Идёт набор NCT07747454

Isometric Strengthening Exercises Versus Tens in Diabetic Population

Без фазы С лечением Diabetes Complications

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: Isometric exercise, Transcutaneous electrical nerve stimulation, The conventional exercise program.
Кому может быть актуально: Состояния в реестре: Diabetes Complications. 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: Египет
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

Isometric Strengthening Exercises Versus Tens in Management of Shoulder Pain in Diabetic Population

Обзор

This study aims to compare the effectiveness of Isometric Strengthening Exercises versus Transcutaneous Electrical Nerve Stimulation in the management of shoulder pain among individuals with diabetes mellitus.

Подробное описание

Shoulder pain is a prevalent musculoskeletal issue in individuals with diabetes, linked to chronic hyperglycemia and altered collagen structure, leading to mobility restrictions and impaired quality of life. Despite its commonality, there is limited research on specific physiotherapy interventions, particularly isometric strengthening exercises and transcutaneous electrical nerve stimulation. Investigating these interventions is crucial due to the unique pain thresholds and healing issues in diabetic patients. This study aims to provide evidence on how isometric exercises and Transcutaneous Electrical Nerve Stimulation influence pain modulation and functional recovery, potentially optimizing rehabilitation strategies. The findings could support non-pharmacological treatments, reduce reliance on analgesics, and improve patient outcomes in managing shoulder pain in diabetic populations.

Вмешательства

Другое Isometric exercise
Isometric shoulder exercises include flexion, extension, abduction, internal and external rotation. The protocol involves holding each position for 10 seconds, resting for 5 seconds, and performing 10 repetitions in 3 sessions per week over 6 weeks. Each exercise begins from a standing position with the elbow bent at 90 degrees and a towel used for support against a wall or door frame, ensuring minimal movement and maintaining good posture throughout.
Другое Transcutaneous electrical nerve stimulation
Transcutaneous electrical nerve stimulation Application Parameters: * Frequency: 80-100 Hertz * Pulse duration: 100-150 microseconds * Duration: 30 minutes * 3 sessions/week for 6 weeks Electrodes placed over the anterior and posterior shoulder.
Другое The conventional exercise program
1. Ultrasound Therapy: Administered at 3 MHz and 1.4 W/cm² for 5 minutes to improve shoulder tissue extensibility and blood circulation before exercises. 2. Codman's Pendular Exercises: Gentle passive mobilization of the glenohumeral joint is performed by allowing the affected arm to hang, aiming to reduce stiffness and pain. 3. Range of motion Exercises: Conducted within a pain-free range, progressively increasing intensity to encourage compliance. 4. Finger Ladder Exercise: Active-assisted tec

Первичные конечные точки

Assessment of shoulder range of motion [Срок оценки: At baseline and after 6 weeks]

Вторичные конечные точки (2)

assessment of pain intensity [Срок оценки: At baseline and after 6 weeks]
assessment of activity of daily living of the upper limb [Срок оценки: At baseline and after 6 weeks]

Критерии участия

Критерии включения

Age between 40-65 years, diagnosed as type 2 diabetes mellitus for at least 5 years
Clinical diagnosis of unilateral frozen shoulder in the painful or stiff stage.
Limitation of passive and active range of motion in external rotation, abduction, and flexion.
Shoulder pain for at least 3 months.