Addition of Intra-articular Hyaluronate Injection to Physical Therapy Program Produces No Extra Benefits in Patients With Adhesive Capsulitis of the Shoulder: A Randomized Controlled Trial

Abstract Background As the primary treatment for adhesive capsulitis, intensive and accurate home exercise is as important as physical therapy in hospitals. Augmented reality (AR)-based telerehabilitation has been implemented recently in various musculoskeletal conditions to increase patient compliance and enable patients to exercise with the correct posture. The objective of this study is to present a protocol for investigating the additive effect of interactive AR-based telerehabilitation in comparison with the usual care for patients with adhesive capsulitis. Methods This study presents the protocol of a prospective, multi-center, single-blinded, two-armed randomized controlled trial (RCT). One hundred patients with stage I or II adhesive capsulitis will be recruited at the physical medicine and rehabilitation clinic. Patients will be randomly divided into two groups with 1:1 allocation. The intervention group will receive 3 months of hospital-based physical therapy in conjunction with home-based telerehabilitation. The control group will receive 3 months of hospital-based physical therapy in conjunction with a home-based exercise described in a brochure provided by the hospital. The primary outcome will be the change in passive range of motion (ROM) of the affected shoulder joint from baseline to 12 weeks after baseline assessment. The secondary outcomes will be active ROM, pain measured with the numeric rating scale, shoulder pain and disability index, 36-Item Short Form Survey, EuroQoL-5D-5L, and Canadian Occupational Performance Measure. Discussion This will be the first RCT study protocol to investigate the effect of telerehabilitation in patients with adhesive capsulitis. The result of this RCT will determine whether AR-based telerehabilitation is more effective than a brochure-based home exercise program and will provide evidence of the usefulness of “telerehabilitation” using hardware (IoT) and software (monitoring platform) technologies to develop “digital therapeutics” for the future. Trial registration This trial was retrospectively registered at the Clinicaltrials.gov website on 20 March 2020, with the identifier NCT04316130.

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Preoperative respiratory physical therapy program as a prehabilitation to improve inspiratory muscle function and quality of life in patients undergoing upper abdominal surgeries: a prospective randomized controlled trial

Bulletin of Faculty of Physical Therapy ◽

10.4103/1110-6611.188030 ◽

2016 ◽

Vol 21 (1) ◽

pp. 17

Author(s):

HebaM Mohamady ◽

IntsarS Waked ◽

AsmaaF Attalla

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Muscle Function ◽

Controlled Trial ◽

Randomized Controlled ◽

Therapy Program ◽

Prospective Randomized Controlled Trial ◽

Physical Therapy Program ◽

Upper Abdominal

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Effect of Cyriax Deep Friction Massage Versus Cryotherapy in Stage 1 & 2 of Adhesive Capsulitis: A Randomized Controlled Trial

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i57a33966 ◽

2021 ◽

pp. 40-48

Author(s):

Saumya Srivastava ◽

K. Sukanya ◽

Harramb Mittal

Keyword(s):

Randomized Controlled Trial ◽

Physical Therapy ◽

Range Of Motion ◽

Controlled Trial ◽

Adhesive Capsulitis ◽

Statistical Significance ◽

Randomized Controlled ◽

Group A ◽

Group B ◽

Stage 1

Background: Adhesive capsulitis is one of the common pathologies of the Shoulder. The prevalence of adhesive capsulitis is estimated to be 2% to 5% of the general population. Several treatment techniques are existing for the improvement of adhesive capsulitis and Cyriax deep friction massage is a technique designed to improve adhesive capsulitis. Objective: To compare between the effects of Cyriax deep friction massage and conventional physical therapy with Cryotherapy and conventional physical therapy in stage 1 &2 of adhesive capsulitis. Methods/ Design: The study is a randomized controlled trial which included 34 subjects of the age group 40-85 years and were randomly assigned into two groups: group A (n=17) and group B (n=17). The Group A was given Cyriax deep friction massage with conventional physical therapy while group B was given Cryotherapy therapy with conventional physical therapy. Outcome measure were taken at baseline, and then taken on last day of sixth session by using Visual Analogue Scale (VAS), Range of Motion (ROM), and Shoulder Pain and Disability Index (SPADI). The treatment was given for 6 sessions over a period of two weeks. Results: Group A showed greater improvement after 2 weeks of intervention with a statistical significance value for SPADI, VAS and ROM. Conclusion: Cyriax deep friction massage with conventional physical therapy has significant effect on pain, range of motion and functional activity in patients with adhesive capsulitis. Trial registration: prospectively registered in the clinical trial registry-India in the registration number of CTRI/2019/09/021375.

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