Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises in Adhesive Capsulitis.

Riphah International University

Status: Unknown

Conditions: Adhesive Capsulitis

Treatments: Other: conventional physiotherapy; Other: scapular stabilization exercises along with conventional physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05403918

REC/RCR & AHS/22/0119

Details and patient eligibility

About

The objective of this study will be to determine the Effects of conventional physical therapy with and without scapular stabilization exercises on pain, function, scapular dyskinesia, and proprioception in patients with adhesive capsulitis.

Full description

Adhesive capsulitis is characterized by the gradual onset of severe shoulder pain with the progressive limitation of active and passive glenohumeral range of motion. Due to capsular tightness and pain, scapular positioning and proprioception get affected. An increase in the abnormal positioning of the scapula and proprioception deficit disturbs the whole biomechanics of the shoulder joint and are the main causes of residual pain and stiffness following PT treatment.

In previous studies, several studies have reported the effects of scapular stabilization exercises on pain, ROM, and function but there is a paucity of literature available on specifically addressing scapular dyskinesis and joint position sense in patients with adhesive capsulitis. Scapular stabilization techniques will help to improve proprioception and the length-tension relationship of the scapular muscles, which may effectively reduce the time taken for the rehabilitation of the patient with adhesive capsulitis of the shoulder joint.

Enrollment: 30 estimated patients

Sex: All

Ages: 30 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of idiopathic adhesive capsulitis for more than 4 months (Stage 2)
• Unilateral idiopathic adhesive capsulitis
• Shoulder Pain on NPRS ≥5
• Restricted ROM (loss of ≥ 25% relative to non-involved shoulder in one or multidirectional)
• Patients volunteered to participate in the study and signed informed consent.

Exclusion criteria

• History of shoulder surgery or manipulation under anesthesia
• Unstable fractures, rheumatoid arthritis and those with severe joint pain unrelieved by rest
• Neurologic deficits affecting shoulder functioning during daily activities
• Pain or disorders of the cervical spine, elbow, wrist, or hand
• Other pathological conditions involving the shoulder (rotator cuff tear, tendinitis, etc.)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

conventional physiotherapy

Active Comparator group

Description:

15 patients will receive conventional physiotherapy including a hot pack, TENS, therapeutic ultrasound, shoulder anteroposterior, posteroanterior, and inferior glides followed by active and active-assisted range of motion exercises, isometric exercises, Codman's pendulum exercises, wand, pulley, and finger ladder exercises.

Treatment:

Other: conventional physiotherapy

scapular stabilization exercises along with conventional physiotherapy

Experimental group

Description:

15 participants will receive conventional treatment along with scapular stabilization exercises program consisting of strengthening exercises (Middle Trapezius, Lower Trapezius, Serratus Anterior, and Rhomboid Muscles) and stretching exercises (Pectoralis Minor, Levator Scapulae, Upper Trapezius, Teres Major). Appropriate exercises will be given to patients according to the type of Scapular Dyskinesia.

Treatment:

Other: scapular stabilization exercises along with conventional physiotherapy