CClinicalTrials.gg
CompletedNCT07301931Updated Dec 24, 2025

A Modified Chair Technique for Acute Anterior Shoulder Dislocation Compare With Traction-counter Traction Technique

An interventional study of Modified chair technique and Traction-counter traction technique in Anterior Shoulder Dislocation, sponsored by Khon Kaen Hospital. Completed at 1 site in Thailand. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-24.

Sponsored by Khon Kaen Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Nov 2023, registered Dec 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Anterior shoulder dislocation is the most common type of joint dislocation and requires timely and effective closed reduction. The traction-counter traction technique is widely used in Thailand, although it may require patient transfer and sedation, which can increase the risk of adverse events. The modified chair technique has been introduced as a simpler, potentially more convenient method that may allow reduction to be performed in a single location

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Conditions studied

  • Anterior Shoulder Dislocation
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In context

Lead sponsor

Khon Kaen Hospital is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients diagnosed with anterior shoulder dislocation based on physical examination and radiographic findings, including both first-episode (primary) and recurrent cases.
  • Patients aged 18 years or older.
  • Patients who are fully conscious and able to provide informed consent.
  • Patients with a Glasgow Coma Score (GCS) of 15.

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of seizure prior to the current injury.
  • Patients with vascular or neurological deficits detected on physical examination.
  • Patients with associated humeral fractures identified on radiographic imaging.
  • Patients with multiple traumatic injuries involving.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
68 participants (actual)

Study arms

  • Active comparator
    Modified chair technique

    Procedure: Modified chair technique

  • Active comparator
    traction-counter traction teahnique

    Procedure: Traction-counter traction technique

Interventions

  • ProcedureModified chair technique

    Modified Chair Technique is a closed reduction method for acute anterior shoulder dislocation that adapts the traditional chair technique to improve convenience and safety in the emergency setting. Instead of using a standard chair backrest, this modified approach utilizes the side rail of a patient transport stretcher, which serves as a stable fulcrum beneath the patient's axilla.

  • ProcedureTraction-counter traction technique

    Traction-Counter Traction Technique is applying longitudinal traction to the affected arm while simultaneously providing counter traction across the patient's torso, allowing controlled separation of the humeral head from surrounding soft tissues to facilitate reduction.

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What researchers measure

Primary outcomes

  1. To compare the success rate of shoulder reduction between the modified chair technique and the traction-counter traction technique in patients with acute anterior shoulder dislocation.

    Time frame: immediate after procedure

Secondary outcomes

  1. To compare the level of pain during the shoulder reduction procedure between the modified chair technique and the traction-counter traction technique.

    we record pain with visual analog scale range from 0 to 10

    Time frame: immediate after procedure

  2. Evaluate the complications associated with shoulder reduction from using the modified chair technique and the traction-counter traction technique.

    Complication such as brachial plexus injury, proximal humerus fracture, muscle spasm

    Time frame: 30 minute after procedure

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Study locations

1 site
  • Khon Kaen Hospital
    Khon Kaen, Changwat Khon Kaen 40000, Thailand
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References and documents

Publications

  • Dreu M, Aufmesser W, Aufmesser H, Dolcet C, Feigl G, Sadoghi P. A simple and gentle technique for reduction after anterior shoulder dislocation. Arch Orthop Trauma Surg. 2015 Oct;135(10):1379-84. doi: 10.1007/s00402-015-2279-6. Epub 2015 Jul 21. PubMed 26193846 ↗
  • Smith SL. An investigation comparing the Oxford Chair Technique with the traditional methods of glenohumeral dislocation reduction currently implemented. Int Emerg Nurs. 2009 Jan;17(1):38-46. doi: 10.1016/j.ienj.2008.09.004. Epub 2008 Nov 25. PubMed 19135014 ↗
  • Sayegh FE, Kenanidis EI, Papavasiliou KA, Potoupnis ME, Kirkos JM, Kapetanos GA. Reduction of acute anterior dislocations: a prospective randomized study comparing a new technique with the Hippocratic and Kocher methods. J Bone Joint Surg Am. 2009 Dec;91(12):2775-82. doi: 10.2106/JBJS.H.01434. PubMed 19952238 ↗
  • Mahirogullari M, Akyildiz F, Koksal I, Cakmak S, Kurklu M, Kuskucu M. Chair method: a simple and effective method for reduction of anterior shoulder dislocation. Acta Orthop Traumatol Turc. 2012;46(2):102-6. doi: 10.3944/AOTT.2012.2676. PubMed 22491434 ↗
  • Ghane MR, Hoseini SH, Javadzadeh HR, Mahmoudi S, Saburi A. Comparison between traction-countertraction and modified scapular manipulation for reduction of shoulder dislocation. Chin J Traumatol. 2014 Apr 1;17(2):93-8. PubMed 24698578 ↗
  • Guler O, Ekinci S, Akyildiz F, Tirmik U, Cakmak S, Ugras A, Piskin A, Mahirogullari M. Comparison of four different reduction methods for anterior dislocation of the shoulder. J Orthop Surg Res. 2015 May 28;10:80. doi: 10.1186/s13018-015-0226-4. PubMed 26016671 ↗
  • Fennelly JT, Gourbault L, Neal-Smith G, Pradhan A, Gade V, Baxter JA. A systematic review of pre-hospital shoulder reduction techniques for anterior shoulder dislocation and the effect on patient return to function. Chin J Traumatol. 2020 Oct;23(5):295-301. doi: 10.1016/j.cjtee.2020.08.003. Epub 2020 Aug 12. PubMed 32893114 ↗
  • Cunningham NJ. Techniques for reduction of anteroinferior shoulder dislocation. Emerg Med Australas. 2005 Oct-Dec;17(5-6):463-71. doi: 10.1111/j.1742-6723.2005.00778.x. PubMed 16302939 ↗
  • Alkaduhimi H, van der Linde JA, Willigenburg NW, van Deurzen DFP, van den Bekerom MPJ. A systematic comparison of the closed shoulder reduction techniques. Arch Orthop Trauma Surg. 2017 May;137(5):589-599. doi: 10.1007/s00402-017-2648-4. Epub 2017 Mar 1. PubMed 28251280 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07301931
Lead sponsor
Khon Kaen Hospital
Responsible party
Pawat Yuwamitr (Orthopedic, Khon Kaen Hospital) — Principal investigator
First posted
Dec 24, 2025
Start date
Nov 15, 2023
Primary completion
Oct 31, 2025
Completion
Oct 31, 2025
Last update
Dec 24, 2025

Oversight

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

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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