Clinical trial NCT03705975: Manual Treatment and Proprioceptive Neuromusculer Fasilitation Techniques for Patients With Adhesive Capsulitis
Official title: Randomized Controlled Trial, Manual Treatment and Classical Physiotherapy for One Group, PNF and Classical Physiotherapy for Other Group
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Adhesive Capsulitis of Shoulder
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2018-10-15
Enrollment: 30
Sex: ALL
Minimum age (years): 35
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: This study aim was to compare the effectiveness of manual treatment and proprioceptive neuromuscular fasilitation (PNF) techniques in patients with adhesive capsulitis. One group will receive classical physical therapy including hotpack,ultrason and in additon manual treatment application. Other group receive classical physical therapy including hotpack, ultrason and in addition PNF techniques. Two group will be made wand exercise at home three times a day 10 times at one session.

Detailed description: There is no consensus physical therapy treatment protocol in adhesive capsulitis. It is because it etiology and pathophysiology is unknown. Also it has different clinical stage. PNF techniques often used by physical therapist in adhesive capsulitis aim increasing range of motion, improving muscle strenght and decreasing pain. PNF techniques improves neuromusculer control of central nervous system via stimulating muscle spindles, golgi tendon organs and other receptors in connective tissue. However, there is limited evidence effectivenes of PNF techniques in adhesive capsulitis.

Other technique often used by physical therapist in adhesive capsulitis is manual treatment. Manual treatment decreases pain and improves function. It re-arrange glenohumeral joint arthrocinematic. It diminishes capsule fibrosis.

There is no reasearh aimed comparing the PNF and manual treatment. Our aim was to compare the effectiveness of manual treatment and PNF techiques in patients with adhesive capsulitis.

Eligibility criteria: Inclusion Criteria:

* adhesive capsulitis due to idiopathic or acquired reasons

Exclusion Criteria:

* Cervical disk hernia
* Neuromusculer disease
* Shoulder impingement syndrome
* Rotator cuff tear
* Corticosteroid enjeksion in shoulder
* Tumour
* Physical therapy or manual treatment is implemented same shoulder last 6 months

Primary outcomes:
measure: Range of motion change
timeFrame: change from baseline range of motion assessment at 8 weeks
Secondary outcomes:
measure: Subjective pain assessment: VAS
timeFrame: Change from baseline subjective pain assessment at 8 weeks
measure: Scapular dyskinesis
timeFrame: Change from baseline scapular dyskinesis assessment at 8 weeks
measure: Muscle strenght
timeFrame: Change from baseline muscle strenght assessment at 8 weeks
measure: General arm function
timeFrame: Change from baseline shoulder function assessment at 8 weeks
measure: Health quality depent on health
timeFrame: Change from baseline health quality assessment at 8 weeks
measure: Health quality is not related to health
timeFrame: Change from baseline health quality assessment at 8 weeks
measure: general health level
timeFrame: Change from baseline general health level assessment at 8 weeks
measure: Self rated upper extremity disablity and symptoms.
timeFrame: Change from baseline general health level assessment at 8 weeks
measure: Self-assessment of symptoms and function of the shoulder
timeFrame: Change from baseline general health level assessment at 8 weeks
measure: To assess functional disability of the shoulder
timeFrame: Change from baseline general health level assessment at 8 weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Kübra
state: Sıhhıye
Study officials:
References: