Active clinical trials for "Bursitis"

Our hypothesis is that shock-wave therapy will reduce pain, increase the mobilization of glenohumeral joint, and will improve functionality in patients with adhesive capsulitis and type 2 diabetes mellitus.

The purpose of this study is to evaluate the effect of combination of brachial plexus block plus physical therapy on quality of life improvement in patients with frozen shoulder condition via standard questionnaires.

Background: Adhesive capsulitis, or frozen shoulder, is a major orthopedic condition that causes pain and functional limitation. Although different nonsurgical conservative therapies such as physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteroid injections have been used, yet there is no standard treatment for frozen shoulder. Objectives: The primary objective of this study is to compare the effectiveness of nerve stimulator guided paravertebral block versus suprascapular block for treatment of frozen shoulder. The primary outcome is pain measured through the Visual Analogue Scale (VAS) over a follow up period of 6 months. Methods: This is a prospective randomized clinical trial that will be conducted between February 2021 and January 2022. Patients will be randomly allocated into two groups. Group I will receive paravertebral block guided by a nerve stimulator. Group II patients will receive suprascapular nerve block. Patients will be followed up at week 1, month 1, month 3 and month 6.

The aim of this research is to determine the effects of capsular stretching versus passive joint mobilization on Pain, range of motion and Quality of life in patients with Idiopathic Adhesive capsulitis.

This study will be conducted to compare the effectiveness of static progressive stretching using the joint active system (JAS) shoulder device with cyclic manual stretching and controls on shoulder range of motion (ROM), time to gain ROM, and function in patients with adhesive capsulitis. The study includes three groups. Group A (15 patients) will receive static progressive stretch using the JAS device. Group B (15 patients) will receive cyclic manual stretching in flexion, abduction, and external and internal rotations. Group C (15 patients) is a control group that will receive no treatment until the end of the study.

Auricular Vagus Nerve Stimulation, a non-invasive method, will be used in the study. Studies have shown that vagus nerve stimulation combined with a large vagal nerve network can have a neuromodulatory effect that will activate some natural protective pathways to improve health. Clinically, vagus nerve stimulation is FDA-approved for epilepsy, treatment-resistant depression, and morbid obesity. Since OSS dysfunction is also involved in the etiology of DO and there is no study on the effectiveness of vagus nerve stimulation in this disease, this study is planned to reveal the effectiveness of auricular vagus nerve stimulation and home exercise program in DO patients.

A prospective, multicentre, randomized controlled study comparing the efficacy of conservative treatment for early adhesive capsulitis

Adhesive Capsulitis also known as frozen shoulder is a self-limiting disorder of the shoulder joint characterized by pain, loss of joint ROM and functional limitation which usually resolves in 12-15 months. I Different physical therapy techniques and modalities have been used in reducing pain and increasing ROM in frozen shoulder. It is a randomized clinical trial and random sampling was used with an inclusion criterion of confirmed adhesive capsulitis patients. This study aims to provide a comparative analysis of two mobilizations: Gongs and Scapular mobilization in terms of effects on pain, range of motion and functional status. Patients having acute inflammation, fracture, dislocation or any surgery around the shoulder joint were excluded from the study. Subjects were randomly allocated into two groups with group A receiving Gongs mobilization and group B receiving scapular mobilization in addition to Continuous passive motion which was given as a baseline therapy to both the groups. Total duration of the study was 6 months. Numeric pain rating scale, universal goniometry and Shoulder pain and disability index were used to measure the pain, range of motion and functionality respectively at the start and end of study. After collecting data from defined study setting, data was entered and analyzed by using Statistical Package for the Social Sciences (SPSS) for Windows software, version 25. After assessing normality of data by Shapiro-Wilk test, it was decided either parametric or non-parametric test to be used.

Frozen shoulder has been considered a self-limiting and benign disease with complete resolution of pain and ROM, but this can sometimes last for years. This prolonged pain and disability deprives patients of their routine life, occupational and recreational activities. Although appropriate treatment is needed so that they can quickly return to their lives, definitive treatment strategies have not been established and many different management strategies are used. The aim of this study is to investigate whether pain education and sensory education applied together with conventional physiotherapy are more effective than conventional physiotherapy alone. H0: Conventional physiotherapy applied together with pain training and sensory training is not different from conventional physiotherapy applied alone. H1: Conventional physiotherapy applied together with pain education and sensory education is different from conventional physiotherapy applied alone. This study will be carried out in Esenler Medipol Hospital located in Esenler district of Istanbul province. Twenty people diagnosed with frozen shoulder referred by the doctor of Esenler Medipol Hospital Physical Therapy and Rehabilitation Department will be included in the study. The study will take place between July 2021 and December 2021. Rating scales include: Pain beliefs scale Pain catastrophizing scale Pain Detect pain questionnaire Tampa Kinesiophobia Scale (TKS) Shoulder pain and disability index (SPADI) Visual Analog Scale Electrogoniometry to measure normal joint motion Two-point discrimination test will be used for sensory evaluation. This study was designed as a prospective, randomized, controlled study, and the 20 subjects included in the study, regardless of gender, will be randomly divided into two groups: the conventional physiotherapy group (n=10), the conventional physiotherapy group with pain education, and the sensory education group. (n=10) The patients will be divided into two as control group and intervention group. The control group will receive only conventional physiotherapy. The intervention group, on the other hand, will receive conventional physiotherapy with pain training prepared in the form of a 20-minute presentation in the first week the patient starts the sessions, and 15-minute sensory training 3 days a week in the remaining weeks. Conventional physiotherapy will be 5 days a week. The conventional physiotherapy treatment session will take place as follows. Scapular mobilization Passive stretches Stick Exercises Pendulum Exercises Shoulder flexion, extension, internal rotation, external rotation, horizontal abduction/ adduction strengthening exercises Conventional physiotherapy intervention is planned for 45-60 minutes a day, five days a week for both groups. The intervention group will receive conventional physiotherapy treatment along with pain education and sensory education. Intervention group protocol includes: First week: Initial Evaluation (1 day) Chronic Pain Education Presentation (4 days) Localization Therapy - level 1 (4 days): the first phase of localization training (tactile discrimination training) is performed by placing a mirror between the upper extremities in order to provide visual feedback to the patient. With the blunt tip of the probe, the 9-hole grid and their localization on the shoulder are introduced. After the familiarization period, the patient continues to train with the blunt tip of the probe (2 seconds) using a random number sequence. Right / Left Discrimination Training (4 days) Standard Physical Therapy (5 days) Second week: Standard Physical Therapy Visual Imagery (5 days) Localization Training level 2 (5 days) Third week: Standard Physical Therapy Grafestesis Training (5 days) Isometric exercise (5 days) Fourth week: Standard Physical Therapy Mirror Therapy Functional Exercises Final Evaluation

Frozen shoulder is a musculoskeletal condition with a strong negative impact on activities of daily living, producing pain, disability, anxiety, and sleep disorders. It has a worldwide prevalence of 5.3%, increasing from 10 to 38% in patients with diabetes and thyroid conditions. This clinical entity manifests itself mainly in women between 40 and 65 years of age. Its resolution time is long and can reach 42 months with symptoms that persist throughout life. In the clinical evaluation, patients with Frozen Shoulder are manifested mainly by presenting mobility deficits. Previous studies described different structural alterations that may justify this clinical condition and its consequences, such as, for example, fibrosis of the coracohumeral ligament, alterations of the rotator interval, and of the axillary recess. Although passive structures are believed to be primarily involved in this condition, A series of five cases in which patients with frozen shoulder presented a significant increase in mobility after a general anesthetic block. The data obtained from this study and the different complications presented by patients with CH suggest that it is necessary to further understand the role of the rotator cuff in this clinical condition. Eccentric exercises consist of contracting the muscle to control or decelerate a load while the muscle or tendon is lengthening or remaining stretched. This intervention has been proposed for the treatment of tendinopathies in different body regions.