Gong Mobilization With and Without Thoracic Manipulation in Patients With Adhesive Capsulitis

Riphah International University36 enrolled

Overview

The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Adhesive Capsulitis

Interventions

Gong mobilizationOTHER

Gong mobilization was applied on affected shoulder joint in which distraction is applied followed by corrective AP force. Patient performs abduction and then prolong stretching of 7 seconds. It takes 2 to 3 minutes and is applied for three sessions per week for 4 weeks.

Thoracic manipulationOTHER

Thoracic manipulation was applied in prone position. Low amplitude high velocity thrust was applied at the end of available range at T4 and T5 after complete exhalation by the patient. intervention is applied for 3 times per week for 4 weeks.

Conventional therapyOTHER

Conventional therapy includes heat therapy for 8 minutes, TENS for 20 mins. Stretches of posterior capsule, serratus anterior, pectoralis major and minor along with Codman exercises.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age between 40 and 60 years * Both male and female * Clinically diagnosed with stage 2 frozen shoulder * Hypomobility of the thoracic spine * Unilateral or bilateral frozen shoulder with pain lasting for more than 3 month * Shoulder ROM limited with a flexion \<165°, abduction \<150°, or external rotation \<45°, restricted capsular pattern . * Positive shoulder shrug sign Exclusion Criteria: * Shoulder Arthritis * Thoracic outlet syndrome * Metabolic bone disease in the shoulder * Neoplastic bone disease in the shoulder * Osteoporosis and Osteomyelitis * Arm fracture, torn ligament around the shoulder joint, and shoulder surgery * Rheumatoid arthritis

Locations (1)

Hassan Medical Clinic

Kasur, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Numeric Pain Rating Scale (NPRS)

The Numerical Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess the intensity of pain. Patients were asked for their pain intensity and then mark the number on the line according to their pain perception. The categorical variables of the NPRS are, none for 0, mild for value 1-5, moderate for 6-7 and severe for 8-10.

Time frame: From enrollment to the end of treatment at 4 weeks

SPADI-U

SPADI-U is a self-reported shoulder-specific outcome questionnaire by the evaluation of subjective clinical outcome measures. SPADI-U is an Urdu translated version of SPADI for cultural adaptation. It has a total of 13 items with 5 items related to pain and 8 items related to disability. The maximum score of SPADI-U is the same to that of SPADI i.e. 13. The scoring system includes the sum of all attempted questions divided by the maximum score and the multiply by 100 to find in percentage. Five items are designed to quantify pain, and eight items cover the disability measures of a patient with shoulder pathology.

Time frame: from enrollment to the end of treatment at 4 weeks

Secondary Outcomes

Shoulder flexion ROM

Changes in shoulder flexion ROM at baseline and 4 weeks was measured using Goniometer

Time frame: From enrollment till end of treatment at 4 weeks

Shoulder Abduction ROM

Changes in shoulder abduction ROM at baseline and 4 weeks was measured using Goniometer

Time frame: From enrollment till end of treatment at 4 weeks

Shoulder internal rotation ROM

Changes in shoulder Internal rotation ROM at baseline and 4 weeks was measured using Goniometer

Time frame: from enrollment till end of treatment at 4 weeks

Data from ClinicalTrials.gov

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