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CompletedNCT04859387PSTVSTPTUpdated Jun 2, 2021

Effectiveness of Pragmatic Shoulder Technique VS Traditional Physical Therapy

An interventional study of set of pragmatic shoulder technique and traditional physical therapy in Shoulder Pain, Shoulder Impingement and Shoulder Injuries, sponsored by Helping Hand Institute of Rehabilitation Sciences. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2021-06-02.

Sponsored by Helping Hand Institute of Rehabilitation Sciences · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Apr 2020, registered Apr 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
49
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Isolated and combined effectiveness of pragmatic protocols on shoulder range of motion had been investigated and found effective in healthy participants. To our knowledge, there was insufficient literature to support the comparison between pragmatic and traditional protocols in the treatment of shoulder pathologies.

Read the detailed description

Different physical therapy treatments are being used for shoulder pathologies which include modalities (hot pack, TENS), ROM exercises, stretching, strengthening, soft tissue mobilization and set of pragmatic manual techniques.The set of pragmatic manual therapies are novel techniques (comprises of acromioclavicular mobilization, serratus anterior stretch, thoracic manipulation, RC facilitation, and PCS) and its isolated effectiveness on ROM in healthy subjects has been investigated and found effective. These studies recommended the use of a pragmatic protocol for the prevention and rehabilitation of shoulder injuries and pathologies (unpublished data).As per our knowledge there is insufficient literature to support the comparison of the effectiveness of a set of pragmatic protocols with traditional interventions. Our research is proposed to compare the efficacy of pragmatic interventions with that of traditional interventions in patients with shoulder pathology and their effect on the quality of life.

02

Conditions studied

  • Shoulder Pain
  • Shoulder Impingement
  • Shoulder Injuries
  • Frozen Shoulder
  • Shoulder Capsulitis

Keywords

  • pragmatic intervention,
  • shoulder pathologies,
  • shoulder pain,
  • shoulder range of motion
  • pragmatic shoulder intervention,
03

In context

Shoulder Pain

707 studies on the registry are indexed under Shoulder Pain; 152 are open to participants now.

This study's enrollment of 49 is below the median of 60 across 561 interventional studies indexed under Shoulder Pain.

Browse Shoulder Pain studies →

Lead sponsor

Helping Hand Institute of Rehabilitation Sciences is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Functional movement score 1 and 2 or limitation in Range of motion of Abduction, internal rotation, external rotation, RUBB, and RDBN. All or only one of the limitations in comparison with the unaffected shoulder joint.

Exclusion criteria

Exclusion Criteria:

  • Patients with shoulder instability. Functional movement score 3 and 0. Individuals with recent fractures of fewer than 6 weeks duration. Cancerous Growth around the shoulder girdle. Breast cancer and undergoing chemotherapy and radiotherapy. RA arthritis patients. Long-term use of steroids and severe osteoporosis.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    group A

    set of pragmatic shoulder techniques

    Other: set of pragmatic shoulder technique

  • Active comparator
    group B

    traditional physical therapy

    Other: traditional physical therapy

Interventions

  • Otherset of pragmatic shoulder technique

    Group A received pragmatic intervention which includes Pectoralis major and minor stretch, AC joint mobilization, rotator cuff facilitation for subscapularis and infraspinatus, serratus anterior stretch, thoracic manipulation and posterior capsular stretch.

  • Othertraditional physical therapy

    Group B received traditional interventions which includes modalities such as TENS and hot pack, soft tissue mobilization, joint mobilization, stretching and strengthening etc. other than pragmatic intervention

06

What researchers measure

Primary outcomes

  1. shoulder Range of motion

    will be measured in degrees by digital inclinometer

    Time frame: 5 days

  2. functional movements

    will be measured in centimeters by inchi tape

    Time frame: 5 days

07

Study locations

1 site
  • Helping hand Institute of Rehabilitation Sciences Trust
    Mansehra, KPK 21300, Pakistan
08

References and documents

Publications

  • Keramat KU, Naveed Babur M. Pragmatic posterior capsular stretch and its effects on shoulder joint range of motion. BMJ Open Sport Exerc Med. 2020 Sep 9;6(1):e000805. doi: 10.1136/bmjsem-2020-000805. eCollection 2020. PubMed 33062302 ↗
  • Keramat KU, Babar MN. Serratus Anterior Stretch: A Novel Intervention and Its Effect on the Shoulder Range of Motion. J Sport Rehabil. 2021 Jan 8;30(5):824-827. doi: 10.1123/jsr.2020-0121. PubMed 33418538 ↗

Individual participant data

Plan to share: No — as per the decision of helping hand research ethical committee (HHREC)

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04859387
Lead sponsor
Helping Hand Institute of Rehabilitation Sciences
Responsible party
Sponsor
First posted
Apr 26, 2021
Start date
Apr 15, 2020
Primary completion
Jul 30, 2020
Completion
Sep 23, 2020
Last update
Jun 2, 2021

Study contacts

Keramat Ullah Keramat, Ph.D*
principal investigator · HHIRS Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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