Clinical trial NCT06705426: Scapular Mobilization Versus Capsular Stretch
Official title: Scapular Mobilization Versus Posterior Capsular Stretch in Frozen Shoulder
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Frozen Shoulder
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-11-26
Enrollment: 34
Sex: ALL
Minimum age (years): 40
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this study is to compare the effect of scapular mobilization versus posterior capsular stretch on pain, function, range of motion, and posterior capsular tension in patient with frozen shoulder

Detailed description: Frozen shoulder is a musculoskeletal condition that is commonly encountered in physical therapy practice. It is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Frozen shoulder affects about 2% of the general population, with a higher prevalence in people between their 40s and 60s. Frozen shoulder occurs more in diabetic patient.

The traditional principles of treatment of frozen shoulder are to relieve pain, maintain range of motion, and ultimately to restore function. The physiotherapy treatment of frozen shoulder consists of different modalities such as Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Therapy (IFT), Ultrasound, Short Wave Diathermy (SWD) etc., and the physical therapy exercises such as stretching, Codman exercise can be used.

Scapular-mobility exercises, or scapular-mobilization (SM) techniques is widely used in the management of musculoskeletal disorders of the shoulder. Scapular mobilization can cause pain reduction with improvement in the shoulder range of motion. Scapular mobilization can reduce the disability in patients with shoulder dysfunction.

Posterior capsular stretch is applied along with mobilization which causes significant improvement in increasing range of motion and functional disability. Capsular stretching showed a more significant reduction in pain when compared to general exercises.

Therefore, what are the possible effect of scapular mobilization versus posterior capsular stretch in treating patients with frozen shoulder?

Eligibility criteria: Inclusion Criteria:

* Males and females aged from 40-65 years old.
* Diabetic and non-diabetic patients' diagnosis of stage 3 frozen shoulder (frozen phase) by an orthopedist.
* The presence of pain and limited movement in the shoulder for at least 2 months.
* Passive joint movements are limited when compared with the normal side.
* Unilateral involvement.

Exclusion Criteria:

* Recent joint infection or surgery.
* History of shoulder subluxation, dislocation, or ligamentous injury.
* Shoulder arthroplasty.
* Shoulder and cervical pathology.
* Recent trauma.
* Neurological disorders with muscle weakness in the shoulder joint.
* Infection, pregnancy, carcinoma patients, severe cardiac or psychiatric conditions.
* Previous shoulder surgeries to the affected shoulder.
* Previous manipulations under anesthesia of the affected shoulder.
* Radiological evidence for glenohumeral joint arthritis.

Primary outcomes:
measure: Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
measure: Shoulder abduction range of motion to measure shoulder joint active range of motion (abduction) by bubble inclinometer
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
measure: Shoulder internal rotation range of motion to measure shoulder joint active range of motion (internal rotation) by bubble inclinometer
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
measure: Shoulder external rotation range of motion to measure shoulder joint active range of motion (external rotation) by bubble inclinometer
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
measure: Shoulder pain and disability index to measure the shoulder pain the maximum possible score for the pain scale is 50
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
measure: Shoulder pain and disability index to measure the disability level the maximum possible score for the disability scale is 80
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
measure: poaterior capsular tension measurement by ruler
timeFrame: pre-intervention, after 2 weeks of treatment and post treatment 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Karima.abdelaty@pt.cu.edu.eg
name: Karima A Hassan
role: PRINCIPAL_INVESTIGATOR
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