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| ID | Type | Description | Link |
|---|---|---|---|
| The University of Lahore | Other Identifier | The University of Lahore |
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| Name | Class |
|---|---|
| University of Lahore Hospital (ULH) | NETWORK |
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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bowen technique with routine physical therapy | Experimental | This group will receive bowen technique 3 moves with routine physical therapy including ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week) |
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| Dynamic soft tissue mobilization with routine physical therapy | Active Comparator | This group will receive dynamic soft tissue mobilization with routine physical therapy including heat application , ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dynamic soft tissue mobilization | Other | 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 and strengthening exercises to maintain the gained ROM and improve muscle function.For subscapular are release Gentle circular movements over the subscapularis region to decrease the tension and increase the freedom of this muscle.For Supraspinatus and Infraspinatus Work Specific exercise over these muscles to help relieve pain and improve the shoulder joint. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Visual Analogue Scale score | Visual analogue scale will be used to assess shoulder pain. Score ranges from 0-10. 0 shows least pain and 10 shows worst pain | Change from preintervention to 6th weeks |
| Change in Universal Goniometer readings | Universal Goniometer will be used to assess shoulder range of motion. | Change from preintervention to 6th weeks |
| change in Shoulder pain and disability Index (SPADI) | The 13 items of the SPADI measure two domains: an 8-item subscale measuring disability and a 5-item subscale measuring pain. The SPADI is available in two variants. The first version uses a visual analogue scale (VAS) to evaluate each item, while the second version uses a numerical rating scale (NRS). | Change from preintervention to 6th weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dr farrukh Murtaza Physical Therapist, Phd (PT)* | Contact | +923339970563 | Farrukh.murtaza@uipt.uol.edu.pk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UOL Teaching Hospital | Recruiting | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22087611 | Result | 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. | |
| 33992280 | Result | 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. |
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| Bowen Technique and 3 moves | Other | 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 shoulder joint to its maximum ROM while placing the thumb of the same hand on the humeral head.Move 2: After the shoulder has fully adducted to the other side, strike the humeral head percussionally in the neck's direction. Move 3: Put the arm back in the beginning position and work the anterior deltoid at its midpoint with a supero-lateral move. Then take a pause for 2 minutes and repeat the moves. Complete 3 sets of all these moves in 35 minutes including 2 minutes pause after these 3 moves. |
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| 33445505 | Result | 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. |
| 12184347 | Result | 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. |
| ID | Term |
|---|---|
| D002062 | Bursitis |
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D018771 | Arthralgia |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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