Education-based Physical Therapy Approach for Adhesive Capsulitis

Hasselt University

Status: Unknown

Conditions: Adhesive Capsulitis

Treatments: Other: Physical therapy focus on education and supported home exercises; Other: Physical therapy focus on manual therapy and home-exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT03245476

17.08/REVA17.01

Details and patient eligibility

About

This study aims, by means of a randomized control trial, to investigate which treatment method (corticoid injection + physiotherapy with a focus on manual therapy and home-exercises versus corticosteroid injection + physiotherapy with focus on education and supported home exercises) gives better results on clinically relevant outcomes (range of glenohumeral motion, psychological factors, pain, shoulder function, quality of life) and on parameters derived from arthroscopic glenohumeral investigation by means of MRI.

Furthermore, associations between (1) the results on the MRI investigation, (2) the range of glenohumeral motion, (3) shoulder function and pain, and (4) psychological factors will be assessed at different time-points (before and at 6-12-18 and 52 weeks after the first injection).

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 50 % loss of passive GH external rotation motion, together with motion losses greater than 25% in at least two other GH movements, as compared to the unaffected side
• the pain accompanying the motion losses has to be present for at least one month. During that month, the pain and mobility deficits have to be stable or get worse

Exclusion criteria

• bilateral frozen shoulder
• systemic and/or neurologic disease or a self-reported pathologic condition of the cervical/thoracic region, elbow or wrist/hand

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

manual therapy and home-exercises

Active Comparator group

Description:

corticoid injection + physiotherapy with a focus on manual therapy and home-exercises

Treatment:

Other: Physical therapy focus on manual therapy and home-exercises

education and supported home exercises

Active Comparator group

Description:

corticosteroid injection + physiotherapy with focus on education and supported home exercises

Treatment:

Other: Physical therapy focus on education and supported home exercises