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IRCT20200215046499N3 IRCT 2023-04-25 Tabriz University of Medical Sciences Effects of dry needling and physiotherapy in patients with frozen shoulder Effects of dry needling on subscapularis and conventional physiotherapy on clinical symptom improvement in people with frozen shoulder 2023-06-20 anticipated 40 Complete https://irct.ir/trial/67031 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization with a sealed envelope: Two envelopes are prepared with the first and second group titles. Each participant randomly selects one envelope and the envelope number is recorded for the participant. The envelopes are then merged and the next participant selects another envelope from the two envelopes as the previous procedure to complete the randomization process in both groups, Blinding description: evaluator is blind to the type of intervention in each group. N/A frozen shoulder. Intervention 1: Intervention group: In addition to receiving the subscapularis dry needling during 3 sessions (in the 3rd, 6th, and 9th sessions of treatment) with a sterile dong bang needle with a size of 30*50 mm, the patient receives conventional physiotherapy treatment provided by the physiotherapist. Conventional treatment includes the use of continuous ultrasound with a frequency of 3 MHz for 6 minutes around the joint capsule, the use of high intensity electric current with a frequency of 80 Hz and diversion for 20 minutes, and the use of a hot pack simultaneously with the application of the current. For the involved shoulder, postero-anterior, antero-posterior and caudal glides can be used with a speed of 2 to 3 glides per second and for a total of 30 seconds for each set. The number of sets for each movement is 5 and the rest time between sets is 30 seconds. We ask the patient to stretch the shoulder muscles as well. The duration of each stretch is 30 seconds and the interval between them is 15 seconds and it is done during 3 sets. We ask the patient to do active-assistive exercises using a towel for 5 minutes a day. The number of conventional treatment sessions is 10 sessions, every other day. Intervention 2: Control group: People in this group only will receive conventional physiotherapy treatment provided by a physiotherapist. Conventional treatment includes the use of continuous ultrasound with a frequency of 3 MHz for 6 minutes around the joint capsule, the use of high intensity electric current with a frequency of 80 Hz and diversion for 20 minutes, and the use of a hot pack simultaneously with the application of the current. For the involved shoulder, postero-anterior, antero-posterior and caudal glides can be used with speed of 2 to 3 glides per second and for a total of 30 seconds for each set. The number of sets for each movement is 5 and the rest time between sets is 30 seconds. We ask the patient to stretch the shoulder muscles as well. The duration of each stretch is 30 seconds and the interval between them is 15 seconds and it is done during 3 sets. We ask the patient to do active-assistive exercises using a towel for 5 minutes a day. The number of conventional treatment sessions is 10 sessions, every other day. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Its release schedule is not yet decided
public Hakimeh adigozali
Faculty of rehabilitation sciences, Tabriz university of medical sciences,29 Bahman Blvd
tabriz Iran (Islamic Republic of) 5166616471 +98 41 3337 5359 Adigozalih@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Hakimeh adigozali
Faculty of rehabilitation sciences, Tabriz university of medical sciences,29 Bahman Blvd
tabriz Iran (Islamic Republic of) 5166616471 +98 41 3337 5359 Adigozalih@tbzmed.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) Those who have been diagnosed with frozen shoulder by a doctor and have symptoms such as pain and reduced range of motion in the capsular pattern in the shoulder joint for 3 months or more age between 35 and 65 years old the presence of active trigger points in the subscapularis muscle on the involved side Pain intensity of at least 3 out of 10 in the VAS 35 years 65 years Both skin problems in the neck and shoulder area Antiplatelet therapy has been used in the three days before the start of the study In the six months before starting the study, they had a history of cancer and related pain in the shoulder and pectoral region In the three months before the start of the study, they used corticosteroid injections in the shoulder area needle fobia Non-cooperation during treatment Shoulder arthroscopy surgery cervical radiculopathy or any neurological injury in upper limb Patients with rheumatoid or neurological diseases Patients who use pace makers Patients with positive subacromial entrapment tests M75.00 Adhesive capsulitis of unspecified shoulder Rehabilitation Rehabilitation Intervention group: In addition to receiving the subscapularis dry needling during 3 sessions (in the 3rd, 6th, and 9th sessions of treatment) with a sterile dong bang needle with a size of 30*50 mm, the patient receives conventional physiotherapy treatment provided by the physiotherapist. Conventional treatment includes the use of continuous ultrasound with a frequency of 3 MHz for 6 minutes around the joint capsule, the use of high intensity electric current with a frequency of 80 Hz and diversion for 20 minutes, and the use of a hot pack simultaneously with the application of the current. For the involved shoulder, postero-anterior, antero-posterior and caudal glides can be used with a speed of 2 to 3 glides per second and for a total of 30 seconds for each set. The number of sets for each movement is 5 and the rest time between sets is 30 seconds. We ask the patient to stretch the shoulder muscles as well. The duration of each stretch is 30 seconds and the interval between them is 15 seconds and it is done during 3 sets. We ask the patient to do active-assistive exercises using a towel for 5 minutes a day. The number of conventional treatment sessions is 10 sessions, every other day. Control group: People in this group only will receive conventional physiotherapy treatment provided by a physiotherapist. Conventional treatment includes the use of continuous ultrasound with a frequency of 3 MHz for 6 minutes around the joint capsule, the use of high intensity electric current with a frequency of 80 Hz and diversion for 20 minutes, and the use of a hot pack simultaneously with the application of the current. For the involved shoulder, postero-anterior, antero-posterior and caudal glides can be used with speed of 2 to 3 glides per second and for a total of 30 seconds for each set. The number of sets for each movement is 5 and the rest time between sets is 30 seconds. We ask the patient to stretch the shoulder muscles as well. The duration of each stretch is 30 seconds and the interval between them is 15 seconds and it is done during 3 sets. We ask the patient to do active-assistive exercises using a towel for 5 minutes a day. The number of conventional treatment sessions is 10 sessions, every other day. Range of motion of shoulder joint. Timepoint: before and after intervention. Method of measurement: goniometer. Pain intensity of trigger point. Timepoint: before and after intervention. Method of measurement: Visual analog scale. Pain intensity of shoulder joint. Timepoint: before and after intervention. Method of measurement: visual analog scale (VAS). Pain pressure threshold of trigger points. Timepoint: before and after intervention. Method of measurement: algometer. Upper limb functional disability. Timepoint: at first, fifth and tenth of treatment sessions. Method of measurement: disability of arm, shoulder and hand (DASH). Tabriz university of medical sciences Approved 2023-03-06 Ethics committee of Tabriz University of medical sciences Faculty of Rehabilitation Sciences, Tabriz University of medical sciences, 29 Bahman Blvd, Tabriz, Iran Tabriz East Azarbaijan Iran (Islamic Republic of)