PNF Technique in Adhesive Capsulitis
Primary Purpose
Adhesive Capsulitis
Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
conventional physiotherapy
PNF technique
Sponsored by
About this trial
This is an interventional treatment trial for Adhesive Capsulitis focused on measuring adhesive capsulitis, scapular PNF technique, shoulder range of motion
Eligibility Criteria
Inclusion Criteria:
- Diagnosed cases of stage II & III adhesive capsulitis
- Referred by orthopedic physician
- Duration of stage approximately 1 month
- Both male and female
- Age: 40-70 years
Exclusion Criteria:
- Recent history of trauma
- Dislocation or fractures of shoulder
- History of diabetes and hypertension
- Congenital shoulder deformity
- Previous surgery patients
- Patients with diagnosed cardiovascular disease
- Patients with malignancy
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
conventional physiotherapy
PNF techniques
Arm Description
routine physical therapy for adhesive capsulitis
PNF techniques along with conventional physiotherapy
Outcomes
Primary Outcome Measures
change in pain intensity
pain measured by visual analogue scale where o represents no pain and 10 represents severe pain
change in shoulder Range of motion
shoulder range of motion through goniometer
change in shoulder functional activities
shoulder functional activities by simple shoulder function test
change in scapular mobility
scapular mobility through lateral scapular slide test
Secondary Outcome Measures
Full Information
NCT ID
NCT05151783
First Posted
November 4, 2021
Last Updated
November 25, 2021
Sponsor
University of Lahore
1. Study Identification
Unique Protocol Identification Number
NCT05151783
Brief Title
PNF Technique in Adhesive Capsulitis
Official Title
Effects of Scapular Proprioceptive Neuromuscular Facilitation Techniques in Addition to Routine Physical Therapy on Clinical Outcomes in Patients With Adhesive Capsulitis:a Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Not yet recruiting
Study Start Date
December 10, 2021 (Anticipated)
Primary Completion Date
January 10, 2022 (Anticipated)
Study Completion Date
January 20, 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Lahore
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Adhesive capsulitis is painful movement restricted condition linked with pain, restricted range of motion and difficulty in performing daily life activities. Multiple treatment options are there for its treatment. However, role of peripheral neuromuscular facilitation in this regimen is still under consideration.
Detailed Description
Adhesive Capsulitis or peri-arthritis or Frozen Shoulder is self-limiting condition of unknown etiology that usually affects middle aged population of 40-70 years and rarely it occur secondary to rheumatoid arthritis, osteoarthritis, trauma or immobilization of shoulder joint. It is characterized by development of dense adhesions, capsular thickening and restrictions which limits active and passive shoulder range of motion (ROM) with scapular dyskinesia.The aim of the of the study is to investigate the effects of scapular proprioceptive neuromuscular techniques with routine physical therapy on pain, scapular dyskinesia, shoulder ranges of motion and functionality in patients with adhesive capsulitis. Proper functioning of upper extremities requires both motion and stability of scapula on thorax. Prolonged immobilization of shoulder joint leads to ankylosis of joint and scapular dyskinesia. This study will help with a positive effect by using a non-invasive, less painful, cost effective and time saving approach of scapular proprioceptive neuromuscular facilitation techniques among joint mobilization and other therapeutic approaches like intra articular injections and manipulation under anesthesia on alleviating pain, muscle strength, shoulder ranges of motion and early restoration of normal functioning of shoulder joint.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adhesive Capsulitis
Keywords
adhesive capsulitis, scapular PNF technique, shoulder range of motion
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
conventional physiotherapy
Arm Type
Active Comparator
Arm Description
routine physical therapy for adhesive capsulitis
Arm Title
PNF techniques
Arm Type
Experimental
Arm Description
PNF techniques along with conventional physiotherapy
Intervention Type
Other
Intervention Name(s)
conventional physiotherapy
Intervention Description
Control group receivewill routine physical therapy including modalities like ultrasound (3 MHz continuous type; duration 10 minutes), heat modalities (apply to the involved region of shoulder joint shoulder for 10 minutes), shoulder ROM exercises, capsular stretching, and joint mobilization 5 times per week for four weeks. Duration of session will be 40 minutes.
All Maitland mobilization will be given in supine position. After giving glenohumeral (GH) joint distraction, GH caudal glide, GH dorsal glide, and GH ventral glide were given at a rate of 2-3/second oscillations for 1-2 minutes to patients. Grade I or II rhythmic oscillations will be applied in pain free movement.
Intervention Type
Other
Intervention Name(s)
PNF technique
Intervention Description
Group will receive scapular PNF techniques with routine physical therapy explained above For PNF techniques, patients will be lying on unaffected shoulder. In this group, 20 repetitions of diagonal scapular Pattern (Anterior Elevation and Posterior Depression and Posterior Elevation and Anterior Depression) with 20 sec rest period will be given to patients. Preparatory instructions for the desired movement will be given to patients at the start of procedure. PNF facilitation techniques of RI (Rhythmic initiation) & repeated contractions will be used in all patterns
Primary Outcome Measure Information:
Title
change in pain intensity
Description
pain measured by visual analogue scale where o represents no pain and 10 represents severe pain
Time Frame
Baseline data will be collected and then at 2nd week and 4th week.
Title
change in shoulder Range of motion
Description
shoulder range of motion through goniometer
Time Frame
Baseline data will be collected and then at 2nd week and 4th week.
Title
change in shoulder functional activities
Description
shoulder functional activities by simple shoulder function test
Time Frame
Baseline data will be collected and then at 2nd week and 4th week.
Title
change in scapular mobility
Description
scapular mobility through lateral scapular slide test
Time Frame
Baseline data will be collected and then at 2nd week and 4th week.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosed cases of stage II & III adhesive capsulitis
Referred by orthopedic physician
Duration of stage approximately 1 month
Both male and female
Age: 40-70 years
Exclusion Criteria:
Recent history of trauma
Dislocation or fractures of shoulder
History of diabetes and hypertension
Congenital shoulder deformity
Previous surgery patients
Patients with diagnosed cardiovascular disease
Patients with malignancy
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Muhammad sh butt
Phone
00923338175571
Email
pt.shazib198@yahoo.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad sh butt
Organizational Affiliation
the university of lahore
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
34425597
Citation
Eckert AJ, Plaumann M, Pehlke S, Beck C, Muhldorfer S, Weickert U, Laimer M, Pfeifer M, Stechemesser L, Holl R. Idiopathic Frozen Shoulder in Individuals with Diabetes: Association with Metabolic Control, Obesity, Antidiabetic Treatment and Demographic Characteristics in Adults with Type 1 or 2 Diabetes from the DPV Registry. Exp Clin Endocrinol Diabetes. 2022 Jul;130(7):468-474. doi: 10.1055/a-1543-8559. Epub 2021 Aug 23.
Results Reference
background
PubMed Identifier
33912325
Citation
Pandey V, Madi S. Clinical Guidelines in the Management of Frozen Shoulder: An Update! Indian J Orthop. 2021 Feb 1;55(2):299-309. doi: 10.1007/s43465-021-00351-3. eCollection 2021 Apr.
Results Reference
result
Citation
Prasanna KJ, Rajeswari R and Sivakuma V. Effectiveness of scapular proprioceptive neuromuscular facilitation (pnf) techniques in adhesive capsulitis of the Shoulder Joint. J Physiother Res 2017; 1: 9.
Results Reference
result
PubMed Identifier
29037627
Citation
Ebadi S, Forogh B, Fallah E, Babaei Ghazani A. Does ultrasound therapy add to the effects of exercise and mobilization in frozen shoulder? A pilot randomized double-blind clinical trial. J Bodyw Mov Ther. 2017 Oct;21(4):781-787. doi: 10.1016/j.jbmt.2016.11.013. Epub 2016 Nov 27.
Results Reference
result
Citation
Mishra N, Mishra A and Charaniya P. Effect of scapular proprioceptive neuromuscular facilitation on pain and disability in patients with adhesive capsulitis. Int J Yoga 2019; 4: 995-1000.
Results Reference
result
PubMed Identifier
27190456
Citation
Balci NC, Yuruk ZO, Zeybek A, Gulsen M, Tekindal MA. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. J Phys Ther Sci. 2016 Apr;28(4):1219-27. doi: 10.1589/jpts.28.1219. Epub 2016 Apr 28.
Results Reference
result
Learn more about this trial
PNF Technique in Adhesive Capsulitis
We'll reach out to this number within 24 hrs