Adhesive CapsulitisPhase 4MEOPANCT01087229
Effectiveness of an Oxygen-nitrous Oxide Mixture During Physical Therapy for Frozen Shoulder
A Phase 4 study testing equimolar oxygen-nitrous oxide mixture in people with Adhesive Capsulitis, run by Centre Hospitalier Universitaire de Nīmes at 5 sites in France.
Trial summary
The purpose of this study is to determine whether or not the use of an equimolar mixture of oxygen and nitrous oxide during the physical therapy for patients suffering from frozen shoulder (adhesive shoulder capsulitis) results in a gain in shoulder amplitude (Constant Score) and less pain as compared to patients… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Adhesive Capsulitis
- What is being tested?
- equimolar oxygen-nitrous oxide mixture
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 75 participants
- Where
- 5 sitesFrance
- Study dates
- Mar 2010to 2 Sep 2013
- Phase
- Phase 4
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Affiliated with a social security system
- Has signed the consent form
- Patient has a painful, or initially painful but stable frozen shoulder (adhesive capsulitis): stiffening characterized by a passive loss of amplitude on three planes. This loss of amplitude is greater than or equal to 50% of controlateral amplitude when the controlateral shoulder is considered as normal. Otherwise, the loss of amplitude is greater than or equal to 50% of normal anatomical values.
- Radiography confirms the integrity of the glenohumeral interspace.
Who cannot join
- Intercurrent, evolving or unstable pathology: cancer, advanced cardio-vascular pathology, severe infection
- The patient is taking a treatment that may interfere with the study (eg corticoids, pain killers, chemotherapy)
- Contra-indication for physical therapy
- Coagulopathy
- Advanced diabetes mellitus, with neurological or joint complications
- Contra indication for the experimental treatment
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- Pregnant or nursing women
- Patient's mental state prevents him/her from understanding the nature of the study, its objectives and potential consequences.
- Patient under guardianship
- Patient is in an exclusion period determined by a previous study
- Patient not able to follow protocol constraints or timetable
- Medical history of local infection, polyarthritis or neuropathy that might explain the shoulder pain.
- Absence of radiculopathy of cervical origin, of rotator cuff tears or evolving shoulder tendinopathy, of severe omarthrose
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
France5 sites
CHU de Clermont Ferrand
Clermont-Ferrand, 63118
Unité Rééducation Réadaptation Locomotrice
Le Grau-du-Roi, Gard, 30240
CHU Lapeyronie
Montpellier, 34295
Centre Hospitalier Universitaire de Nîmes
Nîmes, Gard, 30029
Centre Hélio Marin
Vallauris, 06223
About this study
Official title: Comparative Study of the Effectiveness of an Equimolar Oxygen-nitrous Oxide Mixture During Physical Therapy for Adhesive Shoulder Capsulitis
The purpose of this study is to determine whether or not the use of an equimolar mixture of oxygen and nitrous oxide during the physical therapy for patients suffering from frozen shoulder (adhesive shoulder capsulitis) results in a gain in shoulder amplitude (Constant Score) and less pain as compared to patients undergoing physical therapy without this treatment.
- Conditions
- Adhesive Capsulitis
- Being tested
- equimolar oxygen-nitrous oxide mixture, Placebo
- Medical subject headings
- Bursitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
equimolar oxygen-nitrous oxide mixtureDrug
Kinesitherapy is performed with a mask by which patient inhales an equimolar oxygen-nitrous oxide mixture.
PlaceboDrug
Kinesitherapy is performed with a mask by which patient inhales a placebo.
| Study group | Role | What they receive |
|---|---|---|
| equimolar oxygen-nitrous oxide mixture | Experimental | equimolar oxygen-nitrous oxide mixture
Kinesitherapy is performed with a mask by which patient inhales an equimolar oxygen-nitrous oxide mixture. Receives: Drug: equimolar oxygen-nitrous oxide mixture |
| Placebo | Placebo comparator | Patients randomized to this arm will have the placebo. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the Constant Score using treatment as compared to without treatment.
The Constant score questionnaire consists of 11 questions that result in a final score ranging from 0 to 100. The higher the test result, the more normally the shoulder is functioning.
Measured: fifteen days of physical therapy
Secondary outcomes (29)
Change in kinetics at final session since baseline of passive glenohumeral flexion of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of passive glenohumeral abduction of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of passive glenohumeral external rotation (ER1) of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of active global anterior flexion of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of active global lateral flexion of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of active global abduction of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of active global external rotation (ER2) of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of active global internal rotation of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of passive global anterior flexion of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of passive global lateral flexion of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of passive global abduction of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Change in kinetics at final session since baseline of passive global external rotation (ER2) of the shoulder
Range of motion in degrees
Measured: Final session on Day 15
Pain at visits
0-100 visual analogue scale (VAS)
Measured: At each session: final session on Day 15
Pain induced during sessions
0-100 visual analogue scale (VAS)
Measured: At each session: final session on Day 15
Functional improvement
Disabilities of the Arm Shoulder and Hand scale (DASH)
Measured: Day 7
Functional improvement
Disabilities of the Arm Shoulder and Hand scale (DASH)
Measured: Day 15
Functional improvement
Disabilities of the Arm Shoulder and Hand scale (DASH)
Measured: Day 45
Functional improvement
Disabilities of the Arm Shoulder and Hand scale (DASH)
Measured: Day 180
Limitations posed to the physiotherapist activity due to patient pain at each session
Likert six-point scale (none, to extremely high)
Measured: At each session: final session on Day 15
patient satisfaction
0-10 VAS: 10=session interrupted due to pain; 0= session completed under perfect conditions
Measured: At each session: final session on Day 15
Change in the Constant Score using treatment as compared to without treatment
Measured: Day 7
Change in the Constant Score using treatment as compared to without treatment
Measured: Day 45
Change in the Constant Score using treatment as compared to without treatment
Measured: Day 180
Patient Quality of life
Medical Outcome Study Short Form-36 (MOS-SF36) score
Measured: Day 1
Patient Quality of life
MOS-SF36 score
Measured: Day 7
Patient Quality of life
MOS-SF36 score
Measured: Day 15
Patient Quality of life
MOS-SF36 score
Measured: Day 45
Patient Quality of life
MOS-SF36 score
Measured: Day 180
Antalgic intake
Discriptively noted
Measured: Until end of study (Day 180)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Mar 2010 (estimated)
- Study startMar 2010
- Primary completion2 Sep 2013
- Study completion2 Sep 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Adhesive CapsulitisStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 75 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Arnaud Dupeyron, MD, Principal investigator, Centre Hospitalier Universitaire de Nīmes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01087229
- Sponsor's protocol ID
- PHRC-I/2008/AD-01
- Other IDs
- 2008-007161-23, 2008
- Acronym
- MEOPA
- Status last verified
- Nov 2025
- First submitted
- 15 Mar 2010
- Last updated
- 19 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
Publications
Dupeyron A, Dobija L, Castelli C, Petiot S, Tavares I, Gelis A, Coudeyre E. Nitrous oxide provided during intensive physiotherapy for shoulder adhesive capsulitis does not improve function: A randomised controlled trial. Ann Phys Rehabil Med. 2024 Apr;67(3):101803. doi: 10.1016/j.rehab.2023.101803. Epub 2023 Dec 19.
PubMed 38118247Dupeyron A, Denarie M, Richard D, Dobija L, Castelli C, Petiot S, Tavares I, Gelis A, Coudeyre E. Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial. Ann Phys Rehabil Med. 2019 Jan;62(1):43-48. doi: 10.1016/j.rehab.2018.07.007. Epub 2018 Aug 9.
PubMed 30099150
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Study of the Effectiveness of an Equimolar Oxygen-nitrous Oxide Mixture During Physical Therapy for Adhesive Shoulder Capsulitis
- ClinicalTrials.gov ID
- NCT01087229
- Acronym / sponsor ID
- MEOPA / PHRC-I/2008/AD-01
- Conditions
- Adhesive Capsulitis
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 75 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- Mar 2010
- Primary completion
- 2 Sep 2013 (actual)
- Study completion
- 2 Sep 2013 (actual)
- First posted
- 16 Mar 2010 (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 determine whether or not the use of an equimolar mixture of oxygen and nitrous oxide during the physical therapy for patients suffering from frozen shoulder (adhesive shoulder capsulitis) results in a gain in shoulder amplitude (Constant Score) and less pain as compared to patients undergoing physical therapy without this treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| equimolar oxygen-nitrous oxide mixture | Experimental | Drug: equimolar oxygen-nitrous oxide mixtureequimolar oxygen-nitrous oxide mixture Kinesitherapy is performed with a mask by which patient inhales an equimolar oxygen-nitrous oxide mixture. |
| Placebo | Placebo comparator | Drug: PlaceboPatients randomized to this arm will have the placebo. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Affiliated with a social security system
- Has signed the consent form
- Patient has a painful, or initially painful but stable frozen shoulder (adhesive capsulitis): stiffening characterized by a passive loss of amplitude on three planes. This loss of amplitude is greater than or equal to 50% of controlateral amplitude when the controlateral shoulder is considered as normal. Otherwise, the loss of amplitude is greater than or equal to 50% of normal anatomical values.
- Radiography confirms the integrity of the glenohumeral interspace.
Key exclusion criteria (13 listed)
- Intercurrent, evolving or unstable pathology: cancer, advanced cardio-vascular pathology, severe infection
- The patient is taking a treatment that may interfere with the study (eg corticoids, pain killers, chemotherapy)
- Contra-indication for physical therapy
- Coagulopathy
- Advanced diabetes mellitus, with neurological or joint complications
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 |
|---|---|---|
| equimolar oxygen-nitrous oxide mixtureKinesitherapy is performed with a mask by which patient inhales an equimolar oxygen-nitrous oxide mixture. | Drug | equimolar oxygen-nitrous oxide mixture |
| PlaceboKinesitherapy is performed with a mask by which patient inhales a placebo. | Drug | Placebo |
Primary outcome
Change in the Constant Score using treatment as compared to without treatment.
Time frame: fifteen days of physical therapy
The Constant score questionnaire consists of 11 questions that result in a final score ranging from 0 to 100. The higher the test result, the more normally the shoulder is functioning.
29 secondary outcomes
Change in kinetics at final session since baseline of passive glenohumeral flexion of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of passive glenohumeral abduction of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of passive glenohumeral external rotation (ER1) of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of active global anterior flexion of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of active global lateral flexion of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of active global abduction of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of active global external rotation (ER2) of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of active global internal rotation of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of passive global anterior flexion of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of passive global lateral flexion of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of passive global abduction of the shoulder
Time frame: Final session on Day 15
Change in kinetics at final session since baseline of passive global external rotation (ER2) of the shoulder
Time frame: Final session on Day 15
Pain at visits
Time frame: At each session: final session on Day 15
Pain induced during sessions
Time frame: At each session: final session on Day 15
Functional improvement
Time frame: Day 7
Functional improvement
Time frame: Day 15
Functional improvement
Time frame: Day 45
Functional improvement
Time frame: Day 180
Limitations posed to the physiotherapist activity due to patient pain at each session
Time frame: At each session: final session on Day 15
patient satisfaction
Time frame: At each session: final session on Day 15
Change in the Constant Score using treatment as compared to without treatment
Time frame: Day 7
Change in the Constant Score using treatment as compared to without treatment
Time frame: Day 45
Change in the Constant Score using treatment as compared to without treatment
Time frame: Day 180
Patient Quality of life
Time frame: Day 1
Patient Quality of life
Time frame: Day 7
Patient Quality of life
Time frame: Day 15
Patient Quality of life
Time frame: Day 45
Patient Quality of life
Time frame: Day 180
Antalgic intake
Time frame: Until end of study (Day 180)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2025.
- Results publication: PubMed 38118247Dupeyron A, Dobija L, Castelli C, Petiot S, Tavares I, Gelis A, Coudeyre E. Nitrous oxide provided during intensive physiotherapy for shoulder adhesive capsulitis does not improve function: A randomised controlled trial. Ann Phys Rehabil Med. 2024 Apr;67(3):101803. doi: 10.1016/j.rehab.2023.101803. Epub 2023 Dec 19.
- Derived from this study: PubMed 30099150Dupeyron A, Denarie M, Richard D, Dobija L, Castelli C, Petiot S, Tavares I, Gelis A, Coudeyre E. Analgesic gas for rehabilitation of frozen shoulder: Protocol for a randomized controlled trial. Ann Phys Rehabil Med. 2019 Jan;62(1):43-48. doi: 10.1016/j.rehab.2018.07.007. Epub 2018 Aug 9.
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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.
Arnaud Dupeyron, MD principal investigator
Centre Hospitalier Universitaire de Nīmes
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing equimolar oxygen-nitrous oxide mixture in people with Adhesive Capsulitis, run by Centre Hospitalier Universitaire de Nīmes at 5 sites in France.
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 4 inclusion and 13 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: finished, as of the sponsor's last update on 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in France. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Change in the Constant Score using treatment as compared to without treatment. (time frame: fifteen days of physical therapy). 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 NCT01087229, which also lists 2 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 19 Nov 2025.