An interventional study of Activity oriented treatment and Structural oriented treatment in Frozen Shoulder, sponsored by Riphah International University. Status unknown at 1 site in Pakistan. Open to participants aged 40 Years to 55 Years. Per ClinicalTrials.gov, last updated 2022-10-19.
Sponsored by Riphah International University · Not applicable, Interventional, and Treatment
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.
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.
417 studies on the registry are indexed under Bursitis; 112 are open to participants now.
This study's planned enrollment of 30 is below the median of 45 across 376 interventional studies indexed under Bursitis.
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Exclusion Criteria:
Activity-oriented therapy will be given to 15 patients which will train the structures around the shoulder in different activities of daily life.
Other: Activity oriented treatment
Structural-oriented therapy will be given to 15 patients including a fixed sequence of physiotherapy techniques.
Other: Structural oriented treatment
15 patients will be treated with activity oriented therapy. All subjects will receive 20 therapeutic sessions, 5 times a week over the time span of 4 weeks.
15 patients will be treated with structural oriented therapy. All subjects will receive 20 therapeutic sessions, 5 times a week over the time span of 4 weeks.
NPRS for pain
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time frame: 4th week
Goniometer for range of motion
It will be used to measure flexion, extension, abduction, adduction, and internal and external rotation of shoulder.
Time frame: 4th week
SPADI for pain and disability
Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty.
Time frame: 4th week
Plan to share: No
This study is status unknown, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.
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