Effects of the Myofascial Arm Pull With and Without Active Release Technique in Adhesive Capsulitis

Study Overview
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Brief Summary
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The aim of the study is to determine the effects of the myofascial arm pull with and without active release technique on pain, ROM and disability in adhesive capsulitis.

Detailed Description
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Adhesive capsulitis (frozen shoulder), a painful disorder caused by capsular inflammation that results in fibrosis and rigidity of the glenohumeral joint capsule, is characterized by a progressive loss of both active and passive glenohumeral movements. Frozen shoulder can be primary (also known as idiopathic) if there is no underlying cause of disease or it can be secondary. The term secondary frozen shoulder is associated with injury, trauma, cardiovascular diseases, hemiparesis, or diabetes.Active release technique and myofascial arm pull technique are both effective treatment options for patients with adhesive capsulitis. These techniques help to improve range of motion and reduce pain by releasing tension and adhesions in the affected area. Active release technique focuses on releasing tension and adhesions in the soft tissues surrounding the affected joint, while the Myofascial arm pull technique aims to improve range of motion by stretching the muscle and fascia in the affected area. By incorporating these techniques into a comprehensive treatment plan, patients of adhesive capsulitis can see significant improvement in their pain, range of motion and disability. Because the method of treatment is inexpensive, findings of this study could be beneficial in revision of the clinical protocols to manage the patients of adhesive capsulitis.

Official Title
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Effects of the Myofascial Arm Pull With and Without Active Release Technique on Pain, Range of Motion and Disability in Adhesive Capsulitis

Conditions
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Adhesive Capsulitis

Intervention / Treatment
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* Other: Myofascial Arm Pull and Active Release Technique
* Other: Myofacial Arm Pull


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both Male and Female; mean age (35-60). Case diagnosed with adhesive capsulitis, both primary and secondary origin. Freezing stage of adhesive capsulitis. Those with at least a 50% reduction in the range of motion (ROM). Exclusion Criteria: History of shoulder surgery or manipulation under anesthesia, local corticosteroid injection administration to the affected shoulder within the last 3 months. Neurological deficit affecting the shoulder functioning during daily activities. Pathology of the shoulder joint other than adhesive capsulitis. Pain or disorder of the cervical spine, elbow, wrist or hand. Patients diagnosed with cancer

Ages Eligible for Study
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Minimum Age: 35 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
Interventional Model Description: A type of intervention model describing a clinical trial in which two or more groups of participants receive different interventions.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Myofascial arm pull technique and Active Release Technique<br>Participant will receive both Myofascial arm pull and active release technique along with Ultrasound therapy. | Other: Myofascial Arm Pull and Active Release Technique<br>* Six weekly sessions of the treatment will be given over the course of four weeks. Baseline treatment includes Ultrasound for 10 minutes.<br>|
| Active Comparator: Myofascial arm pull technique<br>Participant will receive Myofascial arm pull along with ultrasound therapy. | Other: Myofacial Arm Pull<br>* Six weekly sessions of the treatment will be given over the course of four weeks. Baseline treatment includes Ultrasound for 10 minutes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder Pain and disability index (SPADI) | Changes from Baseline. The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability | 4 week | 
| Goniometer | Changes from Baseline. Physical therapists use goniometry to objectively measure passive and active range of motion (ROM). | 4 week | 
| Numeric Pain Rating Scale (NPRS) | Changes from Baseline. The NPRS is a self-reported, or clinician administered, measurement tool The scale is typically set up on a horizontal or vertical line, ranges most commonly from 0-10. 0=No pain 1 to 4=Mild pain. 5 or 6=Moderate pain 7 to 10=Severe pain | 4 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adhesive Capsulitis, Active Release Technique, Myofacial Arm Pull Technique, Pain, Range of Motion