Study 1 - Adhesive Capsulitis Study - 110 patients The purpose of this study is to compare treatment of patients with symptoms of adhesive capsulitis, primary and secondary, between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device. Study 2 - Postoperative Shoulder Stiffness Study - 90 patients The purpose of this study is to compare treatment of patients with post-operative stiffness indicative of secondary adhesive capsulitis between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device. Study 3 - Stiffness after MUA Study - enroll all eligible patients (goal of at least 15) The purpose of this study is to compare treatment of patients who have undergone manipulation under anesthesia or lysis of adhesions between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device.
Study 1 - Adhesive Capsulitis Study (AC) Objective: The purpose of this study is to compare treatment efficacy of patients with symptoms of primary and secondary adhesive capsulitis between three groups: 1) Patients treated with Physical Therapy alone; 2) Patients treated with the ERMI Shoulder Flexionater® alone; 3) Patients treated with PT + Device in the treatment. 1. Prospective randomized control trial 2. Sample size - 110 patients 3. Study Groups: 1. Group I - Physical Therapy Only 2. Group II - Flexionater® only 3. Group III - Flexionater® and Physical Therapy 4. Length of study - 2-year follow-up from last enrolled patient Study 2 - Postoperative Shoulder Stiffness Study (POS) Objective: The purpose of this study is to compare treatment efficacy of patients with post-operative stiffness indicative of secondary adhesive capsulitis between three groups: I) Patients treated with Physical Therapy alone; II) Patients treated with the ERMI Shoulder Flexionater® alone; III) Patients treated with PT + Device in the treatment. 1. Prospective randomized control trial 2. Sample size - 90 enrolled patients 3. Study Groups: 1. Group I - Physical Therapy only 2. Group II - Flexionater® only 3. Group III - Flexionater® and Physical Therapy 4. Length of study - 2-year follow-up from last enrolled patient Study 3 - Secondary Surgery Study (SAM) Objective: The purpose of this study is to compare recovery of patients who have undergone a manipulation under anesthesia or a lysis of adhesions between three groups: 1) Patients treated with Physical Therapy alone; 2) Patients treated with the ERMI Shoulder Flexionater® alone; 3) Patients treated with PT + Device in the treatment. 1. Prospective randomized control trial 2. Sample size - 10 enrolled patients 3. Study Groups: 1. Group I Physical Therapy Only 2. Group II - - Flexionater® only 3. Group III - Flexionater® and Physical Therapy 4. Length of study - 2-year follow-up from last enrolled patient
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
210
High Intensity Stretch and Physical Therapy are used either together or alone to treat study arm.
Foundation for Orthopaedic Research and Education
Tampa, Florida, United States
RECRUITINGShoulder Range of Motion Improvement
Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice
Time frame: 3 months
Shoulder Range of Motion
Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice
Time frame: 6 months
Shoulder Range of Motion
Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice
Time frame: 12 months
Shoulder Range of Motion
Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice
Time frame: 24 months
Shoulder Range of Motion
Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice
Time frame: 6 weeks
Shoulder Range of Motion
Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice
Time frame: baseline
VAS (Visual Analog Scale) Pain Score
Visual Analog Scale Pain Score 0 (no pain) - 10 (pain as bad as it can be)
Time frame: 3 months
VAS Pain Score
Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)
Time frame: 6 weeks
VAS Pain Score
Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)
Time frame: 6 months
VAS Pain Score
Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)
Time frame: 12 months
VAS Pain Score
Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)
Time frame: 24 months
VAS Pain Score
Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)
Time frame: baseline
ASES Score
American Shoulder and Elbow Society Score (10 activities of daily living are calculated)
Time frame: baseline
ASES Score
American Shoulder and Elbow Society Score (10 activities of daily living are calculated)
Time frame: 3 month
ASES Score
American Shoulder and Elbow Society Score (10 activities of daily living are calculated)
Time frame: 6 weeks
ASES Score
American Shoulder and Elbow Society Score (10 activities of daily living are calculated)
Time frame: 6 months
ASES Score
American Shoulder and Elbow Society Score (10 activities of daily living are calculated)
Time frame: 12 months
ASES Score
American Shoulder and Elbow Society Score (10 activities of daily living are calculated)
Time frame: 24 months
SST
Simple Shoulder Test
Time frame: Baseline
SST
Simple Shoulder Test
Time frame: 3 month
SST
Simple Shoulder Test
Time frame: 6 weeks
SST
Simple Shoulder Test
Time frame: 6 months
SST
Simple Shoulder Test
Time frame: 12 months
SST
Simple Shoulder Test
Time frame: 24 months
Device Compliance Questionnaire (if applicable)
compliance with Device usage
Time frame: 6 weeks
Device Compliance Questionnaire (if applicable)
compliance with Device usage
Time frame: 3 months
Device Compliance Questionnaire (if applicable)
compliance with Device usage
Time frame: 6 months
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