Clinical trial NCT03958227: Investigation The Efficacy of Manual Therapy and Exercise in Patients With Glenohumeral Arthritis
Official title: Istanbul University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Glenohumeral Arthritis
Keywords: Glenohumeral Arthritis
Pain
Mobilisation
Physiotherapy
Rehabilitation
Lead sponsor: Istanbul University
Sponsor class: OTHER
First posted: 2019-05-21
Enrollment: 30
Sex: ALL
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of the investigator's study is to compare the efficacy of manual therapy and exercise practices compared to exercise practice in patients with Glenohumeral Arthritis. Thirty volunteer patients will include into the study.

Detailed description: Patients will randomly divide into two groups. A common exercise program was applied to both groups during 15 sessions. Manual therapy techniques will apply to the manual therapy group in addition to exercise practices. Patients will evaluate in terms of functional status, pain, range of motion, muscle strength and health-related quality before and after 5 weeks of treatment. Also, patient's satisfaction from treatment will evaluate at the 5th week of the treatment. DASH and ASES forms for functional status, VAS for pain, digital goniometer for range of motion, manual muscle test for muscle strength, SF-12 for health-related quality of life, and Global Rating of Change (GRC) Scale for patient satisfaction will be used as evaluation criteria.

Eligibility criteria: Inclusion Criteria:

* 40 years and older patients
* To be diagnosed with GHOA by specialist physician via MRI, US or radiography and physical examination
* Unilateral shoulder pain lasting more than 2 months seen during daily living activities and at rest

Exclusion Criteria:

Patients with:

* Severe arthrosis
* Tumor
* Cervical radiculopathy
* Emotional or cognitive problems
* A neurological disease that causes muscle weakness on the shoulder
* A skin disease that may affect upper extremity assessment.
* Frozen shoulder
* Thoracic outlet syndrome

Primary outcomes:
measure: Shoulder Range of Motion (ROM)
timeFrame: Evaluation will be performed first time at baseline and second time will be performed after 5 weeks rehabilitation program. After treatment "change" will be assessed.
Secondary outcomes:
measure: ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) Form
timeFrame: Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
measure: Visual Analogue Scale (VAS)
timeFrame: Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
measure: Manual Muscle Test
timeFrame: Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
measure: Short Form 12 (SF-12)
timeFrame: Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
measure: Global Rating of Change (GRC) Scale
timeFrame: Evaluation will be performed after 5 weeks rehabilitation program.
measure: The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
timeFrame: Evaluation will be performed before treatment and after 5 weeks rehabilitation program.
Other outcomes:
Locations:
city: Bakırköy
country: Turkey
facility: Istanbul University
state: Istanbul
Study officials:
affiliation: sssibel_38@hotmail.com
name: Sibel Gayretli Atan
role: PRINCIPAL_INVESTIGATOR
References: