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NCT Number: NCT06705426

Scapular Mobilization Versus Capsular Stretch

The goal of this study is to compare the effect of scapular mobilization versus posterior capsular stretch on pain, function, range of motion, and posterior capsular tension in patient with frozen shoulder

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Key information

Conditions

Frozen Shoulder Bursitis Joint Diseases Musculoskeletal Diseases

Age range

40 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Frozen shoulder is a musculoskeletal condition that is commonly encountered in physical therapy practice. It is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Frozen shoulder affects about 2% of the general population, with a higher prevalence in people between their 40s and 60s. Frozen shoulder occurs more in diabetic patient.

The traditional principles of treatment of frozen shoulder are to relieve pain, maintain range of motion, and ultimately to restore function. The physiotherapy treatment of frozen shoulder consists of different modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Therapy (IFT), Ultrasound, Short Wave Diathermy (SWD) etc., and the physical therapy exercises such as stretching, Codman exercise can be used.

Scapular-mobility exercises, or scapular-mobilization (SM) techniques is widely used in the management of musculoskeletal disorders of the shoulder. Scapular mobilization can cause pain reduction with improvement in the shoulder range of motion. Scapular mobilization can reduce the disability in patients with shoulder dysfunction.

Posterior capsular stretch is applied along with mobilization which causes significant improvement in increasing range of motion and functional disability. Capsular stretching showed a more significant reduction in pain when compared to general exercises.

Therefore, what are the possible effect of scapular mobilization versus posterior capsular stretch in treating patients with frozen shoulder?

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Males and females aged from 40-65 years old.
  • Diabetic and non-diabetic patients' diagnosis of stage 3 frozen shoulder (frozen phase) by an orthopedist.
  • The presence of pain and limited movement in the shoulder for at least 2 months.
  • Passive joint movements are limited when compared with the normal side.
  • Unilateral involvement.

Exclusion criteria

  • Recent joint infection or surgery.
  • History of shoulder subluxation, dislocation, or ligamentous injury.
  • Shoulder arthroplasty.
  • Shoulder and cervical pathology.
  • Recent trauma.
  • Neurological disorders with muscle weakness in the shoulder joint.
  • Infection, pregnancy, carcinoma patients, severe cardiac or psychiatric conditions.
  • Previous shoulder surgeries to the affected shoulder.
  • Previous manipulations under anesthesia of the affected shoulder.
  • Radiological evidence for glenohumeral joint arthritis.

Treatment and study plan

Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Other

Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Other

Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Primary outcomes

  1. Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

  2. Shoulder abduction range of motion to measure shoulder joint active range of motion (abduction) by bubble inclinometer

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

  3. Shoulder internal rotation range of motion to measure shoulder joint active range of motion (internal rotation) by bubble inclinometer

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

  4. Shoulder external rotation range of motion to measure shoulder joint active range of motion (external rotation) by bubble inclinometer

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

  5. Shoulder pain and disability index to measure the shoulder pain the maximum possible score for the pain scale is 50

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

  6. Shoulder pain and disability index to measure the disability level the maximum possible score for the disability scale is 80

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

  7. poaterior capsular tension measurement by ruler

    Time frame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

Study contacts

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

Karima A Hassan

CONTACT

[email protected]

+201114032967

Omnia A Abd Elmeged

CONTACT

[email protected]

+201064454510

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Scapular Mobilization Versus Posterior Capsular Stretch in Frozen Shoulder

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Nov 26, 2024
Registry last updated
Dec 27, 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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