Adhesive Capsulitis
Conditions
Brief summary
This study evaluates the effectiveness of Gong's mobilization combined with neuromuscular electrical stimulation versus conservative exercises in improving range of motion, pain relief, and functional outcomes in patients with adhesive capsulitis.
Detailed description
Using a randomized controlled design with 36 participants with estimated drop out 10% will be 40, the study will measure changes in active and passive shoulder mobility and SPADI scores after 6 weeks.
Interventions
DIAGNOSTIC_TESTGong's Mobilization with NMES
Gong's Mobilization Technique: The participant will be positioned in a side-lying posture on a height-adjustable bed, with the affected side upward and the head supported by a pillow The therapist will apply an antero-posterior glide to the humeral head while stabilizing the scapula with the other hand. The participant will perform quick, powerful shoulder abduction in the coronal plane without external rotation or elbow flexion while the therapist maintains the mobilization force.
COMBINATION_PRODUCTComprehensive Conservative Physical Therapy
Thermal Modality Application: Participants will receive either a cold or hot pack (based on individual preference and clinical presentation) applied to the affected shoulder for 10-15 minutes. Cold packs will be wrapped in a thin towel and applied to
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
41 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed cases of frozen shoulder confirmed by an orthopedician. * Patients in stage II or III of adhesive capsulitis. * Participants of both genders aged 41-60 years. * Subjects with a restricted range of motion (ROM), with losses of 25% or greater compared to the unaffected shoulder.
Exclusion criteria
* Rotator cuff tears. * Overuse injuries. * History of rheumatoid arthritis, osteoarthritis, or malignancies in the shoulder region. * Adhesive capsulitis secondary to neurological disorders. * Unstable shoulders or recurrent dislocations. * Post-surgical cases involving the shoulder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS | 12 Months | Visual Analogue Scale (VAS) is one of the pain rating scales. Pain intensity can be categorized based on VAS scores, with mild pain typically ranging from 1-3, moderate pain from 4-6, and severe pain from 7-10. |
| Shoulder Pain and Disability Index (SPADI) | 12 Months | The SPADI will be used to assess pain and disability. The pain subscale will measure the severity of pain during specific activities using a 0-10 numeric rating scale. The disability subscale will evaluate the difficulty experienced in performing daily activities involving the shoulder. SPADI scores will be recorded at the start of the treatment and again after completing the six treatment sessions to compare the changes in pain and functional status |
Countries
Pakistan
Outcome results
None listed