Adhesive Capsulitis
Conditions
Keywords
Adhesive Capsulitis, Gong Mobilization, Thoracic Manipulation, Shoulder disability, Exercise Therapy
Brief summary
The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis.
Interventions
OTHERGong mobilization
Gong mobilization was applied on affected shoulder joint in which distraction is applied followed by corrective AP force. Patient performs abduction and then prolong stretching of 7 seconds. It takes 2 to 3 minutes and is applied for three sessions per week for 4 weeks.
Thoracic manipulation was applied in prone position. Low amplitude high velocity thrust was applied at the end of available range at T4 and T5 after complete exhalation by the patient. intervention is applied for 3 times per week for 4 weeks.
OTHERConventional therapy
Conventional therapy includes heat therapy for 8 minutes, TENS for 20 mins. Stretches of posterior capsule, serratus anterior, pectoralis major and minor along with Codman exercises.
Sponsors
Riphah International University
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
* Age between 40 and 60 years * Both male and female * Clinically diagnosed with stage 2 frozen shoulder * Hypomobility of the thoracic spine * Unilateral or bilateral frozen shoulder with pain lasting for more than 3 month * Shoulder ROM limited with a flexion \<165°, abduction \<150°, or external rotation \<45°, restricted capsular pattern . * Positive shoulder shrug sign
Exclusion criteria
* Shoulder Arthritis * Thoracic outlet syndrome * Metabolic bone disease in the shoulder * Neoplastic bone disease in the shoulder * Osteoporosis and Osteomyelitis * Arm fracture, torn ligament around the shoulder joint, and shoulder surgery * Rheumatoid arthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | From enrollment to the end of treatment at 4 weeks | The Numerical Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess the intensity of pain. Patients were asked for their pain intensity and then mark the number on the line according to their pain perception. The categorical variables of the NPRS are, none for 0, mild for value 1-5, moderate for 6-7 and severe for 8-10. |
| SPADI-U | from enrollment to the end of treatment at 4 weeks | SPADI-U is a self-reported shoulder-specific outcome questionnaire by the evaluation of subjective clinical outcome measures. SPADI-U is an Urdu translated version of SPADI for cultural adaptation. It has a total of 13 items with 5 items related to pain and 8 items related to disability. The maximum score of SPADI-U is the same to that of SPADI i.e. 13. The scoring system includes the sum of all attempted questions divided by the maximum score and the multiply by 100 to find in percentage. Five items are designed to quantify pain, and eight items cover the disability measures of a patient with shoulder pathology. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder flexion ROM | From enrollment till end of treatment at 4 weeks | Changes in shoulder flexion ROM at baseline and 4 weeks was measured using Goniometer |
| Shoulder Abduction ROM | From enrollment till end of treatment at 4 weeks | Changes in shoulder abduction ROM at baseline and 4 weeks was measured using Goniometer |
| Shoulder internal rotation ROM | from enrollment till end of treatment at 4 weeks | Changes in shoulder Internal rotation ROM at baseline and 4 weeks was measured using Goniometer |
| Shoulder external rotation | From enrollment till end of treatment at 4 weeks | Changes in shoulder external rotation ROM at baseline and 4 weeks was measured using Goniometer. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORHumera Mubashar, MS-OMPT
Riphah International University
Outcome results
None listed