Adhesive Capsulitis of the Shoulder
Conditions
Keywords
Adhesive Capsulitis, Scapula Repeated Contraction Facilitation Technique, scapular Hold-Relax Technique, Proprioceptive Neuromuscular Facilitation
Brief summary
The study was conducted to determine the effects of scapular repeated contractions facilitation versus hold-relax techniques on pain, range of motion and functional disability in patients with adhesive capsulitis
Interventions
OTHERRepeated Contraction Facilitation Technique
Repeated contraction facilitation on scapula in two diagonal patterns (D1\&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression. Isotonic contraction of muscles against the resistance throughout the active ROM was performed.3 sets of 10 repetitions were performed with 20 seconds of rest interval.
OTHERHold-Relax Technique
Hold -Relax on scapula in two diagonal patterns (D1\&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression in which restricted muscles were contracted isometrically with 5 sec hold followed by relaxation into new range .3 sets of 10 repetitions were performed with 20 seconds of rest interval.
OTHERConventional Physical therapy Treatment for Adhesive Capsulitis
Moist heat pack for 15-20 mins Therapeutic Ultrasound at 1MHz for 8-10 mins in continuous mode with the intensity of 1.5W/cm2 Active Assisted Shoulder for abduction, flexion, internal rotation and external rotation with 3 sets of 15 repetitions 4days/week for 4 weeks Wall slides, Finger ladder exercises, Wand exercises and home exercises were performed.3x15 repetitions with 2 min rest interval for 4 sessions per week for four weeks for each exercise Maitland Glenohumeral Joint Mobilization with 2-3 oscillations per second for 30 seconds for 5 sets 4 times a week in caudal and posteroanterior direction was applied for 4 weeks.
Sponsors
Riphah International 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
* Diagnosed stage 2 of Adhesive Capsulitis (\>4-12 months) * Difficulties in 2 or more movements: external rotation, abduction, flexion or internal rotation presenting limitation of more than 30 degrees * Patients having diagnosed Diabetes Mellitus type 2 * Capsular pattern of restriction * Unilateral involvement of the shoulder * Patients who are not taking any pain killer
Exclusion criteria
* Surgical history of affected shoulder * History of trauma or fracture in affected shoulder * Cervical neuropathy or any other disorders of cervical spine, elbow and wrist * Any Neurological disorders such as stroke or parkinsonism * Any systemic disease such as rheumatoid arthritis, osteoporosis and malignancies in shoulder region * Intra-articular injection * Open wound or skin infection * Manipulation under anesthesia * Recurrent dislocation or subluxation * Shoulder injuries such as rotator cuff tear, or tendon calcification
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | At base line and end of 4 weeks | Patient level of pain was assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" ,1- 3 indicates mild pain ,4-6 indicates moderate pain and 7-10 indicates "worst pain". NPRS have shown high test-retest reliability (r = 0.96 and 0.95, respectively) MCID value of NPRS is 2-3 |
| Shoulder Pain And Disability Index | from baseline to end of 4 weeks | SPADI was used to assess functional disability. It has 13 items, with 5 items for pain and 8 items for disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ROM shoulder flexion | 4th week | changes from baseline ROM of shoulder flexion was taken |
| ROM shoulder abduction | 4th week | changes from baseline ROM of shoulder was taken |
| ROM shoulder external rotation | 4th week | changes from baseline ROM of shoulder external rotation was taken |
| ROM shoulder internal rotation | 4th week | changes from baseline ROM of shoulder internal rotation was taken |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORAmeena Amjad, Ph.D
Riphah International University
Outcome results
None listed