Adhesive Capsulitis
Conditions
Keywords
adhesive capsulitis, shoulder, capsulitis, gongs mobilization, scapular high-lift
Brief summary
This study aims to compare the effectiveness of Gongs Mobilization with and without scapular High-lift in the management of Adhesive Capsulitis, focusing on specific outcomes like pain, functional outcomes, and work productivity.
Detailed description
This study will be a randomized controlled trial with a sample size of 42 participants, as calculated by the G power tool, with 5 % attrition rate, diagnosed with Adhesive Capsulitis. Subjects will be selected through non-probability convenient sampling based on inclusion and exclusion criteria, and randomly assigned into two groups, with 21 participants in each group. Group A will receive Gong mobilization with scapular high-lift, while Group B will receive Gong mobilization without scapular high-lift, both in conjunction with conventional therapy. Demographic Data will also be collected. Baseline and post-intervention data will be collected using SPADI, NPRS, and a goniometer. Data will be analyzed by using IBM SPSS 26.0. At the same time, the Shapiro-Wilk test will be applied to check normality.
Interventions
OTHERExperimental: GROUP A (GONG'S MOBILIZATION WITH SCAPULAR HIGHLIFTS)
In this technique, the therapist applies a sustained lateral glide to the humeral head while the patient actively performs shoulder elevation or abduction. Scapular high lifting is encouraged during the movement to assist shoulder elevation. The technique is performed within a pain-free range to reduce pain and improve shoulder mobility and functional movement.
OTHERExperimental: GROUP B (GONG'S MOBILIZATION WITHOUT SCAPULAR HIGHLIFTS)
Patients received Gong's mobilization without allowing scapular high lifting. The therapist applied a lateral glide to the humeral head while the patient performed pain-free shoulder elevation or abduction. Scapular movement was controlled to avoid compensation, aiming to reduce pain and improve shoulder mobility and function.
Sponsors
University of Management and Technology Sialkot Pakistan
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
No
Inclusion criteria
* Participants, including both males and females. * aged 40 to 60 years. * Diagnosed with unilateral Adhesive capsulitis at the 2nd or 3rd stage of the disease
Exclusion criteria
* History of any trauma, tumor, fracture, surgery, or infection in a shoulder joint. * Patient with pregnancy and a history of abnormal neurological status (radiculopathy, stroke with hemiplegia, brachial plexus injury). * Restricted shoulder due to burns or postoperative scars. * Moderate or High levels of diabetes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NUMERICAL PAIN RATING SCALE (NPRS) | 4 Weeks | It is a fundamental tool used to evaluate pain intensity and pain tolerance. Subjects can rate their pain from 0 (no pain at all) to 10 (pain as bad as it could be) to check whether the pain is acute or chronic. 42. The test-retest reliability coefficient, the intra-class correlation coefficient (ICC) for NPRS, is 0.74, and the minimal clinically important difference (MCID) is 1.1 points |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SHOULDER PAIN AND DISABILITY INDEX (SPADI) | 4 Weeks | SPADI is used to assess shoulder discomfort and impairment in patients with shoulder disorders. It consists of 13 items divided into two domains; a sub-scale that measures pain contains 5 items, and the other sub-scale consists of 8 items to assess disability. Every sub-scale has a scoring method that calculates the average (mean) at the end to make a score out of 100. A high score indicates greater impairment or disability, and vice versa. The reliability coefficient, the intra-class correlation, is ≥ 0.89, and its minimal clinically important difference (MCID) is 8 points |
| UNIVERSAL GONIOMETERY: | 4 Weeks | The primary movements of the shoulder include flexion and extension, abduction and adduction, horizontal abduction and adduction, as well as lateral and medial rotation. While these movements are assessed at the glenohumeral joint, they rely on coordinated mobility at the sternoclavicular, acromioclavicular, and scapulothoracic joints41. For shoulder AROM, the reliability coefficient, intra-class correlation (ICC), is 0.53-0.6544. The ICC for PROM ranges from 0.87 to 0.99 |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORHAMZA ZAHID, MS OMPT
University of Management and Technology Sialkot Pakistan
Outcome results
None listed