Adhesive CapsulitisNCT05403918
Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises in Adhesive Capsulitis.
A study testing conventional physiotherapy and scapular stabilization exercises along with conventional physiotherapy in people with Adhesive Capsulitis, run by Riphah International University at 1 site in Pakistan.
Trial summary
The objective of this study will be to determine the Effects of conventional physical therapy with and without scapular stabilization exercises on pain, function, scapular dyskinesia, and proprioception in patients with adhesive capsulitis. Read more about this study
- Who is it for?
- Ages 30 to 60 years
- Conditions the study is for
- Adhesive Capsulitis
- What is being tested?
- conventional physiotherapy and scapular stabilization exercises along with conventional physiotherapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePakistan
- Study dates
- Jun 2022to 1 Jan 2023
- 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 30 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Diagnosis of idiopathic adhesive capsulitis for more than 4 months (Stage 2)
- Unilateral idiopathic adhesive capsulitis
- Shoulder Pain on NPRS ≥5
- Restricted ROM (loss of ≥ 25% relative to non-involved shoulder in one or multidirectional)
- Patients volunteered to participate in the study and signed informed consent.
Who cannot join
- History of shoulder surgery or manipulation under anesthesia
- Unstable fractures, rheumatoid arthritis and those with severe joint pain unrelieved by rest
- Neurologic deficits affecting shoulder functioning during daily activities
- Pain or disorders of the cervical spine, elbow, wrist, or hand
- Other pathological conditions involving the shoulder (rotator cuff tear, tendinitis, etc.)
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Physical therapy department, Qari Hospital, Okara.
Okara, Punjab Province, 56300
Muhammad Salman Bashir, PhD, +923334497959, salman.bashir@riphah.edu.pk
Asnia Javed, MSPT-OM
About this study
Official title: Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises on Pain, Function, Scapular Dyskinesia and Proprioception in Patients With Adhesive Capsulitis.
The objective of this study will be to determine the Effects of conventional physical therapy with and without scapular stabilization exercises on pain, function, scapular dyskinesia, and proprioception in patients with adhesive capsulitis.
Read the detailed description
Adhesive capsulitis is characterized by the gradual onset of severe shoulder pain with the progressive limitation of active and passive glenohumeral range of motion. Due to capsular tightness and pain, scapular positioning and proprioception get affected. An increase in the abnormal positioning of the scapula and proprioception deficit disturbs the whole biomechanics of the shoulder joint and are the main causes of residual pain and stiffness following PT treatment.
In previous studies, several studies have reported the effects of scapular stabilization exercises on pain, ROM, and function but there is a paucity of literature available on specifically addressing scapular dyskinesis and joint position sense in patients with adhesive capsulitis. Scapular stabilization techniques will help to improve proprioception and the length-tension relationship of the scapular muscles, which may effectively reduce the time taken for the rehabilitation of the patient with adhesive capsulitis of the shoulder joint.
- Conditions
- Adhesive Capsulitis
- Being tested
- conventional physiotherapy, scapular stabilization exercises along with conventional physiotherapy
- Keywords
- adhesive capsulitis, scapular dyskinesis, proprioception, scapular stabilization exercises
- Medical subject headings
- Bursitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
conventional physiotherapyOther
Hot pack, TENS, and therapeutic ultrasound will be applied for 10 minutes. Then glides will be given 30 x 3 times in grades III and IV. The rest of the exercises will be prescribed as 3 sets for 10 repetitions with 2 minutes of rest between sets for 6 weeks with respect to 3 sessions per week.
scapular stabilization exercises along with conventional physiotherapyOther
Each stretch will be repeated 3 times. Each active exercise will be progressed from 3 sets of 10 reps to 3 sets of 15 reps. If the subject easily completed 3 sets of 15 reps of active exercise, they will go on to resisted exercises. These will be performed once a day, for 6 weeks, 3 sessions per week.
| Study group | Role | What they receive |
|---|---|---|
| conventional physiotherapy | Active comparator | 15 patients will receive conventional physiotherapy including a hot pack, TENS, therapeutic ultrasound, shoulder anteroposterior, posteroanterior, and inferior glides followed by active and active-assisted range of motion exercises, isometric exercises, Codman's pendulum exercises, wand, pulley, and finger ladder exercises. Receives: Other: conventional physiotherapy |
| scapular stabilization exercises along with conventional physiotherapy | Experimental | 15 participants will receive conventional treatment along with scapular stabilization exercises program consisting of strengthening exercises (Middle Trapezius, Lower Trapezius, Serratus Anterior, and Rhomboid Muscles) and stretching exercises (Pectoralis Minor, Levator Scapulae, Upper Trapezius, Teres Major). Appropriate exercises will be given to patients according to the type of Scapular Dyskinesia. Receives: Other: scapular stabilization exercises along with conventional physiotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
NPRS for pain
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Measured: 6th week
Bubble inclinometer for shoulder ROM and JPS
A bubble Inclinometer is used for measuring the range of motion and joint position sense in patients.
Measured: 6th week
SPADI for pain and disability
Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty.
Measured: 6th week
LSST for static scapular movement
A lateral scapular slide test is used to assess scapular position in shoulder pathologies.
Measured: 6th week
SDT for dynamic scapular movement
The scapular dyskinesia test is used to measure dynamic scapular movement.
Measured: 6th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jun 2022
- Study startJun 2022 (estimated)
- Primary completion1 Jan 2023 (estimated)
- Study completion1 Jan 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (12)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 Riphah International UniversityThe 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Muhammad Salman Bashir, PhD, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05403918
- Sponsor's protocol ID
- REC/RCR & AHS/22/0119
- Status last verified
- May 2022
- First submitted
- 31 May 2022
- Last updated
- 3 Jun 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Gulwani AH. A study to find out the effect of scapular stabilization exercises on shoulder ROM and functional outcome in diabetic patients with stage 2 adhesive capsulitis of the shoulder joint - An interventional study. International Journal of Science and Healthcare Research. 2021;Vol.5(Issue: 2).
Rajpurohit B, Anap D. Scapular dyskinesis among patients with shoulder dysfunction-A Cross Sectional Study. VIMS JOURNAL OF PHYSICAL THERAPY. 2021;3(1).
Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.
PubMed 31430250Ager AL, Borms D, Bernaert M, Brusselle V, Claessens M, Roy JS, Cools A. Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review. J Sport Rehabil. 2020 Jul 31;30(1):136-151. doi: 10.1123/jsr.2019-0400.
PubMed 32736342Bhale AA, Wani SK. Evaluation of shoulder kinesthesia in patients with unilateral frozen shoulder. 2019.
Turgut E, Duzgun I, Baltaci G. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2017 Oct;98(10):1915-1923.e3. doi: 10.1016/j.apmr.2017.05.023. Epub 2017 Jun 24.
PubMed 28652066Tang L, Chen K, Ma Y, Huang L, Liang J, Ma Y. Scapular stabilization exercise based on the type of scapular dyskinesis versus traditional rehabilitation training in the treatment of periarthritis of the shoulder: study protocol for a randomized controlled trial. Trials. 2021 Oct 18;22(1):713. doi: 10.1186/s13063-021-05654-2.
PubMed 34663424Kim JT, Kim SY, Oh DW. An 8-week scapular stabilization exercise program in an elite archer with scapular dyskinesis presenting joint noise: A case report with one-year follow-up. Physiother Theory Pract. 2019 Feb;35(2):183-189. doi: 10.1080/09593985.2018.1442538. Epub 2018 Feb 26.
PubMed 29482465Nodehi Moghadam A, Rahnama L, Noorizadeh Dehkordi S, Abdollahi S. Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials. J Shoulder Elbow Surg. 2020 Jan;29(1):e29-e36. doi: 10.1016/j.jse.2019.05.037. Epub 2019 Aug 13.
PubMed 31420226Krantz R, Rasmussen-Barr E. The Swedish version of the Lumbar Spine Instability Questionnaire: A clinimetric study of validity and reliability. Physiother Theory Pract. 2023 Jan;39(1):154-162. doi: 10.1080/09593985.2021.1999353. Epub 2021 Nov 1.
PubMed 34724863Shadmehr A, Sarafraz H, Heidari Blooki M, Jalaie SH, Morais N. Reliability, agreement, and diagnostic accuracy of the Modified Lateral Scapular Slide test. Man Ther. 2016 Aug;24:18-24. doi: 10.1016/j.math.2016.04.004. Epub 2016 Apr 19.
PubMed 27317502Christiansen DH, Moller AD, Vestergaard JM, Mose S, Maribo T. The scapular dyskinesis test: Reliability, agreement, and predictive value in patients with subacromial impingement syndrome. J Hand Ther. 2017 Apr-Jun;30(2):208-213. doi: 10.1016/j.jht.2017.04.002. Epub 2017 May 29.
PubMed 28571725
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises on Pain, Function, Scapular Dyskinesia and Proprioception in Patients With Adhesive Capsulitis.
- ClinicalTrials.gov ID
- NCT05403918
- Acronym / sponsor ID
- REC/RCR & AHS/22/0119
- Conditions
- Adhesive Capsulitis
- Keywords
- adhesive capsulitis, scapular dyskinesis, proprioception, scapular stabilization exercises
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- Jun 2022 (estimated)
- Primary completion
- 1 Jan 2023 (estimated)
- Study completion
- 1 Jan 2023 (estimated)
- First posted
- 3 Jun 2022 (actual)
- 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 objective of this study will be to determine the Effects of conventional physical therapy with and without scapular stabilization exercises on pain, function, scapular dyskinesia, and proprioception in patients with adhesive capsulitis.
Detailed description
Adhesive capsulitis is characterized by the gradual onset of severe shoulder pain with the progressive limitation of active and passive glenohumeral range of motion. Due to capsular tightness and pain, scapular positioning and proprioception get affected. An increase in the abnormal positioning of the scapula and proprioception deficit disturbs the whole biomechanics of the shoulder joint and are the main causes of residual pain and stiffness following PT treatment.
In previous studies, several studies have reported the effects of scapular stabilization exercises on pain, ROM, and function but there is a paucity of literature available on specifically addressing scapular dyskinesis and joint position sense in patients with adhesive capsulitis. Scapular stabilization techniques will help to improve proprioception and the length-tension relationship of the scapular muscles, which may effectively reduce the time taken for the rehabilitation of the patient with adhesive capsulitis of the shoulder joint.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| conventional physiotherapy | Active comparator | Other: conventional physiotherapy15 patients will receive conventional physiotherapy including a hot pack, TENS, therapeutic ultrasound, shoulder anteroposterior, posteroanterior, and inferior glides followed by active and active-assisted range of motion exercises, isometric exercises, Codman's pendulum exercises, wand, pulley, and finger ladder exercises. |
| scapular stabilization exercises along with conventional physiotherapy | Experimental | Other: scapular stabilization exercises along with conventional physiotherapy15 participants will receive conventional treatment along with scapular stabilization exercises program consisting of strengthening exercises (Middle Trapezius, Lower Trapezius, Serratus Anterior, and Rhomboid Muscles) and stretching exercises (Pectoralis Minor, Levator Scapulae, Upper Trapezius, Teres Major). Appropriate exercises will be given to patients according to the type of Scapular Dyskinesia. |
Who may qualify
- Ages
- 30 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Diagnosis of idiopathic adhesive capsulitis for more than 4 months (Stage 2)
- Unilateral idiopathic adhesive capsulitis
- Shoulder Pain on NPRS ≥5
- Restricted ROM (loss of ≥ 25% relative to non-involved shoulder in one or multidirectional)
- Patients volunteered to participate in the study and signed informed consent.
Key exclusion criteria (5 listed)
- History of shoulder surgery or manipulation under anesthesia
- Unstable fractures, rheumatoid arthritis and those with severe joint pain unrelieved by rest
- Neurologic deficits affecting shoulder functioning during daily activities
- Pain or disorders of the cervical spine, elbow, wrist, or hand
- Other pathological conditions involving the shoulder (rotator cuff tear, tendinitis, etc.)
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 |
|---|---|---|
| conventional physiotherapyHot pack, TENS, and therapeutic ultrasound will be applied for 10 minutes. Then glides will be given 30 x 3 times in grades III and IV. The rest of the exercises will be prescribed as 3 sets for 10 repetitions with 2 minutes of rest between sets for 6 weeks with respect to 3 sessions per week. | Other | conventional physiotherapy |
| scapular stabilization exercises along with conventional physiotherapyEach stretch will be repeated 3 times. Each active exercise will be progressed from 3 sets of 10 reps to 3 sets of 15 reps. If the subject easily completed 3 sets of 15 reps of active exercise, they will go on to resisted exercises. These will be performed once a day, for 6 weeks, 3 sessions per week. | Other | scapular stabilization exercises along with conventional physiotherapy |
Primary outcome
NPRS for pain
Time frame: 6th week
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Bubble inclinometer for shoulder ROM and JPS
Time frame: 6th week
A bubble Inclinometer is used for measuring the range of motion and joint position sense in patients.
SPADI for pain and disability
Time frame: 6th week
Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty.
LSST for static scapular movement
Time frame: 6th week
A lateral scapular slide test is used to assess scapular position in shoulder pathologies.
SDT for dynamic scapular movement
Time frame: 6th week
The scapular dyskinesia test is used to measure dynamic scapular movement.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2022.
- BackgroundGulwani AH. A study to find out the effect of scapular stabilization exercises on shoulder ROM and functional outcome in diabetic patients with stage 2 adhesive capsulitis of the shoulder joint - An interventional study. International Journal of Science and Healthcare Research. 2021;Vol.5(Issue: 2).
- BackgroundRajpurohit B, Anap D. Scapular dyskinesis among patients with shoulder dysfunction-A Cross Sectional Study. VIMS JOURNAL OF PHYSICAL THERAPY. 2021;3(1).
- Background: PubMed 31430250Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.
- Background: PubMed 32736342Ager AL, Borms D, Bernaert M, Brusselle V, Claessens M, Roy JS, Cools A. Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review. J Sport Rehabil. 2020 Jul 31;30(1):136-151. doi: 10.1123/jsr.2019-0400.
- BackgroundBhale AA, Wani SK. Evaluation of shoulder kinesthesia in patients with unilateral frozen shoulder. 2019.
- Background: PubMed 28652066Turgut E, Duzgun I, Baltaci G. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2017 Oct;98(10):1915-1923.e3. doi: 10.1016/j.apmr.2017.05.023. Epub 2017 Jun 24.
- Background: PubMed 34663424Tang L, Chen K, Ma Y, Huang L, Liang J, Ma Y. Scapular stabilization exercise based on the type of scapular dyskinesis versus traditional rehabilitation training in the treatment of periarthritis of the shoulder: study protocol for a randomized controlled trial. Trials. 2021 Oct 18;22(1):713. doi: 10.1186/s13063-021-05654-2.
- Background: PubMed 29482465Kim JT, Kim SY, Oh DW. An 8-week scapular stabilization exercise program in an elite archer with scapular dyskinesis presenting joint noise: A case report with one-year follow-up. Physiother Theory Pract. 2019 Feb;35(2):183-189. doi: 10.1080/09593985.2018.1442538. Epub 2018 Feb 26.
- Background: PubMed 31420226Nodehi Moghadam A, Rahnama L, Noorizadeh Dehkordi S, Abdollahi S. Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials. J Shoulder Elbow Surg. 2020 Jan;29(1):e29-e36. doi: 10.1016/j.jse.2019.05.037. Epub 2019 Aug 13.
- Background: PubMed 34724863Krantz R, Rasmussen-Barr E. The Swedish version of the Lumbar Spine Instability Questionnaire: A clinimetric study of validity and reliability. Physiother Theory Pract. 2023 Jan;39(1):154-162. doi: 10.1080/09593985.2021.1999353. Epub 2021 Nov 1.
- Background: PubMed 27317502Shadmehr A, Sarafraz H, Heidari Blooki M, Jalaie SH, Morais N. Reliability, agreement, and diagnostic accuracy of the Modified Lateral Scapular Slide test. Man Ther. 2016 Aug;24:18-24. doi: 10.1016/j.math.2016.04.004. Epub 2016 Apr 19.
- Background: PubMed 28571725Christiansen DH, Moller AD, Vestergaard JM, Mose S, Maribo T. The scapular dyskinesis test: Reliability, agreement, and predictive value in patients with subacromial impingement syndrome. J Hand Ther. 2017 Apr-Jun;30(2):208-213. doi: 10.1016/j.jht.2017.04.002. Epub 2017 May 29.
- Individual participant dataSharing planned: No
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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.
Muhammad Salman Bashir, PhD principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing conventional physiotherapy and scapular stabilization exercises along with conventional physiotherapy in people with Adhesive Capsulitis, run by Riphah International University at 1 site in Pakistan.
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 5 inclusion and 5 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: status not confirmed, as of the sponsor's last update on 3 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Imran Amjad, PhD (03324390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
NPRS for pain (time frame: 6th week). The study lists 5 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 NCT05403918, which also lists 12 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 3 Jun 2022.