Comparison of Theraband, Co-contraction and Isometric Exercises in Frozen Shoulder
Condition: Frozen Shoulder
MeSH terms: Bursitis
Study type: Interventional

Summary: 
      This project was a Randomized control trial conducted to check the effects of in patients
      with chronic frozen shoulder theraband, isometric and co-contraction exercises so that we can
      have best treatment option for patients with chronic frozen shoulder. upper cross syndrome,
      duration was of 6months,convenient sampling was done, subject following eligibility criteria
      from DHQ hospital Sheikhupura, were randomly allocated in three groups via lottery method,
      baseline assessment was done, Group A participants were given baseline treatment along with
      theraband exercises , Group B participants were given baseline treatment along with
      co-contraction exercises and Group C were given baseline treatment along with isometric
      exercises on 3rd and 6th week, post intervention assessment was done via, Numeric pain rating
      scale(NPRS),Shoulder Pain And Disability Index (SPADI) and goniometric measurements of
      shoulder ranges ,3 sessions per week were given, data was analyzed by using SPSS version 26.
    

Detailed description: 
      Frozen shoulder is among the most commonly reported problems to physicians, orthopedics and
      physical therapists. Even before reporting to clinics there is long history of using over the
      counter pain killers. Pain avoidance behaviors let the joint stiff so much that a clinician
      help is sought. Most times the cause of frozen shoulder is not known, therefore is termed as
      'idiopathic frozen shoulder'.There is huge literature regarding the management of frozen
      shoulder and yet after the decades of research there are gaps in treatment options. In modern
      age of health care, it is common goal of every health care to make patient self-sufficient as
      early as possible. The self-care models have tremendous advantages. The current study has
      compared the use of theraband, co-contraction and isometric exercises. The current study was
      novel in a way that there is limited literature about treating shoulder hypomobility with
      physical strengthening exercises. All three methods were employed to see if they improve
      ranges along with accompanying pain and disability.
    

Intervention name(s): Theraband exercises; Co-contraction exercises; Isometric exercises
Intervention type(s): Other; Other; Other
Intervention description(s): Group A performed theraband exercises for 6 weeks.In the first 2 weeks theraband with low resistance was used to perform exercises and then we proceeded gradually with higher resistance therabands.Theraband exercises was performed for Shoulder Flexion,Shoulder Extension Strengthening, Shoulder Internal Rotation Strengthening, Shoulder External Rotation Strengthening, Shoulder Abduction, Empty Can Exercise & Rowing Exercise with 8-10 reps, 3sec hold and 2-3 sets With each of these exercises; Muscle co-contraction is the simultaneous contraction of the muscles acting around a joint. Subject stood upright & contracted both the groups (agonist and antagonist) simultaneously without bringing movement at shoulder joint with 6-8 reps , 3sets & 5- 15 seconds duration of sustained self-arm bracing or stiffening was maintained.
On eligible participants baseline assessment was done,3 session were given 3days per week, post intervention assessment was taken at 3rd and 6th week; Isometric exercises of shoulder were performed in subjects for 6 weeks which included isometric Shoulder flexion, shoulder abduction isometric exercise, isometric shoulder external rotation, isometric shoulder internal rotation & isometric shoulder extension with 8-10 reps, 5 sec hold and 2 sets.
On eligible participants baseline assessment was done,3 session were given 3days per week, post intervention assessment was taken at 3rd and 6th week
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Theraband; Co-contraction Isometric; Frozen Shoulder