Translational Manipulation Under Interscalene Block for Adhesive Capsulitis of the Shoulder (TMACS) (TMACS)
Shoulder Adhesive Capsulitis, Frozen Shoulder, Adhesive Capsulitis of Shoulder
About this trial
This is an interventional treatment trial for Shoulder Adhesive Capsulitis focused on measuring adhesive capsulitis, clinical trial, manipulation
Eligibility Criteria
Inclusion Criteria:
- Military healthcare system beneficiaries 18 years old or older
- Chief complaint of loss of shoulder range of motion
- Passive glenohumeral abduction less than 75 degrees
- Sufficient English-language skills to understand the study protocol.
Exclusion Criteria:
- Clinical diagnosis of diabetes (type I or II)
- Clinically evident and symptomatic rotator cuff tear or cervical radiculopathy
- Pain as the primary impairment (versus limitation of motion as the primary impairment)
- Having contraindications to an interscalene block.
Sites / Locations
- Brooke Army Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Translational Manipulation
Comparison Group
Participants received an interscalene block on the affected side. Then, a physical therapist performed thrust manipulations on the affected shoulder until full passive physiologic motion was restored. These participants returned to the clinic approximately 3 days later for the first of 6 manual therapy (MT) sessions. The first clinic treatment session included instruction in a home program of static stretching, resistive exercise, and ice, issue of an illustrated handout and digital video disc detailing the same program, and manual therapy (MT) by a physical therapist that included all indicated grades of non-thrust manipulation. Subsequent clinic treatment sessions included additional MT, progression of the strengthening exercises, and reinforcement of the home program.
Participants in the comparison group did not undergo a session of translational manipulation. In order to equalize the number of intervention sessions, members of this group underwent 7 in-clinic sessions of manual therapy (MT). The first clinic treatment session for all study participants included instruction in the home program of static stretching, resistive exercise, and ice, issue of an illustrated handout and digital video disc detailing the same program, and MT by a physical therapist that included all indicated grades of non-thrust manipulation. Subsequent clinic treatment sessions included additional MT, progression of the strengthening exercises, and reinforcement of the home program.