RecruitingNot ApplicableNCT06763679

Compare the Effect of Spencer Technique With and Without AC Mobilization for FS Pathients

Comparative Effects of Spencer Technique With and Without Acromioclavicular Mobilization on Pain, Range of Motion and Functional Disability Among Patients of Frozen Shoulder


Sponsor

Riphah International University

Enrollment

44 participants

Start Date

Aug 5, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The propose of the study will help the clinicians provide an evidence-based approach for the application of Spencer technique and acromioclavicular mobilization, an application of these techniques on pain, range of motion and functional disability of patients of frozen shoulder. So, that it can be determined which treatment is superior in terms of achieving better results in the management regime.


Eligibility

Min Age: 50 YearsMax Age: 60 Years

Inclusion Criteria5

  • Male and female both are included
  • Age of 50-60 years
  • Unilateral frozen shoulder stage 2 with pain lasting for more than 1 month
  • Capsular pattern of motion restriction (lateral rotation, abduction, medial rotation)
  • More than 50% loss of passive movement of shoulder

Exclusion Criteria6

  • Rotator cuff tear
  • Dislocation of shoulder
  • Shoulder subluxation
  • Upper limb fracture
  • History of shoulder surgery
  • All other co-morbidities are excluded

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Interventions

OTHERmobilization

Acromioclavicular joint mobilization: * The patient is placed in the supine position and the upper limb is placed in a physiological position with the patient's arm clinging to the body and the hand on the abdomen, which causes the capsule to stretch less and the technique to be less painful. * The therapist placed the tips of his both thumbs on the anterior surface of the clavicle adjacent to the ACJ and spread his other fingers out for stability and his forearm was situated in line with the posterior movement at the ACJ. * ACJ mobilization was performed in up to 30-minute individual sessions by a single trained therapist. * The treatment techniques were anterior to posterior passive accessory glides of the distal end of the clavicle categorized from Grade III * Grade III is used at a large amplitude from the middle of the joint ROM to the start of the constraint. Grade III will apply for stimulating a stretching to relieve joint stiffness in a shorter tissue

OTHERtraditional physical therapy

Spencer technique: * The patient was resting on their side, with the affected shoulder raised. * In 7 separate movements, the therapist used the proximal hand to stabilize the shoulder girdle, while the distal hand applied force to the restrictive barrier of the shoulder. * Shoulder extension, circumduction with compression, shoulder flexion, circumduction with distraction, abduction, adduction with internal rotation, and glenohumeral pump were the exercises performed. * The patients were advised to employ their muscle energy technique against the small resistance provided by the therapist for 3-5 seconds throughout each movement. * Over the course 5 days a week, the exercise was repeated 3-5 times per session, with rest breaks.


Locations(1)

Bajwa hospital

Lahore, Punjab Province, Pakistan

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NCT06763679


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