About this trial
To compare the effects of spencer and reverse distraction technique in patients with adhesive capsulitis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age group 40-60 years
Male and female
Positive Capsular pattern (ER more limited than Abd which is more limited than IR)
Limitation in shoulder ROM ; Flexion <180 , Abduction <180 , External Rotation <50
Disqualifiers
History of surgery of the affected shoulder
Fractures in around the shoulder
Neurological disorders leading to altered muscle activity
Systemic arthritic conditions (RA, Osteoporosis)
Trial design
Parallel
Treatments tested in this trial
Spencer technique
Procedure/SurgeryNo of repetitions; 3 sets for 10 repetitions with 1 minute rest between sets No Of Sessions Per Week: 3 Per Weeks for 6 weeks (40 Min per Session)
reverse distraction technique
Procedure/SurgeryNo of repetitions; 10 ( Shoulder Abduction)10 ( Shoulder Flexion) 10 (Shoulder External Rotation) No Of Sessions Per Week: 3 Per Weeks for 6 weeks (40 Min Per Session)
Treatment groups
Trial outcomes
Primary outcomes
pain : numerical pain rating scale
Patients' overall assessment of pain will be provided using the numeric pain rating scale (NPRS). The NPRS is known to be a sensitive and reliable scale for clinical and experimental evaluation of pain intensity. The score ranges from 0, indicating no pain, to 10, expressing worst imaginable pain. The reliability of numeric pain rating scale (NPRS) is 0.92 (0.87, 0.95).
range of motion : universal goniometer
Universal Goniometer is the most commonly utilised clinical tool for measuring joint range of motion due to its ease of use, low cost, and demonstrated reasonable levels of reliability and validity in numerous studies. Validity and intertester reliability (r =.97-.98; ICC =.98-.99) are both high
shoulder pain and impairment : SPADI
The SPADI consists of 13 items that assess two domains: a 5-item subscale for pain and an 8-item subscale for disability. The SPADI has since been used in both primary care on mixed diagnosis and surgical patient populations including rotator cuff disease, osteoarthritis, and rheumatoid arthritis, adhesive capsulitis ,joint replacement surgery , and in a large population-based study of shoulder symptoms (37). Reliability- 0.89, Validity - 0.90
36-Item Short Form Health Survey questionnaire (SF-36)
The 36-Item Short Form Health Survey questionnaire (SF-36) is a very popular instrument for evaluating Health-Related Quality of Life. The ICC for SF-36 PF is (0.96, 95% CI 0.92-0.98) so it's a reliable test.
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