Идёт набор NCT06530602

3-Dimensional Shoulder Complex Pain Alignment (3-D SPA) Mobilization on Frozen Shoulder.

Без фазы С лечением Frozen Shoulder

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: 3 D SPA (shoulder complex pain alignment) Moblization, Shoulder Moblization (KaltenBorn).
Кому может быть актуально: Состояния в реестре: Frozen Shoulder. Базовые параметры: 40 лет — 65 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Пакистан
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Effect of 3-Dimensional Shoulder Complex Pain Alignment (3-D SPA) Mobilization on Frozen Shoulder.

Обзор

Ongoing research aims to assess the enhancement of shoulder mobility by specifically addressing restrictions in all three planes of movement. current studies seek to investigate the impact of three-dimensional mobilization technique on their recovery and to prevent progression of disease to reduce pain, alleviate muscle tightness, facilitate tissue healing, and ultimately improve the range of motion in patients. A randomized control trial that will include total 36 participants. The first group will receive 3 Dimensional shoulder pain alignment (3-D SPA) mobilization along with conventional therapy and 2nd group will receive Shoulder mobilization along with conventional therapy. Data collected will be analyzed through SPSS 27.

Подробное описание

Decrease capacity of non contractile tissue ( such as joint capsule ) inflammation of capsule and ligament adhesion affects the shoulder joint, triggering stiffness and pain in Frozen shoulder. About 2% to 5% of the general population reported frozen shoulder without well known cause defined ,out of which Female patients 35 - 65 years of age.

hindrance in quality of life reported with performance of basic activities of daily living due to pain that worsen with movement and specifically at night , stiffness that cause mobility deficit.70% of female population are prone to get frozen shoulder. When reaching overhead, the arm is lifted by movements in the sternoclavicular , acromioclavicular (AC), scapulothoracic (ST), and gleno-humeral joints while overhead activities got limited in frozen shoulder.

Abnormal glenohumeral rhythm at scapulothoracic joint by posterior tilting of scapula and early upward motion of scapula occur. hence a capsular pattern developed in patient that comprise of External rotation, Abduction and Internal rotation.

Physiotherapy encompassed variety of treatment protocols for frozen shoulder including therapeutic modalities and manual therapy technique's consisting moblization, muscle energy techniques ,spencer's technique ,PNF and some of invasive treatments dry needling and therapeutic exercises.

3 D SPA is latest technique with no literature available for this to be applied to check its effectiveness on frozen shoulder rather it merely applied for post stroke shoulder pain prior in clinical setting . In group A 3-D SPA Moblization is employed that target moblization of AC joint (mobilizing it upward posteriorly) synchronously Scapula mobilized (abduction-adduction, anterior-posterior tilting) with glenohumeral Active motion in (flexion, horizontal abduction, horizontal adduction \& External Internal rotation) all at once in all 3 planes frontal, sagittal, transverse plane while kaltenborn mobilization in anterior, posterior and inferior direction that is employed in group B, that has been a treatment of choice over the time is effective to treat frozen shoulder.

the study aim to evaluate the effect of 3-Dimensional Shoulder complex Pain Alignment (3-D SPA) mobilization technique on pain, disability, Range of Motion and quality of life.

Вмешательства

Другое 3 D SPA (shoulder complex pain alignment) Moblization
3 per week, mobilization for 5 mins and 30 min session for total 3 weeks , exercises 3 sets for 10 repetitions.
Другое Shoulder Moblization (KaltenBorn)
3 per week, mobilization for 5 mins and 30 min session for total 3 weeks , exercises 3 sets for 10 repetitions.

Первичные конечные точки

Shoulder Pain and Disability Index [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in Flexion [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in Extension [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in abduction [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in Horizontal abduction [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in adduction [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in horizontal adduction [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in Internal rotation [Срок оценки: 3rd week]
Measure Shoulder Range of Motion in External rotation [Срок оценки: 3rd week]
Visual Analysis Scale [Срок оценки: 3rd week]

Вторичные конечные точки (2)

WHOQoL-BREF [Срок оценки: 3rd week]
Apley's Scratch Test [Срок оценки: 3rd week]

Критерии участия

Критерии включения

Local shoulder pain, often present either above the antero-medial and Lateral aspect of the shoulder.
Stage II\& III unilateral frozen shoulder Symptoms.
Marked loss Of AROM \& PROM with at least 50%loss of external rotation.
Positive Apley's Scratch test.