Adhesive Capsulitis
Conditions
Keywords
adhesive capsulitis, frozen shoulder, mannual therapy
Brief summary
Adhesive capsulitis is a prevalent condition characterized by pain and stiffness in shoulder joint and surrounding muscles shows decrease range and strength in patients with adhesive capsulitis. This study aims to determine the effect of mulligan mobilization with or without Niel Asher technique on pain, range of motion and disability in patients with adhesive capsulitis. This study will be a randomized controlled trial and will be conducted in Ibne-siena Hospital Multan and Multicare physiotherapy clinic. Non-probability convenience sampling will be used to collect the data. Sample size of subjects with age group between 40 to 60 years will be taken. Data will be collected from the patients having present complaint of adhesive capsulitis. Outcome measures used will be Numeric pain rating scale (NPRS) for shoulder pain and SPADI for shoulder disability and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria. Subjects will be divided into two groups by random number generator table. Both the Groups will receive heating pad, TENS. Group A will receive Mulligan Mobilizations and Neil Asher technique, and Group B will receive Mulligan mobilization and Conventional Treatment. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 26.
Interventions
OTHERMulligan Mobilization and Niel Asher technique
* Mulligan mobilization technique for shoulder external rotation and abduction as described by Mulligan. 3 sets of 10 repetitions with 1 minute rest between sets, 3 times a week for 4 weeks are performed * Niel Asher technique provided for 3 sessions a week for 4 weeks
OTHERMulligan Mobilization and Conventional physiotherapy.
* Modalities i.e. heating pad and TENS for ten Minutes * Postural correction exercises / Scapular retraction * Therapeutic Exercise : Codman' s, finger ladder, wand exercises * End Range Gleno-humeral joint stretching Both groups will come four times per week for a total of 4 weeks. Pre and post treatment values of both groups will be analyzed.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Age group 40-60 year * Both gender male and female * Stage 2 primary adhesive capsulitis with capsular pattern of restriction (rotation\>abduction\>flexion) * Pain in shoulder should be ≤7 on NPRS * Patient is willing to perform.
Exclusion criteria
* • Diabetes * Malignancy * Infection * Arthoplasty * Pregnancy * Neurological disorders * Fracture * Thyroid diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Rating Scale (NPRS) | baseline and fourth week | Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates no pain and 10 indicates worst pain . NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively) |
| Universal Goniometer (UG) | baseline and fourth week | The range of motion will be measured using universal goniometer that has an inter-rater reliability (ICC2, 2 = 0.79 to 0.92) for shoulder. |
| Shoulder disability and shoulder Index SPADI | baseline and fourthweek | The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper- extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. The reliability coefficient is ICC \>0.89 for Shoulder. |
Countries
Pakistan
Contacts
Primary ContactIqbal Tariq, PHD
Outcome results
None listed