Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis

Study Overview
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Brief Summary
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The aim of this research is to determine the effects of capsular stretching versus passive joint mobilization on Pain, range of motion and Quality of life in patients with Idiopathic Adhesive capsulitis.

Detailed Description
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In reference study, patients with Adhesive capsulitis were given the option to examine the immediate effects of posterior capsule stretching and scapular mobilization. They came to the conclusion that extending the posterior capsule improved shoulder range of motion. Current study will assess all shoulder movements and also showing effect on Quality of life of patients with adhesive capsulitis.

Official Title
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Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis

Conditions
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Adhesive Capsulitis

Intervention / Treatment
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* Other: Mobilization
* Other: Cyriax capsular stretching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both genders Age : 30-50 years Pain and Restricted movements of shoulder. Patient With Adhesive Capsulitis of Stage 2 Exclusion Criteria: Patient with any Intrinsic Etiology such as Haemarthrosis, rheumatoid arthritis ,infection or gout Patient with any severe trauma, Shoulder dislocation, subluxation or ligament injury of the shoulder Fractures of the shoulder Peripheral neurological involvement in the upper extremity.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 50 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cyriax capsular stretching<br>Patient will be subjected to Hot Pack prior to treatment. Detailed intervention will include Active range of motion exercises,Home plan exercises.Anterior, Posterior and inferior capsular stretching. | Other: Cyriax capsular stretching<br>* Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins. Anterior, Posterior and inferior capsular stretching would be performed. Each stretch should be held15-30 seconds and repeated 2 to 4 times.<br>|
| Active Comparator: Mobilization<br>Patient will be subjected to Hot Pack prior to treatment. Detailed intervention will include Active range of motion exercises,Home plan exercises and Maitland's Mobilization: | Other: Mobilization<br>* Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins. Maitland's Mobilization: Inferior glide (10x3), posterior glide, (10 reps x 3 sets), anterior glide (10 reps x 3 sets)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain rating scale | The Numeric Pain rating scale is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. | 4th week | 
| Range of motion (shoulder flexion) | changes in shoulder flexion Range of motion from baseline to final session was measured | 4th week | 
| Range of motion (shoulder extension) | changes in shoulder extension Range of motion from baseline to final session was measured | 4th week | 
| Range of motion (shoulder abduction) | changes in shoulder abduction Range of motion from baseline to final session was measured | 4th week | 
| Range of motion (shoulder external rotation) | changes in shoulder external rotation Range of motion from baseline to final session was measured | 4th week | 
| Range of motion (internal rotation) | changes in shoulder internal rotation Range of motion from baseline to final session was measured | 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain, Range of motion, Shoulder