Frozen Shoulder
Conditions
Brief summary
The goal of this study is to compare the effect of scapular mobilization versus posterior capsular stretch on pain, function, range of motion, and posterior capsular tension in patient with frozen shoulder
Detailed description
Frozen shoulder is a musculoskeletal condition that is commonly encountered in physical therapy practice. It is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Frozen shoulder affects about 2% of the general population, with a higher prevalence in people between their 40s and 60s. Frozen shoulder occurs more in diabetic patient. The traditional principles of treatment of frozen shoulder are to relieve pain, maintain range of motion, and ultimately to restore function. The physiotherapy treatment of frozen shoulder consists of different modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Therapy (IFT), Ultrasound, Short Wave Diathermy (SWD) etc., and the physical therapy exercises such as stretching, Codman exercise can be used. Scapular-mobility exercises, or scapular-mobilization (SM) techniques is widely used in the management of musculoskeletal disorders of the shoulder. Scapular mobilization can cause pain reduction with improvement in the shoulder range of motion. Scapular mobilization can reduce the disability in patients with shoulder dysfunction. Posterior capsular stretch is applied along with mobilization which causes significant improvement in increasing range of motion and functional disability. Capsular stretching showed a more significant reduction in pain when compared to general exercises. Therefore, what are the possible effect of scapular mobilization versus posterior capsular stretch in treating patients with frozen shoulder?
Interventions
OTHERScapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
OTHERPosterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Males and females aged from 40-65 years old. * Diabetic and non-diabetic patients' diagnosis of stage 3 frozen shoulder (frozen phase) by an orthopedist. * The presence of pain and limited movement in the shoulder for at least 2 months. * Passive joint movements are limited when compared with the normal side. * Unilateral involvement.
Exclusion criteria
* Recent joint infection or surgery. * History of shoulder subluxation, dislocation, or ligamentous injury. * Shoulder arthroplasty. * Shoulder and cervical pathology. * Recent trauma. * Neurological disorders with muscle weakness in the shoulder joint. * Infection, pregnancy, carcinoma patients, severe cardiac or psychiatric conditions. * Previous shoulder surgeries to the affected shoulder. * Previous manipulations under anesthesia of the affected shoulder. * Radiological evidence for glenohumeral joint arthritis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
| Shoulder abduction range of motion to measure shoulder joint active range of motion (abduction) by bubble inclinometer | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
| Shoulder internal rotation range of motion to measure shoulder joint active range of motion (internal rotation) by bubble inclinometer | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
| Shoulder external rotation range of motion to measure shoulder joint active range of motion (external rotation) by bubble inclinometer | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
| Shoulder pain and disability index to measure the shoulder pain the maximum possible score for the pain scale is 50 | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
| Shoulder pain and disability index to measure the disability level the maximum possible score for the disability scale is 80 | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
| poaterior capsular tension measurement by ruler | pre-intervention, after 2 weeks of treatment and post treatment 4 weeks |
Contacts
Primary ContactOmnia A Abd Elmeged
Backup ContactKarima A Hassan
Outcome results
None listed