Heavy Slow Resistance Training in Adults With Frozen Shoulder

Study Overview
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Brief Summary
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The aim of the study is to evaluate the efficacy of Heavy Slow Resistance exercise in patients diagnosed with frozen shoulder using randomized controlled trial design

Official Title
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Efficacy of Heavy Slow Resistance Training in Adults With Frozen Shoulder- a Double Blind Randomised Controlled Trial

Conditions
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Frozen Shoulder

Intervention / Treatment
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* Other: Heavy Slow Resistance
* Other: Control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unilateral painful, restricted active and passive range of motion of the shoulder, with loss of passive external rotation of at least 50% compared to opposite side at 0 deg of abduction Symptoms present for at least 3 months Normal x-rays on anteroposterior, axillary and lateral views Exclusion Criteria: Severe degeneration, or trauma involving the shoulder Inflammatory joint disease affecting the shoulder. Pain or disorders of the cervical spine, elbow, wrist, or hand Stroke or peripheral nerve neuropathy Injection with corticosteroids in the affected shoulder in the preceding 4 weeks.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Heavy Slow Resistance group<br>Heavy slow resistance exercise will be given along with traditional physical therapy program | Other: Heavy Slow Resistance<br>* Heavy slow resistance exercise will be given twice a week for 12 weeks along with traditional physical therapy program<br>Other: Control group<br>* Traditional physical therapy program only will be given twice a week for 12 weeks<br>|
| Placebo Comparator: Control group<br>Traditional physical therapy program will be given to the control group | Other: Control group<br>* Traditional physical therapy program only will be given twice a week for 12 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion measurement for external rotation and abduction using clinometer application at week 12 | The smart phone clinometer is a validated tool to measure range of motion | week 12 from baseline measurement | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quick DASH(Quick Disabilities of the of Arm Shoulder and Hand) | Quick DASH is an 11 item questionnaire to measure physical function and symptoms in people presenting with one or more disabilities of the arm, shoulder, and hand. The higher the score from 0 to 100 scale the higher the disability. | week 12 from baseline measurement | 
| 12-Item Short Form Health Survey (SF-12) | SF-12 is a 12 item ,self-reported outcome measure for assessing quality of life. Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning. | week 12 from baseline measurement | 
| The Oxford Shoulder Score(OSS) | The Oxford Shoulder Score is validated tool for measuring pain and disability caused by shoulder pathology. It has 12 items with a score ranging from 0 to 48 with 48 being the best outcome. | week 12 from baseline measurement | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Frozen shoulder, Heavy slow resistance, Isometrics, Eccentric exercise, Muscle guarding