck, Hand to scapula, Hand to opposite scapula,Hand to back,Capsular pattern movement restriction)Plus all other special tests will be applied to confirm that symptoms are not due to other shoulder pathologies but are due to just adhesive capsulitis then through consecutive sampling technique on 60 patients they will be allocated using computer generated sampling(random number table) into Group A and Group B.
Detailed description
A Randomized Clinical Trial will be conducted at DHQ hospital kasur,BIT hospital kasur,Arif memorial hospital Lahore.Pre-diagnosed patients will be reassessed by applying (Shoulder Shrug Sign, Hand to neck, Hand to scapula, Hand to opposite scapula,Hand to back,Capsular pattern movement restriction)Plus all other special tests will be applied to confirm that symptoms are not due to other shoulder pathologies but are due to just adhesive capsulitis then through consecutive sampling technique on 60 patients they will be allocated using computer generated sampling(random number table) into Group A and Group B. Group A will be treated with Gong's mobilization and Group B will be treated with Mulligan MWM The procedures will be performed Three sets of 10 repetitions, with 1 minute rest between sets,thrice per week for a total of six weeks. Pre and post intervention values will be taken on 1st day and after 6 weeks. Outcome measures will be conducted through VAS for pain,SPADI for functional disability , goniometer for range of motion ,SF-36 for quality of life after 6 weeks. Data will be analyzed during SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.
Interventions
Mulligan Mobilization Technique
The therapist will push the scapula of the affected side in a posterior to anterior direction with one hand, and pushed the humeral head in an anterior to posterior direction parallel to joint plane with the other hand.
Sponsors
Study design
Masking description
Assessor blinded
Intervention model description
Randomized Clinical Trial
Eligibility
Inclusion criteria
* Age 40 to 50 years * Both male and female * Pre-diagnosed Unilateral Primary Frozen shoulder patients * Prediagnosed Stage 3(Frozen phase) patients(27)
Exclusion criteria
* Patients with previous surgery in the shoulder joint * History of recent fracture or severe trauma to the shoulder * Diagnosed instability or previous history of dislocation * Systemic inflammatory conditions(e.g.rheumatoid arthritis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Level of Pain | Pre & Post 6 weeks | Numeric Pain Rating Scale |
| Range of Motion | Pre & Post 6 weeks | Goniometer |
| Functional Disability | Pre & Post 6 weeks | Shoulder Pain and Disability Index |
| Quality of Life Level | Pre & Post 6 weeks | Sort Form Survey-36 |
Countries
Pakistan