Adhesive Capsulitis
Conditions
Keywords
Adhesive Capsulitis, Bowen Therapy, Dynamic Soft Tissue Mobilization, range of motion, Shoulder Pain, physiotherapy
Brief summary
A randomized controlled trial included 72 patients diagnosed with adhesive capsulitis will conduct in University of Lahore Teaching Hospital. The study will complete within 9 months after the approval of synopsis. Patients who fulfilled the inclusion criteria will identified by individual physiotherapist and will enrolled for particular study. Informed written consent will be taken by the patients and will randomly allocated into two groups. The total numbers of sessions will 12 (3 sessions per week). The study will single blinded. The assessor will unaware of the treatment given to both groups. Control group received routine physical therapy with dynamic soft tissue mobilization technique. thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week. Experimental group received routine physical therapy along with Bowen technique. This includes thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week
Detailed description
A randomized controlled trial will conduct at the UOL Teaching Hospital. Seventy-two diabetic patients aged 50-80 years with Grade 2 or 3 adhesive capsulitis will be divided into two groups at random: Bowen therapy will administered to Group A with routine physiotherapy, and Group B received DSTM with routine physiotherapy. Both interventions will delivered twice weekly for six weeks. Pain (VAS and SPADI Pain), ROM (flexion, abduction, external rotation), as well as functional impairment (SPADI Disability and Total Score) wil be assessed at baseline, week 3, and week 6.
Interventions
Begin with gentle heat application or light massage to warm up the tissue for 5 minutes. Assess the range of motion and identify specific areas of tightness and pain. - Use hands or specialized tools to apply sustained pressure to the fascia and underlying muscles, concentrating on the scapular, pectoral, deltoidal, and rotator cuff muscles. Apply specific DSTM techniques to the identified muscles, gradually increasing the intensity as tolerated by the patient. Follow up with gentle stretching and strengthening exercises to maintain the gained ROM and improve muscle function.For subscapular are release Gentle circular movements over the subscapularis region to decrease the tension and increase the freedom of this muscle.For Supraspinatus and Infraspinatus Work Specific exercise over these muscles to help relieve pain and improve the shoulder joint.
OTHERBowen Technique and 3 moves
As the client sits, take a position across from the shoulder that needs attention. Hold the side you are working on by its forearm. Arrange the forearm so that it is horizontal at about chest level, keeping the elbow at a 90˚ angle and the shoulder apart from the trunk. Move 1: This is an anterior move that involves placing the fingers of the other hand over the midpoint of the triceps and posterior deltoid tendon, which is situated deeper. The ideal way to execute the exercise is to adduct the shoulder joint to its maximum ROM while placing the thumb of the same hand on the humeral head.Move 2: After the shoulder has fully adducted to the other side, strike the humeral head percussionally in the neck's direction. Move 3: Put the arm back in the beginning position and work the anterior deltoid at its midpoint with a supero-lateral move. Then take a pause for 2 minutes and repeat the moves. Complete 3 sets of all these moves in 35 minutes including 2 minutes pause after these 3 moves.
Sponsors
University of Lahore Hospital (ULH)
University of Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed patients of 50-80 years of age * Grade 2 & 3 (frozen and thawing) adhesive capsulitis * patients willing to participate in the study * Only diabetic patients
Exclusion criteria
* Major mental health probleme * Patients who has a history of surgery on the shoulder, other shoulder diseases including a rotator cuff tear, sub acromial impingement syndrome, and a shoulder labral tear * Patients taking oral or intra-articular steroids and cortisone injection prior 3 months * Subjects with rotator cuff tears or other shoulder ligament injuries, H/O arthritis related to shoulder, malignancy, adhesive capsulitis secondary to fractures, dislocation, reflex sympathetic dystrophy, neurological disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Visual Analogue Scale score | Change from preintervention to 6th weeks | Visual analogue scale will be used to assess shoulder pain. Score ranges from 0-10. 0 shows least pain and 10 shows worst pain |
| Change in Universal Goniometer readings | Change from preintervention to 6th weeks | Universal Goniometer will be used to assess shoulder range of motion. |
| change in Shoulder pain and disability Index (SPADI) | Change from preintervention to 6th weeks | The 13 items of the SPADI measure two domains: an 8-item subscale measuring disability and a 5-item subscale measuring pain. The SPADI is available in two variants. The first version uses a visual analogue scale (VAS) to evaluate each item, while the second version uses a numerical rating scale (NRS). |
Countries
Pakistan
Contacts
Primary ContactDr farrukh Murtaza Physical Therapist, Phd (PT)*
Outcome results
None listed