Adhesive Capsulitis
Conditions
Brief summary
Adhesive capsulitis (AC) represents a renowned musculoskeletal condition which has been clinically classified as frozen shoulder (FS). Adhesive capsulitis occurs 3-5% of the time in the general population, but in diabetics, the frequency can reach 20%. This study is being conducted to determine the effects of gongs mobilization vs reverse distraction technique in diabetic patients with adhesive capsulitis. This study will be a randomized control trial and data will be collected from Haq Orthopedic Hospital. Sample size is 20 calculated by using G power and adding 20 % attrition.
Detailed description
Non-Probability convenient sampling will be used. Participants meeting the inclusion and exclusion criteria will be divided into two groups.10 subjects in group A will be treated Gongs mobilization and group B will be treated with Reverse distraction technique. Conventional therapy will be given to both groups as base line treatment. Both groups have 4 sessions per week for 4 weeks. All participants will be evaluated before and after the treatment using Numeric Pain Rating scale (NPRS), Shoulder pain and Disability Index (SPADI) and goniometer.
Interventions
DIAGNOSTIC_TESTGongs Mobilization
The treatment begins with moist heat for 10 minutes, Gong's mobilization with conventional therapy for 8 minutes. The total treatment time was 45 minutes once a day for four days per week for four weeks.
COMBINATION_PRODUCTReverse Distraction Technique
The treatment begins with moist heat for 10 minutes, Reverse Distraction technique with conventional therapy for 8 minutes. The total treatment time was 45 minutes once a day for four days per week for four weeks. Position of the patient: side-lying. The patient is lying at the plinth's edge on the unaffected side. In front of the patient is the therapist's position.
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Both males and females. * Diagnosed case of Unilateral Adhesive Capsulitis. * Age group of 40-60 years. * Stage 2 and 3 of Adhesive Capsulitis. * Diabetes Mellitus Type II. * Patients with decreased ROM (less than or equal to 120 degrees), pain, and mild to moderate levels of type II diabetics (below or equal to 200 mg/dL). * No history of shoulder surgeries to the affected shoulder.
Exclusion criteria
* Systemic arthritic conditions of the shoulder (Rheumatoid arthritis, osteoporosis or malignancies in the shoulder region) . * Disorders of the Cervical spine . * Corticosteroids injections in the affected Shoulder in preceding 6 weeks. * Skin lesions or bruises around the Shoulder. * Shoulder injuries such as Rotator cuff tear. * Fracture in and around the shoulder joint.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NUMERIC PAIN RATING SCALE (NPRS) | 12 Months | Value of sensitivity/specificity/ validity/reliability: intra-class correlation coefficient 0.58 to 0.93. Measurement: Numerical Interpretation: The Numeric Pain Rating Scale (NPRS) is a simple and widely used tool for assessing pain intensity. Patients rate their pain on a scale from 0 to 10, where 0 indicates no pain and 10 indicates worst pain imaginable. The interpretation of NPRS scores helps classify pain severity and monitor changes over time. |
| SHOULDER PAIN AND DISABILITY INDEX | 12 Months | The items of the questionnaire are assessed on a 0-10 numeric rating scale in which 0 means no disability and 10 is maximum disability. The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities |
Countries
Pakistan
Outcome results
None listed