Neural Mobilization and Capsular Stretching in Adhesive Capsulitis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: capsular stretching plus neural mobilization, anterior, inferior and posterior capsular stretching, traditional exercises.
- Who it may be relevant to
- Registry conditions: Adhesive Capsulitis. Basic parameters: 40 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Saudi Arabia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effectiveness of Combined Neural Mobilization Techniques and Capsular Stretching Exercises in Patients With Adhesive Capsulitis.
Overview
Restriction of glenohumeral (GH) mobility in patients with adhesive capsulitis (AC) was known owing to capsular adhesion. There is a little evidence about the involvement of neural restriction in limiting range of motion (ROM) of the GH joint in patients with AC. Objectives: The purpose of this study is to investigate the combined effect of median nerve mobilization and capsular stretching on improving shoulder external rotation, abduction and internal rotation ROM among patients with AC. Methods Thirty patients will be randomly assigned into two equal groups : Group (A) will receive median nerve mobilization and capsular stretching while Group (B) will receive only capsular stretching (anterior, posterior and anteroinferior capsular stretching). Both groups will receive passive and self-assisted exercises. All patients in both groups will be evaluated pre and post treatment for GH external rotation, abduction and internal rotation ROM.
Interventions
- Other capsular stretching plus neural mobilization
anterior, posterior and inferior capsular stretching and neural mobilization - Other anterior, inferior and posterior capsular stretching
anterior, inferior and posterior glenohumeral capsular stretching - Other traditional exercises
stretching exercises for anterior GH musculture plus auto passive exercises and pendulum exercises
Primary outcome measures
- pain intensity [Time frame: 4 Weeks]
- central sensitization [Time frame: 4 weeks]
Eligibility criteria
Inclusion criteria
- Patients from both gender (male \&female) will be included if they would have second or third stage AC with their age between forty and seventy years
- experiencing pain, capsular adhesions, and a reduction of greater than fifty percentage in passive ROM of the GH joint (external rotation, abduction, and internal rotation compared to the sound side
- lasting for a minimum of three months. Patients with positive upper limb tension test-1 will be also included in this study
Exclusion criteria
- they would have stroke,Parkinson's diseases that interfere with shoulder muscles activity
- diabetes
- traumatic shoulder conditions
- glenohumeral osteoarthritis confirmed by x-ray
- previous surgery, and manipulation of the affected GH joint under general anesthesia
- Patients with passive elbow extension ROM
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Saudi Arabia · 1 center
- Prince Sattam bin Abdulaziz University — Al Kharj
Publications
- Coppieters MW, Butler DS. Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther. 2008 Jun;13(3):213-21. doi: 10.1016/j.math.2006.12.008. Epub 2007 Mar 30. PMID 17398140
- Martinez-Merinero P, Lluch E, Gallezo-Izquierdo T, Pecos-Martin D, Plaza-Manzano G, Nunez-Nagy S, Falla D. The influence of a depressed scapular alignment on upper limb neural tissue mechanosensitivity and local pressure pain sensitivity. Musculoskelet Sci Pract. 2017 Jun;29:60-65. doi: 10.1016/j.msksp.2017.03.001. Epub 2017 Mar 10. PMID 28319883
Identifiers
NCT: NCT07323225 · RHPT/024/009