Bowen Technique Versus Dynamic Soft Tissue Mobilization on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis

Обзор

A randomized controlled trial included 72 patients diagnosed with adhesive capsulitis will conduct in University of Lahore Teaching Hospital. The study will complete within 9 months after the approval of synopsis. Patients who fulfilled the inclusion criteria will identified by individual physiotherapist and will enrolled for particular study. Informed written consent will be taken by the patients and will randomly allocated into two groups. The total numbers of sessions will 12 (3 sessions per week). The study will single blinded. The assessor will unaware of the treatment given to both groups. Control group received routine physical therapy with dynamic soft tissue mobilization technique. thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week. Experimental group received routine physical therapy along with Bowen technique. This includes thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week

Подробное описание

A randomized controlled trial will conduct at the UOL Teaching Hospital. Seventy-two diabetic patients aged 50-80 years with Grade 2 or 3 adhesive capsulitis will be divided into two groups at random: Bowen therapy will administered to Group A with routine physiotherapy, and Group B received DSTM with routine physiotherapy. Both interventions will delivered twice weekly for six weeks. Pain (VAS and SPADI Pain), ROM (flexion, abduction, external rotation), as well as functional impairment (SPADI Disability and Total Score) wil be assessed at baseline, week 3, and week 6.

Вмешательства

• Другое Dynamic soft tissue mobilization
  Begin with gentle heat application or light massage to warm up the tissue for 5 minutes. Assess the range of motion and identify specific areas of tightness and pain. - Use hands or specialized tools to apply sustained pressure to the fascia and underlying muscles, concentrating on the scapular, pectoral, deltoidal, and rotator cuff muscles. Apply specific DSTM techniques to the identified muscles, gradually increasing the intensity as tolerated by the patient. Follow up with gentle stretching a
• Другое Bowen Technique and 3 moves
  As the client sits, take a position across from the shoulder that needs attention. Hold the side you are working on by its forearm. Arrange the forearm so that it is horizontal at about chest level, keeping the elbow at a 90˚ angle and the shoulder apart from the trunk. Move 1: This is an anterior move that involves placing the fingers of the other hand over the midpoint of the triceps and posterior deltoid tendon, which is situated deeper. The ideal way to execute the exercise is to adduct the

Первичные конечные точки

• Change in Visual Analogue Scale score [Срок оценки: Change from preintervention to 6th weeks]
• Change in Universal Goniometer readings [Срок оценки: Change from preintervention to 6th weeks]
• change in Shoulder pain and disability Index (SPADI) [Срок оценки: Change from preintervention to 6th weeks]

Критерии участия

Критерии включения

• Diagnosed patients of 50-80 years of age
• Grade 2 \& 3 (frozen and thawing) adhesive capsulitis
• patients willing to participate in the study
• Only diabetic patients

Критерии исключения

• Major mental health probleme
• Patients who has a history of surgery on the shoulder, other shoulder diseases including a rotator cuff tear, sub acromial impingement syndrome, and a shoulder labral tear
• Patients taking oral or intra-articular steroids and cortisone injection prior 3 months
• Subjects with rotator cuff tears or other shoulder ligament injuries, H/O arthritis related to shoulder, malignancy, adhesive capsulitis secondary to fractures, dislocation, reflex sympathetic dystrophy, neurological disorder

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• UOL Teaching Hospital — Lahore

Публикации

• Hansen C, Taylor-Piliae RE. What is Bowenwork(R)? A systematic review. J Altern Complement Med. 2011 Nov;17(11):1001-6. doi: 10.1089/acm.2010.0023. PMID 22087611
• Aggarwal A, Saxena K, Palekar TJ, Rathi M. Instrument assisted soft tissue mobilization in adhesive capsulitis: A randomized clinical trial. J Bodyw Mov Ther. 2021 Apr;26:435-442. doi: 10.1016/j.jbmt.2020.12.039. Epub 2020 Dec 31. PMID 33992280
• Jusdado-Garcia M, Cuesta-Barriuso R. Soft Tissue Mobilization and Stretching for Shoulder in CrossFitters: A Randomized Pilot Study. Int J Environ Res Public Health. 2021 Jan 12;18(2):575. doi: 10.3390/ijerph18020575. PMID 33445505
• Carter B. A pilot study to evaluate the effectiveness of Bowen technique in the management of clients with frozen shoulder. Complement Ther Med. 2001 Dec;9(4):208-15. doi: 10.1054/ctim.2001.0481. PMID 12184347

Идентификаторы

NCT: NCT07047846 · REC-UOL-/494/08/24 · The University of Lahore

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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