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Completed

NCT Number: NCT04561310

Comparison of PFS and ART in Adhesive Capsulitis in Diabetic Patients

To determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques

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Key information

Conditions

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

Age range

35 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Asif Hospital Wah Cantt

Islamabad, Punjab Province, Pakistan

About this study

There is a very limited literature available Active release technique (ART) and Post Facilitation Stretch (PFS) in frozen shoulder. Additionally there is a very limited literature on the evaluation of ART in comparison with PFS in adhesive capsulitis of diabetic patient. Disease such as rheumatoid arthritis (RA), osteoarthritis (OA) etc that cause stiffness of the shoulder joint also present with altered muscle activity, that in long run becomes one of the main causes of reduces joint range of motion. With this study, we will be able to determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques. This study will also fulfill that research gap and will provide clinicians with an alternative approach in treatment of adhesive capsulitis.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Controlled diabetic patients (random 200-250mg/dl /fasting 120-160mg/dl).
  • Grade 2 & 3 of adhesive capsulitis,
  • Pain (NPRS) ranging between 3-10
  • Reduced normal shoulder ROM's i.e
  • Flexion less than 160 degrees.
  • Extension less than 50 degrees.
  • Abduction less than 170 degrees.
  • External rotation less than 80 degrees.
  • Internal rotation less than 70 degrees

Exclusion criteria

  • Trauma history of shoulder/surgery.
  • Frozen shoulder accompanied with neurological involvement.
  • People with any injury or disability of elbow or hand

Treatment and study plan

Post facilitation stretch

Other

Post facilitation stretch with maitland mobilization Grade I & II Maitland mobilization of shoulder joint in 1st and 2nd week progressing to Grade III oscillatory mobilization of shoulder joint in 3rd week. It will further progress to Grade IV Maitland oscillatory mobilizations in the 4th or 5th week.

Treatment will be provided 3 session/week for 6 weeks with 40 minutes/session

Active Release Technique

Other

Active release technique with maitland mobilization Grade I & II Maitland mobilization of shoulder joint in 1st and 2nd week progressing to Grade III oscillatory mobilization of shoulder joint in 3rd week. It will further progress to Grade IV Maitland oscillatory mobilizations in the 4th or 5th week.

Treatment will be provided 3 session/week for 6 weeks with 40 minutes/session

Primary outcomes

  1. Shoulder pain and disability Index (SPADI)

    Time frame: 6th week

    The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities.

    Each of the 13 items is to be rated with a number from 0 to 10: For the pain score (first 5 items): 0 means no pain and 10 means worst pain imaginable; For the disability score (last 8 items): 0 means no impairment and 10 means the patient requires help to perform that action

  2. The oxford scale

    Time frame: 6th week

    The Oxford Scale is a 0-5 scale which is then recorded as 0/5 or 2/5, sometimes with a + or - sign to indicate more or less power but not sufficient to reduce or increase the number.

  3. Numeric Pain Rating Scale (NPRS)

    Time frame: 6th week

    The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The common format is a horizontal bar or line. Similar to the VAS, the NPRS is anchored by terms describing pain severity extremes.

  4. ROM Shoulder Flexion

    Time frame: 6th week

    Goniometer is used to measure the range of the motion of the shoulder flexion

  5. ROM Shoulder Extension

    Time frame: 6th week

    Goniometer is used to measure the range of the motion of the shoulder extension

  6. ROM Shoulder Abduction

    Time frame: 6th week

    Goniometer is used to measure the range of the motion of the shoulder Abduction

  7. ROM Shoulder External Rotation

    Time frame: 6th week

    Goniometer is used to measure the range of the motion of the shoulder External Rotation

  8. ROM Shoulder Internal Rotation

    Time frame: 6th week

    Goniometer is used to measure the range of the motion of the shoulder Internal Rotation

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparison of Post Facilitation Stretch and Active Release Technique in Adhesive Capsulitis in Diabetic Patients

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Sep 23, 2020
Registry last updated
Mar 24, 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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