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NCT Number: NCT06567288

Effect of Spencer Muscle Energy Technique on Pain in Diabetic Stiff Shoulder

Stiff shoulder is a painful and severely debilitating condition. The inflammatory contracture of the glenohumeral joint capsule in stiff shoulder restricts both active and passive range of motion, with loss of external rotation being especially characteristic of this condition (Dyer et al., 2023). Stiff shoulder is clinically described by the continuing onset of shoulder pain and advanced exacerbation of the shoulder joint leading to exertion in the higher extremity activity, significant disability, and functional restrictions. The most common symptom of a stiff shoulder is night pain, resulting in sleep impediment that leads to one-sided sleep on the uninfected shoulder (Mao et al., 2022).

Spencer technique is a standardized series of treatments with broad application to diagnose, treat and establish prognosis for restricted mobility in shoulder. It was developed by Spencer in 1961. It is a multistep technique that combines Spencer's positioning, sequencing, slow stretching of the shoulder complex within pain-free limits done by physical therapist while incorporating muscular energy with post-isometric contraction and relaxation (Babu And Putcha., 2022).

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Key information

Age range

45 year–55 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

thirty diabetic female patients with Stiff shoulder with ages 45-55 years:

Group A(study group) :

15 patients received Spencer Muscle Energy Technique along with postural exercise 3 times a week for 8 week.

Group B (control group) :

15 patients received Classical physiotherapy treatment includes Transcutaneous Electrical Nerve Stimulation (TENS) for 15 minutes hotpack on the painful area for 15 minutes along with postural exercise 3 times per week for 8 week.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 1) Women's age between 45 to 55 years old 2)Suffering from stiff shoulder for 2-12 months (stage 1 and 2) confirmed by an orthopaedic specialist.
  • Diagnosed as type 2 DM for at least 5 years. 4) No treatment other than analgesics

Exclusion criteria

  • 1. cases of traumatic stiff shoulder. 2. Osteoporosis and malignance of shoulder region. 3. Neurological deficit affect shoulder function. 4. rheumatoid arthritis. 5. recurrent subluxation of shoulder. 6. cervical radiculopathy. 7. history of shoulder surgery. 8. vascular diseases.

Treatment and study plan

spencer mscle energy technique

Procedure

The effectiveness of MET found in chronic capsulitis is due to its effect on relieving pain, ensuring ROM incretions, and developing functional activities due to the muscle contraction in a precise direction and in a monitored position over resistance to assist in improving joint range by advancing joint flexibility. This procedure is suggested for all joints with limited ROM (Butt & Tanveer, 2022).

Other names: spencer MET

Primary outcomes

  1. pain pressure threshold algometry

    Time frame: will be measured at baseline, and it will be measured after eight weeks

    Algometers are devices that can be used to identify the pressure and/or force eliciting a pressure-pain threshold.

  2. Visual Analogue Scale (VAS)

    Time frame: will be measured at baseline, and it will be measured after eight weeks

    was used to assess the severity of pain before and after treatment for both groups

Secondary outcomes

  1. goniometer

    Time frame: will be measured at baseline, and it will be measured after eight weeks

    measures the available range of motion

  2. SPADI (shoulder pain and disability index).

    Time frame: will be measured at baseline, and it will be measured after eight weeks

    It is a self-revealed measure created to assess shoulder pathological conditions

Study contacts

Contact information is provided by the study sponsor or research team.

Alaa El-moatasem, lecturer

CONTACT

[email protected]

01006625054

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effeect of Spencer Muscle Energy Technique on Pain in Diabetic Stiff Shoulder

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Aug 22, 2024
Registry last updated
Aug 22, 2024

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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