Effects of Activity Versus Structural Oriented Treatment Approach in Patients With Frozen Shoulder.

Riphah International University

Status: Enrolling

Conditions: Frozen Shoulder

Treatments: Other: Structural oriented treatment; Other: Activity oriented treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT05391984

REC/RCR & AHS/22/0118

Details and patient eligibility

About

The aim of this study is to compare the effects of activity versus structural oriented treatment approach on pain, range of motion, and function in diabetic patients with frozen shoulder.

Full description

Frozen shoulder, also known as adhesive capsulitis, is a condition of uncertain etiology, characterized by shoulder stiffness, severe pain, significant restriction of range of motions, and limitation in participation in socio-economical life. According to a concept, pain causes changes in the brain making it learn the non-use, and therefore, even after healing of peripheral structures has occurred, the brain may not be able to organize voluntary actions owing to the induced central changes. Physical therapy plays an important role to bring pain relief and return of functional motion in frozen shoulder and there are many approaches available that can be used but literature on treatments based on neuroplasticity is comparatively less.

According to the research available, neuroplasticity has been effective in treating frozen shoulder. Similarly, PNF, home exercises, and joint mobilizations have also proven to be effective. The effects of the activity related and structural-oriented treatment on the frozen shoulder has not been addressed in diabetic patients yet. More RCTs are required to determine the best treatment for managing adhesive capsulitis in diabetics. Therefore, this research will be conducted which will compare the activity-based approach and the conventional approach to treating frozen shoulder in diabetics. The results may open new aspects of treating frozen shoulder in diabetics which can be cost-effective as well.

Enrollment: 30 estimated patients

Sex: All

Ages: 40 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with frozen shoulder, limited ROM, and pain in the shoulder region
• Patients with diabetes from 10+ years

Exclusion criteria

• History of headaches and dizziness
• Pain and limited ROM in the cervical spine
• Pain and limited ROM in temporomandibular joint

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Activity oriented

Experimental group

Description:

Activity-oriented therapy will be given to 15 patients which will train the structures around the shoulder in different activities of daily life.

Treatment:

Other: Activity oriented treatment

Structural oriented

Experimental group

Description:

Structural-oriented therapy will be given to 15 patients including a fixed sequence of physiotherapy techniques.

Treatment:

Other: Structural oriented treatment