Bowen's Technique in Patients With Adhesive Capsulitis

Study Overview
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Brief Summary
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This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Detailed Description
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The application of the Bowen technique, producing significant results, will be opted in treatment for the better, improved, and innovative noninvasive management of Adhesive Capsulitis. This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Official Title
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Effectiveness of Bowen's Technique in Patients With Adhesive Capsulitis

Conditions
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Adhesive Capsulitis

Intervention / Treatment
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* Other: Bowen's technique
* Other: Conventional physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both genders Age 25 to 60 years History of worsening shoulder pain Painful movement from at least 3 month Grade 2 & 3 adhesive capsulitis Both Diabetic and non-diabetic Limited Ranges in capsular pattern Exclusion Criteria: Fracture Trauma Dislocation Ongoing physical therapy treatment Cortisone injection prior 3 months

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 60 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: Bowen's Technique<br>Bowen's Technique | Other: Bowen's technique<br>* Initially, cup move is performed which requires a vertically rolling Bowen move over the posterior border of the deltoid muscle above the axillary crease. The subject's arm is held flexed at 90 degrees at mid-chest height. Then, the elbow is slowly and passively moved in the direction of the opposite shoulder. After maximal adduction of the arm, the therapist firmly taps the lateral aspect of the shoulder with the heel of his/her hand. The arm is then carried back to the original start position, where the therapist gently moves superiorly and slightly laterally over the anterior fibers of the deltoid. The arm is then carefully lowered. The therapist strives to undertake a minimum of moves and procedures to trigger the body's own self-healing powers and assess how much pressure to use and where and when to perform a move to release the build-up of stress. 40-minute sessions thrice a week for 6 weeks.<br>|
| Active Comparator: Conventional Physical Therapy<br>Conventional Physical Therapy including stretching and strengthening exercises | Other: Conventional physical therapy<br>* Hot pack and transcutaneous electrical nerve stimulator (TENS) for 15 minutes. Pendulum stretch, 10 revolutions. Cross body stretch, 4 repetitions. Towel stretch/hand behind the back, 4 repetitions. Isometric internal and external rotation exercises. 40-minute sessions thrice a week for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goniometer | A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position of joints. Intra-class Correlation Coefficients (ICC≥ 0.94) | 6th week | 
| Numeric Pain Rating Scale | Numerical Pain Rating Scale (NPRS) the Numerical Rating Scale (NPRS-11) is an 11-points scale for self-report of pain. It is the most commonly used unidimensional pain scale. Interclass correlation coefficient (ICC: 0.74) | 6th week | 
| Shoulder Pain and Disability Index (SPADI): | self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. Intra-class correlation coefficient (ICC ≥ 0.89) | 6th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adhesive capsulitis, Shoulder, Pain, Bowen technique