RecruitingNot ApplicableNCT06668415

Effects of Spencer Technique Following Hydrodilation in Patients With Adhesive Capsulitis

Sponsor

Foundation University Islamabad

Enrollment

30 participants

Start Date

Jul 20, 2024

Study Type

INTERVENTIONAL

Conditions

Adhesive Capsulitis

Summary

Adhesive Capsulitis is a common Musculoskeletal disorder characterized by pain and progressive joint restriction in capsular pattern. Adhesive capsulitis can be managed by both conservative and non conservative treatment. The Spencer technique and hydrodilation are two treatment approaches used to restore range of motion in adhesive capsulitis. The Spencer technique is a form of physical therapy that involves joint mobilizations and manual stretching exercises. It aims to improve shoulder mobility and reduce pain by addressing the tightness and stiffness in the shoulder capsule and surrounding tissues. Hydrodilation, on the other hand, is a procedure where a saline solution is injected into the shoulder joint to distend the capsule. This distention helps stretch the tight tissues and break up adhesions, facilitating improved range of motion.

Eligibility

Min Age: 40 YearsMax Age: 65 Years

Inclusion Criteria1

Patients with diagnosed unilateral Adhesive Capsulitis and have undergone Hydrodilation. --Includes both genders

Exclusion Criteria1

Population who have recently undergone major shoulder injury or surgery, had fracture or open wound or there is reduction of Glen humeral ROM due to any other cause other than Adhesive Capsulitis

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Interventions

PROCEDUREHydro dilation

The hydro dilation injections comprises of Depomedrol 80mg and normal saline 0.9%. It is performed under fluoroscopic guidance by the orthopedic surgeon.

PROCEDURESpencer muscle energy technique

Spencer muscle energy technique is a seven 7 step procedure which consists of shoulder extension with elbow flexed, shoulder flexion with elbow flexed, circumduction with compression, circumduction with traction, Abduction then adduction with external rotation and glenohumeral pump. Following the complete action, patients will be encouraged to use their muscles for 3 to 5 seconds against little resistance provided by the therapist

PROCEDUREPassive Stretching

The low intensity stretches will be given in supine for all the movements ie Flexion ,Abduction , Internal Rotation and External Rotation for 5 repititions with 30 sec hold.