Elhafez Technique Combined With Dynamic Scapulohumeral Mobilization in Shoulder Adhesive Capsulitis

Haytham M Elhafez90 enrolled

Overview

Elhafez Technique Combined with Dynamic Scapulohumeral Mobilization in Adhesive Capsulitis

Elhafez Technique is an emerging rehabilitation approach that integrates axillary ultrasound, axillary laser therapy, and post-isometric facilitation (PIF) to target capsular stiffness, inflammation, and neuromuscular dysfunction. These techniques aim to enhance tissue healing, improve joint mobility, and reduce pain. When combined with Dynamic Scapulohumeral Mobilization (DSM), which focuses on restoring scapular control and shoulder joint biomechanics, this comprehensive approach may offer superior outcomes compared to conventional treatments. This study aims to evaluate the biomechanical and functional effects of combining Elhafez Technique with DSM in patients with shoulder adhesive capsulitis. By assessing pain levels, ROM, and functional recovery, this research seeks to determine whether this combined intervention provides faster and more effective relief for patients suffering from this condition.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Adhesive Capsulitis of the Shoulder

Interventions

Laser and ultrasoundOTHER

Laser and ultrasound will be applied in group A as traditional method. On the other hand they will applied axillary in experimental groups

Eligibility

Sex: ALLMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria 1. Adults aged 30-60 years diagnosed with Stage 2 (Frozen) or Stage 3 (Thawing) Shoulder Adhesive Capsulitis based on American Shoulder and Elbow Surgeons (ASES) guidelines. 2. Pain score ≥4/10 on the Visual Analog Scale (VAS) for at least 3 months. 3. Restricted external rotation of ≥25% compared to the unaffected shoulder. 4. No prior shoulder injections, surgery, or physiotherapy within the last 3 months. Exclusion Criteria 1. History of shoulder fractures, rotator cuff tears, or labral injuries. 2. Systemic inflammatory conditions (e.g., Rheumatoid Arthritis, Uncontrolled Diabetes). 3. Neurological disorders affecting the shoulder (e.g., Stroke, Parkinson's Disease). 4. Current participation in another physiotherapy intervent

Locations (1)

Faculty of Physical Therapy

Giza, Giza Governorate, Egypt

Outcomes

Primary Outcomes

Range of motion

Flexion, abduction and external rotation of the shoulder jooint

Time frame: From enrollment to the end of treatment at 6 weeks

Secondary Outcomes

Functional activities

DASH will be used

Time frame: From enrollment to the end of treatment at 6 weeks

Data from ClinicalTrials.gov

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