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Prediction Frozen Shoulder Validation

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ClinicalTrials.gov Identifier: NCT01157221
Recruitment Status : Completed
First Posted : July 5, 2010
Last Update Posted : July 5, 2010
Sponsor:
Information provided by:
National Taiwan University Hospital

Brief Summary:

Background: Few studies have examined the predictors of the clinical course of subjects with frozen shoulder syndrome or explained the persistence of symptoms after appropriate therapy. Altered shoulder kinematics may predispose subjects to subacromial impingement, rotator cuff tendonitis, altered shoulder joint forces, and possible degenerative changes. Subsequently, a more difficult and chronic course of frozen shoulder syndrome may develop.

Objective: The purposes of this study are: (1) to develop a prediction method for determining altered shoulder kinematics and associated muscular activities which are associated with the chronicity of frozen shoulder dysfunction, and (2) to validate this prediction method and analyze the impact of the method on clinical behavior.

Design: For the first year, a prospective study will be conducted to develop a prediction method that will identify impaired shoulder kinematics associated with the degree of symptom-related functional disability in patients with frozen shoulder syndrome. For the second and third years, validation of the proposed prediction method will determine whether altered shoulder kinematics and associated muscular activities subject to intervention meet the prediction criteria and demonstrate improvement in their follow-up, which will be shown to improve decision making in clinical practice.


Condition or disease Intervention/treatment Phase
Frozen Shoulder Other: a standardized physical therapy program Other: EMSMTA Phase 1 Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Determining Shoulder Kinematics in the Prediction of Progress of Frozen Shoulder Syndrome: a Prediction Method, Validation of the Method, and Clinical Application
Study Start Date : August 2006
Actual Primary Completion Date : June 2010
Actual Study Completion Date : June 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Health Checkup
U.S. FDA Resources

Arm Intervention/treatment
Experimental: intervention group
intervention group: end-range mobilization/scapular mobilization treatment approach group
Other: EMSMTA
end-range mobilization/scapular mobilization treatment approach
Active Comparator: control Other: a standardized physical therapy program
passive mobilization, stretching techniques, physical modalities (i.e., ultrasound, shortwave diathermy, and/or electrotherapy), and active exercises
Sham Comparator: control-criteria group Other: a standardized physical therapy program
passive mobilization, stretching techniques, physical modalities (i.e., ultrasound, shortwave diathermy, and/or electrotherapy), and active exercises



Primary Outcome Measures :
  1. Range of motion [ Time Frame: pre 4 weeks 8 weeks ]
  2. Disability assessment [ Time Frame: pre 4 weeks 8 weeks ]
  3. Shoulder complex kinematics [ Time Frame: pre 4 weeks 8 weeks ]


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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 50% loss of passive movement of the shoulder joint relative to the nonaffected side, in 1 or more of 3 movement directions (i.e., forward flexion, abduction in the frontal plane, or external rotation in 0° of abduction);
  • 13-15 and duration of complaints of at least 3 months.

Exclusion Criteria:

  • a history of stroke with residual upper-extremity involvement,
  • diabetes mellitus,
  • rheumatoid arthritis,
  • rotator cuff tear,
  • surgical stabilization of the shoulder,
  • osteoporosis, or
  • malignancies in the shoulder region.
  • subjects who had pain or disorders of the cervical spine, elbow, wrist, or hand, or who had pain radiating from the shoulder to the arm, were also excluded.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01157221


Locations
Taiwan
School and Graduate Institute of Physical Therapy, National Taiwan University
Taipei, Taiwan, 100
Sponsors and Collaborators
National Taiwan University Hospital
Investigators
Principal Investigator: jiu-jenq Lin, PhD School and Graduate Institute of Physical Therapy, National Taiwan University

Responsible Party: National Taiwan University Hospital, School of Physical Therapy, National Taiwan University
ClinicalTrials.gov Identifier: NCT01157221     History of Changes
Other Study ID Numbers: 200612088R
First Posted: July 5, 2010    Key Record Dates
Last Update Posted: July 5, 2010
Last Verified: June 2010

Additional relevant MeSH terms:
Bursitis
Joint Diseases
Musculoskeletal Diseases