NCT05325255

Effect of Myofascial Release of Subscapularis Along With Shoulder Mobilization in Adhesive Capsulitis

Effect of Myofascial Release of Subscapularis Along With Shoulder Mobilization Versus Shoulder Mobilization Alone in Adhesive Capsulitis

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 70 (estimated)
• Sponsor: Dow University of Health Sciences · Academic / Other
• Sex: All
• Age: 40 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

This randomized control trial aims to compare the effect of myofascial release of subscapularis along with shoulder mobilization VS mobilization alone among patients with adhesive capsulitis. The study will be conducted at physiotherapy outpatient department (OPD) of Sindh Institute of physical medicine and rehabilitation, and Dow University Ojha Campus, Karachi. According to study criteria, 70 patients with sub-acute adhesive capsulitis will be selected through a non-randomized purposive sampling technique by a consultant physician. After taking informed consent, participants will be randomly divided into 2 groups through the sealed envelope method. Both the groups will receive conventional treatment while Group 1 will be given an additional treatment of myofascial release of subscapularis through ischemic compression technique. Total 6 treatment sessions will be provided and assessment will be done at baseline and end of the 6th session.

Detailed description

The sample size of 31 per group was determined using planning and specification software (PASS) version 15 software based on two independent sample t-test using 95%confidence interval and 80% power of the test. This sample was raised to 35 per group with 4 patients as drop out per group. Mean and standard deviation will be calculated for the quantitative variables while frequency and percentages will be calculated for qualitative variables. Inter-group comparison at baseline will be calculated using an independent sample t-test. The mean difference between both the techniques in terms of numeric pain rating scale (NPRS), range of motion (ROM), shoulder pain and disability index (SPADI), and pain pressure threshold(PPT) will be determined using Repeated measure 2-way ANOVA.

Conditions

• Adhesive Capsulitis of Shoulder

Interventions

Type	Name	Description
OTHER	Myofascial release of subscapularis	It is the application of manual pressure over myofascial trigger point that induces ischemia and causes release of trigger points
OTHER	Maitland mobilization	It is the type of mobilization technique that uses passive accessory mobilization to reduce pain and stiffness and increasing range of motion
OTHER	Stretching exercises	It is the technique use to increase flexibility and range of motion of short and hypomobile structures
OTHER	Cold pack	It is the application of cold to provide analgesic effects

Timeline

• Start date: 2022-04-26
• Primary completion: 2023-04-30
• Completion: 2023-04-30
• First posted: 2022-04-13
• Last updated: 2023-02-16

Locations

2 sites across 1 country: Pakistan