Adhesive Capsulitis
Conditions
Keywords
Adhesive capsulitis, neural mobilization, capsular stretch
Brief summary
Restriction of glenohumeral (GH) mobility in patients with adhesive capsulitis (AC) was known owing to capsular adhesion. There is a little evidence about the involvement of neural restriction in limiting range of motion (ROM) of the GH joint in patients with AC. Objectives: The purpose of this study is to investigate the combined effect of median nerve mobilization and capsular stretching on improving shoulder external rotation, abduction and internal rotation ROM among patients with AC. Methods Thirty patients will be randomly assigned into two equal groups : Group (A) will receive median nerve mobilization and capsular stretching while Group (B) will receive only capsular stretching (anterior, posterior and anteroinferior capsular stretching). Both groups will receive passive and self-assisted exercises. All patients in both groups will be evaluated pre and post treatment for GH external rotation, abduction and internal rotation ROM.
Interventions
OTHERcapsular stretching plus neural mobilization
anterior, posterior and inferior capsular stretching and neural mobilization
OTHERanterior, inferior and posterior capsular stretching
anterior, inferior and posterior glenohumeral capsular stretching
stretching exercises for anterior GH musculture plus auto passive exercises and pendulum exercises
Sponsors
Prince Sattam Bin Abdulaziz University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
three groups
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients from both gender (male &female) will be included if they would have second or third stage AC with their age between forty and seventy years * experiencing pain, capsular adhesions, and a reduction of greater than fifty percentage in passive ROM of the GH joint (external rotation, abduction, and internal rotation compared to the sound side * lasting for a minimum of three months. Patients with positive upper limb tension test-1 will be also included in this study
Exclusion criteria
* they would have stroke,Parkinson's diseases that interfere with shoulder muscles activity * diabetes * traumatic shoulder conditions * glenohumeral osteoarthritis confirmed by x-ray * previous surgery, and manipulation of the affected GH joint under general anesthesia * Patients with passive elbow extension ROM
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | 4 Weeks | pain was assessed by VAS which has two ends. the left end indicates no pain where the right end indicates maximal pain |
| central sensitization | 4 weeks | central sensitization will be assessed by the the arabic version of central sensitizatuion questionnaire. To understand CSI scores, the following severity categories have been established: subclinical = 0 to 29; mild = 30 to 39; moderate = 40 to 49; severe = 50 to 59; and extreme = 60 to 100 |
Countries
Saudi Arabia
Contacts
Primary ContactMohammed Hegazy
Outcome results
None listed