C5-C6 and Thoracic Spine Mobilization With Postural Correction Exercise Compared With Conventional Therapy in Patients With Adhesive Capsulitis - A Two-group, Parallel-arm, Single-blinded, Randomized Clinical Trial
Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
Adhesive capsulitis (AC) is often self-limited but can persist for years and may never fully resolve. The most effective treatment for adhesive capsulitis is uncertain till date. Though neural links are being studied on one side and postural alteration too was postulated to cause shoulder pathology. However, the effectiveness of C5-C6 and thoracic spine mobilization with postural correction remains unexplored in the treatment of AC. This study aimed to investigate whether C5-C6 and thoracic spine mobilization with postural correction are more effective than conventional therapy in pain, range of motion(ROM), and disability in patients with AC. The outcome of the study must provide valid information to enhance the prognostic value of adhesive capsulitis.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 27
Maximum Age: 70
Healthy Volunteers: f
View:
• Patients diagnosed with AC \& a Positive for Apley's scratch test.
• Adhesive capsulitis (with symptoms for at least three months and less than 12 months\[18\]
• Both Gender
• Age 27-70
• Sleep-disturbing night pain
Locations
Other Locations
United Arab Emirates
Thumbay Hospital
RECRUITING
Ajman
Sharad
RECRUITING
Al Jurf
Contact Information
Primary
Watson Arulsingh D R, PhD
dr.watson@gmu.ac.ae
+971505708763
Backup
Rania Zaarour
dr.rania@gmu.ac.ae
+971 6 7431333
Time Frame
Start Date:2024-02-22
Estimated Completion Date:2025-02-28
Participants
Target number of participants:66
Treatments
Experimental: Group receives C5-C6 and thoracic spine mobilization with postural correction
The patient will be made to lie in a prone position with the therapist beside her/his height- adjusted couch. Then the therapist who is certified to provide manual therapy will impart grade III+ posterior-to-anterior mobilization/lateral glide according to Maitland class cation focused on the cervical spine, C5-6 segment for 3 bouts of 30 seconds/2 days in a week for 3 weeks. Followed by the patient will be permitted to rest for a few minutes less than 10 minutes before starting the thoracic mobilisation. Thoracic mobilisation will be administered both at central and unilateral postero-anterior passive accessory intervertebral motions (PAIVMs) based on manual therapy evaluation at the thoracic spine.
Active_comparator: Group receives conventional therapy
Controls will receive ultrasound therapy, passive shoulder mobilisation focussed at Glenohumeral joint, self-stretching exercises and patient education by qualified therapist according to clinical practice guidelines while the experimental group underwent spine mobilization with postural correction exercises for 3 weeks.