Adhesive CapsulitisDS-SDHNCT00873158
Dynamic Splinting for Patients With Adhesive Capsulitis
A study testing Dynasplint in people with Adhesive Capsulitis, run by Dynasplint Systems, Inc. at 3 sites in United States.
Trial summary
The purpose of this study is to compare two treatments for adhesive capsulitis. Read more about this study
- Who is it for?
- Ages 40 to 64 years
- Conditions the study is for
- Adhesive Capsulitis
- What is being tested?
- Dynasplint
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 3 sitesUnited States
- Study dates
- Jan 2006to Jan 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Diagnosis of idiopathic adhesive capsulitis
- greater than 50% limitation in active flexion, internal rotation, or external rotation
- Tight GHJ capsule in at least 2 directions
- Capsular end-feel primarily limits ROM
- Age 40- 64
- Normal X-Rays
Who cannot join
- Acute adhesive capsulitis
- History of Diabetes Mellitus
- Evidence of a cuff tear
- Recent history of trauma
- Evidence of glenohumeral DJD
- History of shoulder surgery
Show all 21Show fewer
- Calcification of tendonitis demonstrated on a current X-Ray
- Abnormal X-Ray
- Cervical Radiculopathy/brachial plexus lesions
- Less than 2+/5 muscle strength during mid-line manual muscle testing
- Muscle Atrophy
- Presence of associated systematic conditions
- History of prior therapy for current condition
- Manipulation under anesthesia
- Non compliance
- Shoulder-Hand syndrome, Complex Regional Pain Syndrome
- History of prior injections for the current problem
- Patient receiving worker's compensation
- Shoulder symptoms with cervical provocative testing
- Positive X-ray findings in the acromioclavicular or sternoclavicular joints
- Abnormal physical signs or symptoms in the A-C or S-C joint
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Andrews Research & Education Institute
Gulf Breeze, Florida, 32561
Gaspar Physical Therapy
Solana Beach, California, 92075
University Orthopedics Center
State College, Pennsylvania, 16801
About this study
Official title: Outcomes Following Dynamic Splinting and/or Physical Therapy for Patients With Adhesive Capsulitis
The purpose of this study is to compare two treatments for adhesive capsulitis.
Read the detailed description
The purpose of this study is to examine the effects of two treatment regimens for adhesive capsulitis: dynamic splinting and/or manual physical therapy.
- Conditions
- Adhesive Capsulitis
- Being tested
- Dynasplint
- Keywords
- Adhesive Capsulitis, ROM, Dynasplint
- Medical subject headings
- Bursitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DynasplintDevice
Dynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture. The Dynasplint or "Experimental" group will add this therapy to their standard of care regimen
| Study group | Role | What they receive |
|---|---|---|
| Physical Therapy Group | No intervention | Patient's in the Physical Therapy Group will have the standard manual treatments during their usual physical therapy visits with no additional intervention |
| Dynasplint Group | Experimental | Along with standard manual physical therapy, patients will have a stretching device (Dynasplint) used in rehabilitation to regain ROM in stiff joints. Patients will use this device 20-30 minutes 2 times per day at home. Receives: Device: Dynasplint |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of physical therapy treatments required
Measured: throughout trial
Weeks of Dynasplint treatment
Measured: throughout trial
Secondary outcomes (3)
Shoulder Range Of Motion
Measured: initial consultation, first visit following injection, and monthly following injection
Sharp FAS Neck and Shoulder
Measured: initial consultation, immediatly prior to first treatment following injection, and monthly following injection
Disabilities of Arm, Hand, and Shoulder Questionnaire
Measured: initial visit, first visit following injection, and weekly until discharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Apr 2009 (estimated)
- Study startJan 2006
- Primary completionJan 2014 (estimated)
Why it stopped: Unrelated to trial
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (15)Papers the sponsor has linked to this study.
- Other trials for Adhesive CapsulitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dynasplint Systems, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- McMurry University
- Responsible party
- Sponsor
- Investigators
- Buck Willis, PhD, Study director, Dynasplint Systems, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00873158
- Sponsor's protocol ID
- Shoulder 100
- Acronym
- DS-SDH
- Status last verified
- Aug 2013
- First submitted
- 31 Mar 2009
- Last updated
- 12 Aug 2013
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Hamdan TA, Al-Essa KA. Manipulation under anaesthesia for the treatment of frozen shoulder. Int Orthop. 2003;27(2):107-9. doi: 10.1007/s00264-002-0397-6. Epub 2002 Sep 13.
PubMed 12700935Othman A, Taylor G. Manipulation under anaesthesia for frozen shoulder. Int Orthop. 2002;26(5):268-70. doi: 10.1007/s00264-002-0348-2. Epub 2002 Mar 27.
PubMed 12378350Placzek JD, Roubal PJ, Freeman DC, Kulig K, Nasser S, Pagett BT. Long-term effectiveness of translational manipulation for adhesive capsulitis. Clin Orthop Relat Res. 1998 Nov;(356):181-91. doi: 10.1097/00003086-199811000-00025.
PubMed 9917683Omari A, Bunker TD. Open surgical release for frozen shoulder: surgical findings and results of the release. J Shoulder Elbow Surg. 2001 Jul-Aug;10(4):353-7. doi: 10.1067/mse.2001.115986.
PubMed 11517365Pollock RG, Duralde XA, Flatow EL, Bigliani LU. The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop Relat Res. 1994 Jul;(304):30-6.
PubMed 8020231Warner JJ, Allen A, Marks PH, Wong P. Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder. J Bone Joint Surg Am. 1996 Dec;78(12):1808-16. doi: 10.2106/00004623-199612000-00003.
PubMed 8986657Carette S, Moffet H, Tardif J, Bessette L, Morin F, Fremont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954.
PubMed 12632439Arslan S, Celiker R. Comparison of the efficacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis. Rheumatol Int. 2001 Sep;21(1):20-3. doi: 10.1007/s002960100127.
PubMed 11678298Hannafin JA, Chiaia TA. Adhesive capsulitis. A treatment approach. Clin Orthop Relat Res. 2000 Mar;(372):95-109.
PubMed 10738419Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, van Den Ende CH. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: A multiple-subject case report. Phys Ther. 2000 Dec;80(12):1204-13.
PubMed 11087307Hsu AT, Hedman T, Chang JH, Vo C, Ho L, Ho S, Chang GL. Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. Phys Ther. 2002 Jun;82(6):544-56.
PubMed 12036396Hsu AT, Ho L, Ho S, Hedman T. Joint position during anterior-posterior glide mobilization: its effect on glenohumeral abduction range of motion. Arch Phys Med Rehabil. 2000 Feb;81(2):210-4. doi: 10.1016/s0003-9993(00)90143-6.
PubMed 10668777Hsu AT, Ho L, Ho S, Hedman T. Immediate response of glenohumeral abduction range of motion to a caudally directed translational mobilization: a fresh cadaver simulation. Arch Phys Med Rehabil. 2000 Nov;81(11):1511-6. doi: 10.1053/apmr.2000.9389.
PubMed 11083357Kirkley A, Griffin S, Dainty K. Scoring systems for the functional assessment of the shoulder. Arthroscopy. 2003 Dec;19(10):1109-20. doi: 10.1016/j.arthro.2003.10.030.
PubMed 14673454Gaspar PD, Willis FB. Adhesive capsulitis and dynamic splinting: a controlled, cohort study. BMC Musculoskelet Disord. 2009 Sep 7;10:111. doi: 10.1186/1471-2474-10-111.
PubMed 19735563
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Outcomes Following Dynamic Splinting and/or Physical Therapy for Patients With Adhesive Capsulitis
- ClinicalTrials.gov ID
- NCT00873158
- Acronym / sponsor ID
- DS-SDH / Shoulder 100
- Conditions
- Adhesive Capsulitis
- Keywords
- Adhesive Capsulitis, ROM, Dynasplint
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Unrelated to trial
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Dynasplint Systems, Inc.Industry (pharma, biotech, devices)
- Collaborators
- McMurry University
- Study start
- Jan 2006
- Primary completion
- Jan 2014 (estimated)
- First posted
- 1 Apr 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare two treatments for adhesive capsulitis.
Detailed description
The purpose of this study is to examine the effects of two treatment regimens for adhesive capsulitis: dynamic splinting and/or manual physical therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Physical Therapy Group | No intervention | –Patient's in the Physical Therapy Group will have the standard manual treatments during their usual physical therapy visits with no additional intervention |
| Dynasplint Group | Experimental | Device: DynasplintAlong with standard manual physical therapy, patients will have a stretching device (Dynasplint) used in rehabilitation to regain ROM in stiff joints. Patients will use this device 20-30 minutes 2 times per day at home. |
Who may qualify
- Ages
- 40 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Diagnosis of idiopathic adhesive capsulitis
- greater than 50% limitation in active flexion, internal rotation, or external rotation
- Tight GHJ capsule in at least 2 directions
- Capsular end-feel primarily limits ROM
- Age 40- 64
Key exclusion criteria (21 listed)
- Acute adhesive capsulitis
- History of Diabetes Mellitus
- Evidence of a cuff tear
- Recent history of trauma
- Evidence of glenohumeral DJD
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DynasplintDynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture. The Dynasplint or "Experimental" group will add this therapy to their standard of care regimen | Device | Dynasplint Group |
Primary outcome
Number of physical therapy treatments required
Time frame: throughout trial
Weeks of Dynasplint treatment
Time frame: throughout trial
3 secondary outcomes
Shoulder Range Of Motion
Time frame: initial consultation, first visit following injection, and monthly following injection
Sharp FAS Neck and Shoulder
Time frame: initial consultation, immediatly prior to first treatment following injection, and monthly following injection
Disabilities of Arm, Hand, and Shoulder Questionnaire
Time frame: initial visit, first visit following injection, and weekly until discharge
Results and safety
The study was stopped early (reason given: Unrelated to trial). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2013.
- Background: PubMed 12700935Hamdan TA, Al-Essa KA. Manipulation under anaesthesia for the treatment of frozen shoulder. Int Orthop. 2003;27(2):107-9. doi: 10.1007/s00264-002-0397-6. Epub 2002 Sep 13.
- Background: PubMed 12378350Othman A, Taylor G. Manipulation under anaesthesia for frozen shoulder. Int Orthop. 2002;26(5):268-70. doi: 10.1007/s00264-002-0348-2. Epub 2002 Mar 27.
- Background: PubMed 9917683Placzek JD, Roubal PJ, Freeman DC, Kulig K, Nasser S, Pagett BT. Long-term effectiveness of translational manipulation for adhesive capsulitis. Clin Orthop Relat Res. 1998 Nov;(356):181-91. doi: 10.1097/00003086-199811000-00025.
- Background: PubMed 11517365Omari A, Bunker TD. Open surgical release for frozen shoulder: surgical findings and results of the release. J Shoulder Elbow Surg. 2001 Jul-Aug;10(4):353-7. doi: 10.1067/mse.2001.115986.
- Background: PubMed 8020231Pollock RG, Duralde XA, Flatow EL, Bigliani LU. The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop Relat Res. 1994 Jul;(304):30-6.
- Background: PubMed 8986657Warner JJ, Allen A, Marks PH, Wong P. Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder. J Bone Joint Surg Am. 1996 Dec;78(12):1808-16. doi: 10.2106/00004623-199612000-00003.
- Background: PubMed 12632439Carette S, Moffet H, Tardif J, Bessette L, Morin F, Fremont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954.
- Background: PubMed 11678298Arslan S, Celiker R. Comparison of the efficacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis. Rheumatol Int. 2001 Sep;21(1):20-3. doi: 10.1007/s002960100127.
- Background: PubMed 10738419Hannafin JA, Chiaia TA. Adhesive capsulitis. A treatment approach. Clin Orthop Relat Res. 2000 Mar;(372):95-109.
- Background: PubMed 11087307Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, van Den Ende CH. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: A multiple-subject case report. Phys Ther. 2000 Dec;80(12):1204-13.
- Background: PubMed 12036396Hsu AT, Hedman T, Chang JH, Vo C, Ho L, Ho S, Chang GL. Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. Phys Ther. 2002 Jun;82(6):544-56.
- Background: PubMed 10668777Hsu AT, Ho L, Ho S, Hedman T. Joint position during anterior-posterior glide mobilization: its effect on glenohumeral abduction range of motion. Arch Phys Med Rehabil. 2000 Feb;81(2):210-4. doi: 10.1016/s0003-9993(00)90143-6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Buck Willis, PhD study director
Dynasplint Systems, Inc.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Dynasplint in people with Adhesive Capsulitis, run by Dynasplint Systems, Inc. at 3 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 12 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: Unrelated to trial). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of physical therapy treatments required (time frame: throughout trial). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00873158, which also lists 15 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2013.