Additional Effects of Niel-asher Technique on Patients With Adhesive Capsulitis
ConditionAdhesive Capsulitis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-60
SponsorRiphah International University
About this trial
The aim of this randomized controlled trial is to find the additional effects of Niel-Asher technique along with sleeper stretch and conventional physical therapy on pain, shoulder ranges of motion and functional disability in patients with Adhesive capsulitis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 40-60 years
Both Genders: Male and Female
Patient falls under diagnostic criteria for adhesive capsulitis which is Painful and limited active and passive glenohumeral ROM in capsular pattern (external rotation> abduction> internal rotation)
Patient diagnosed with adhesive capsulitis by orthopedic or general physician
Disqualifiers
Spinal Injuries and any other co- morbidity
Any surgery, infection, trauma, pregnancy, fracture and fall
Patient with intra articular steroidal therapy with in last 6 months
Patient unwilling to comply follow up schedule
Trial design
Design model
Parallel
Treatments tested in this trial
Niel-Asher Technique + sleeper stretch
Other interventionNiel-Asher Technique, Manual Soft Tissue releaser, Neuro-muscular release technique for adhesive capsulitis ( This manual technique will be applied for 3 days a week for 4 weeks).Sleeper stretch will be applied passively by investigator, pressure of the stretch will be held for 30 seconds (repeated twice with 30 seconds break for 3 days a week) Conventional PT including 1: shoulder anteroposterior, posteroanterior and inferior glides ( 3 times a week for 4 week) 2: active and active assisted ROM exercises of shoulder joint (frequency: 1 set of 10 repetitions twice a day). 3: Shoulder Isometric exercises, Codman's exercises and pulley and finger ladder exercises (frequency: 1 set of 10 repetitions twice a day), 4: trigger points will be released by applying ischemic pressure (90 seconds) on trigger points found in rotator cuff muscles.
sleeper stretch + Conventional Treatment
Other interventionSleeper stretch will be applied passively by investigator, pressure of the stretch will be held for 30 seconds (repeated twice with 30 seconds break for 3 days a week). Conventional PT including 1: shoulder anteroposterior, posteroanterior and inferior glides ( 3 times a week for 4 week) 2: active and active assisted ROM exercises of shoulder joint (frequency: 1 set of 10 repetitions twice a day). 3: Shoulder Isometric exercises, Codman's exercises and pulley and finger ladder exercises (frequency: 1 set of 10 repetitions twice a day) 4: ischemic compression (90seconds hold) on trigger points found in rotator cuff muscles
Treatment groups
36 Participants
are divided into 2 treatment groupsGroup A: Niel-Asher Technique+ sleeper stretch+ Conventional PTOther 1 intervention
Group B: sleeper stretch + Conventional TreatmentOther 1 intervention
Trial outcomes
Primary outcomes
1
Visual Analogue scale VAS
It is a pain rating scale. The findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain. Patient will be asked to verbally report the pain score
Time frame
4 weeks2
Shoulder pain and disability Index (SPADI)
The shoulder pain and disability index (SPADI) was developed to measure Current shoulder pain and disability, it is widely used valid and reliable tool. The SPADI contains 13 items that assess two domains, a 5-item subscale that measures pain and 8-item subscale that measures disability.
Time frame
4 weeks3
Goniometer
A goniometer will be used to measure the range of motion (ROM) of the Shoulder joint. Goniometer is an instrument that measures the available range of motion at a joint
Time frame
4 weeksSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov