Comparison of Theraband, Co-contraction and Isometric Exercises in Frozen Shoulder

Riphah International University

Status: Completed

Conditions: Frozen Shoulder

Treatments: Other: Theraband exercises; Other: Isometric exercises; Other: Co-contraction exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT04603768

REC/RCRS/20/1021 Ayesha Zakir

Details and patient eligibility

About

This project was a Randomized control trial conducted to check the effects of in patients with chronic frozen shoulder theraband, isometric and co-contraction exercises so that we can have best treatment option for patients with chronic frozen shoulder. upper cross syndrome, duration was of 6months,convenient sampling was done, subject following eligibility criteria from DHQ hospital Sheikhupura, were randomly allocated in three groups via lottery method, baseline assessment was done, Group A participants were given baseline treatment along with theraband exercises , Group B participants were given baseline treatment along with co-contraction exercises and Group C were given baseline treatment along with isometric exercises on 3rd and 6th week, post intervention assessment was done via, Numeric pain rating scale(NPRS),Shoulder Pain And Disability Index (SPADI) and goniometric measurements of shoulder ranges ,3 sessions per week were given, data was analyzed by using SPSS version 26.

Full description

Frozen shoulder is among the most commonly reported problems to physicians, orthopedics and physical therapists. Even before reporting to clinics there is long history of using over the counter pain killers. Pain avoidance behaviors let the joint stiff so much that a clinician help is sought. Most times the cause of frozen shoulder is not known, therefore is termed as 'idiopathic frozen shoulder'.There is huge literature regarding the management of frozen shoulder and yet after the decades of research there are gaps in treatment options. In modern age of health care, it is common goal of every health care to make patient self-sufficient as early as possible. The self-care models have tremendous advantages. The current study has compared the use of theraband, co-contraction and isometric exercises. The current study was novel in a way that there is limited literature about treating shoulder hypomobility with physical strengthening exercises. All three methods were employed to see if they improve ranges along with accompanying pain and disability.

Enrollment: 36 patients

Sex: All

Ages: 30 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Idiopathic with 6 month chronicity.
• Patients with AROM/PROM less than or equal to 90 degrees.
• Affected shoulder has not more than 90 degrees of abduction & 50% decreased external rotation as compared to normal side/normal ROM values.

Exclusion criteria

• Traumatic & diabetic.
• Patient with any cervical or thoracic problem.
• Patients with any intra-articular injection in glenohumeral joint.
• Patients with rotator cuff complete tear.
• Patients with any other serious pathology/red flags

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

36 participants in 3 patient groups

Theraband exercises

Experimental group

Description:

Group A: baseline physical therapy treatment along with theraband exercises

Treatment:

Other: Theraband exercises

Co-contraction exercises

Experimental group

Description:

Group B: baseline physical therapy treatment along with co-contraction exercises

Treatment:

Other: Co-contraction exercises

isometric exercises

Experimental group

Description:

Group C: baseline physical therapy treatment along with isometric exercises

Treatment:

Other: Isometric exercises