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NCT Number: NCT04852939

Bowen's Technique in Patients With Adhesive Capsulitis

This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

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Key information

Conditions

Adhesive Capsulitis Bursitis Joint Diseases Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

25 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Railway General Hospital

Rawalpindi, Punjab Province, Pakistan

About this study

The application of the Bowen technique, producing significant results, will be opted in treatment for the better, improved, and innovative noninvasive management of Adhesive Capsulitis. This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both genders
  • Age 25 to 60 years
  • History of worsening shoulder pain
  • Painful movement from at least 3 month
  • Grade 2 & 3 adhesive capsulitis
  • Both Diabetic and non-diabetic
  • Limited Ranges in capsular pattern

Exclusion criteria

  • Fracture
  • Trauma
  • Dislocation
  • Ongoing physical therapy treatment
  • Cortisone injection prior 3 months

Treatment and study plan

Bowen's Technique

Other

Initially, cup move is performed which requires a vertically rolling Bowen move over the posterior border of the deltoid muscle above the axillary crease.

The subject's arm is held flexed at 90 degrees at mid-chest height. Then, the elbow is slowly and passively moved in the direction of the opposite shoulder.

After maximal adduction of the arm, the therapist firmly taps the lateral aspect of the shoulder with the heel of his/her hand.

The arm is then carried back to the original start position, where the therapist gently moves superiorly and slightly laterally over the anterior fibers of the deltoid. The arm is then carefully lowered.

The therapist strives to undertake a minimum of moves and procedures to trigger the body's own self-healing powers and assess how much pressure to use and where and when to perform a move to release the build-up of stress.

40-minute sessions thrice a week for 6 weeks.

Conventional physical therapy

Other
  • Hot pack and transcutaneous electrical nerve stimulator (TENS) for 15 minutes.
  • Pendulum stretch, 10 revolutions.
  • Cross body stretch, 4 repetitions.
  • Towel stretch/hand behind the back, 4 repetitions.
  • Isometric internal and external rotation exercises. 40-minute sessions thrice a week for 6 weeks.

Primary outcomes

  1. Goniometer

    Time frame: 6th week

    A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position of joints. Intra-class Correlation Coefficients (ICC≥ 0.94)

  2. Numeric Pain Rating Scale

    Time frame: 6th week

    Numerical Pain Rating Scale (NPRS) the Numerical Rating Scale (NPRS-11) is an 11-points scale for self-report of pain. It is the most commonly used unidimensional pain scale. Interclass correlation coefficient (ICC: 0.74)

  3. Shoulder Pain and Disability Index (SPADI):

    Time frame: 6th week

    self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. Intra-class correlation coefficient (ICC ≥ 0.89)

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effectiveness of Bowen's Technique in Patients With Adhesive Capsulitis

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Apr 21, 2021
Registry last updated
Aug 6, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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