Adhesive Capsulitis
Conditions
Keywords
Adhesive capsulitis, Mulligan mobilization, EXTRACORPOREAL SHOCKWAVE THERAPY, ULTRASONOGRAPHIC CHANGES
Brief summary
To investigate and compare the effects of Mulligan mobilization versus shock wave therapy in patients with adhesive capsulitis on Pain intensity level, Range of motion, Functional disability level, Ultrasonographic changes (soft tissue thickness) and Hand grip strength.
Detailed description
sixty patients of both genders according to sample size calculation, referred from orthopedist, diagnosed adhesive capsulitis patients. they screened according to inclusion and exclusion criteria. Their age between 40 and 60 years was randomly allocated to three treatment groups. * Group A (study group) (n=20) will receive mulligan technique and conventional treatment. * Group B (study group) (n=20) will receive extracorporeal shockwave therapy and conventional treatment. * Group C (control group) (n=20) will receive conventional treatment only. Inclusion criteria: patients that will be included in the study will be referred from orthopedic physician with: 1. Patients referred from orthopedist and diagnosed as frozen shoulder 2. The age of the participant will be from 40-60 (Agarwal S., et al.2016). 3. Body mass index from 25- 30 kg/m2. 4. having a painful stiff shoulder for at least 3 months 5. having limited ROM of a shoulder joint (ROM losses of 25% or greater compared with the noninvolved shoulder in at least 2 of the following shoulder motions: glenohumeral flexion, abduction and lateral rotation. 6. ability to complete Disabilities of the Arm, Shoulder and Hand questionnaires (DASH). Exclusion criteria: 1. history of surgery on the particular shoulder 2. Rheumatoid arthritis 3. painful stiff shoulder after a severe trauma 4. fracture of the shoulder complex 5. rotator cuff rupture 6. tendon calcification.
Interventions
DEVICEShockwave
From sitting with shoulder abducted at 45 degree and elbow flexed and the forearm rested on flat surface, The patients in the intervention group B received shock wave therapy once a week for 4 weeks. The focus probe sets were used and, in each session, patients received ESWT from anterior and posterior directions (on the average 1200 shocks between 0.1 and 0.3 mJ/mm2) up to the maximum threshold of pain tolerance in the shoulder
OTHERMulligan mobilization
Mobilization with movement (MWM) is the concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end range applied by the patient. Passive end-of-range overpressure, or stretching, is then delivered without pain as a barrier
OTHERConventional treatment
Conventional treatment will be axillary ultrasound and laser ,low loading stretching exercise and home program exercises
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
Patients referred from orthopedist and diagnosed as frozen shoulder The age of the participant will be from 40-60 (Agarwal S., et al.2016). Body mass index from 25- 30 kg/m2. having a painful stiff shoulder for at least 3 months having limited ROM of a shoulder joint (ROM losses of 25% or greater compared with the noninvolved shoulder in at least 2 of the following shoulder motions: glenohumeral flexion, abduction and lateral rotation. ability to complete Disabilities of the Arm, Shoulder and Hand questionnaires (DASH).
Exclusion criteria
history of surgery on the particular shoulder Rheumatoid arthritis painful stiff shoulder after a severe trauma fracture of the shoulder complex rotator cuff rupture tendon calcification.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue thickness (Capsule thickness) | 4 weeks | measured by musculoskeletal ultrasonography |
| Hand grip strength | 4 weeks | Measured by hand dynamometer |
| Pain intensity level. | 4 weeks | measured by Visual analog scale |
| Range of motion. | 4 weeks | measured by digital goniometer |
| Functional disability level. | 4 weeks | Determined by Disabilities of the arm, shoulder and hand questionnaire (DASH) |
Countries
Egypt
Outcome results
None listed