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IRCT20260813070635N1 IRCT 2026-09-03 Islamic Azad University Sex-Based Comparison of the Effects of a Combined Program of Myofascial Release, Codman and Elastic Band Exercises, on Pain, Range of Motion, and Function in Patients with Frozen Shoulder Sex-Based Comparison of the Effects of a Combined Program of Myofascial Release, Codman and Elastic Band Exercises, on Pain, Range of Motion, and Function in Patients with Frozen Shoulder 2026-10-10 anticipated 128 Pending https://irct.ir/trial/92485 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: We reviewed the records of patients who had visited the clinic with shoulder pain—confirmed by an orthopedist—and classified them by gender. Within each gender category, the participants' records were assigned—using a completely random process and in equal numbers—to female control, female intervention, male control, and male intervention groups, Blinding description: “Outcome assessments were performed by an assessor who was blinded to group allocation. Due to the nature of the intervention, the participants and intervention provider could not be blinded. N/A Idiopathic frozen shoulder (adhesive capsulitis), characterized by shoulder pain, stiffness, restricted range of motion, and functional impairment.. Intervention 1: Intervention group: The Female intervention group underwent an 8-week supervised combined rehabilitation program, consisting of three sessions per week, each lasting 45 to 55 minutes. The program included 7 minutes of myofascial release (MFR) targeting the shoulder complex using gentle stretching, sustained manual pressure, and slow, multi-directional strokes; Codman’s pendulum exercises performed with minimal active shoulder muscle engagement and progressive advancement; and elastic band exercises involving shoulder flexion, extension, abduction, adduction, and internal/external rotation. Resistance, repetitions, and exercise progression were adjusted based on the Borg RPE scale and individual therapeutic response. Intervention 2: Intervention group: The men in the intervention group underwent an 8-week supervised combined rehabilitation program, consisting of three sessions per week, with each session lasting 45 to 55 minutes. The program comprised 7 minutes of myofascial release (MFR) targeting the shoulder complex using gentle stretching, sustained manual pressure, and slow, multi-directional strokes; Codman’s pendulum exercises performed with minimal active shoulder muscle engagement and progressive advancement; and elastic band exercises involving shoulder flexion, extension, abduction, adduction, and internal/external rotation. Resistance, repetitions, and exercise progression were adjusted based on the Borg RPE scale and individual therapeutic response. Intervention 3: Control group: Control Group: Following the initial assessments, the men and women in the control group were informed that they would be contacted after eight weeks to begin therapeutic interventions. Additionally, they were contacted weekly throughout this eight-week period to monitor their well-being and provide psychological support. Yes - There is a plan to make this available What will be shared: There is no further information When: 3 month after publish To whom: Everyone Conditions: For research and rehabilitation Where to obtain: Email: siadatneli@gmail.com How to obtain: One week is required to gather the necessary data and provide it to the requester. Comments:
public Niloofar Kashani Siadat
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Tehran Iran (Islamic Republic of) 1665683872 +98 21 2232 9237 siadatneli@gmail.com Islamic Azad University scientific Niloofar Kashani Siadat
No. 3, 1st Baharestan Alley, Kimasi Street, East Hafez Street, Kazem-Abad Neighborhood, Pasdaran Street.
Tehran Iran (Islamic Republic of) 1665683872 +98 21 2232 9237 siadatneli@gmail.com Islamic Azad University Iran (Islamic Republic of) Age between 35 and 60 years. Idiopathic FS diagnosed by a specialist, a non athletic lifestyle. Chronic shoulder pain for ≥3 months Pain severity ≥3 on the VAS. Motion limitation (abduction <135°, external rotation <40°, flexion <120°). 35 years 60 years Both Use of corticosteroids or anti inflammatory drugs. History of secondary shoulder pathology. Absence from ≥3 consecutive or ≥2 non consecutive intervention sessions. M75.0 XIII – Diseases of the musculoskeletal system and connective tissue Rehabilitation Rehabilitation Other Intervention group: The Female intervention group underwent an 8-week supervised combined rehabilitation program, consisting of three sessions per week, each lasting 45 to 55 minutes. The program included 7 minutes of myofascial release (MFR) targeting the shoulder complex using gentle stretching, sustained manual pressure, and slow, multi-directional strokes; Codman’s pendulum exercises performed with minimal active shoulder muscle engagement and progressive advancement; and elastic band exercises involving shoulder flexion, extension, abduction, adduction, and internal/external rotation. Resistance, repetitions, and exercise progression were adjusted based on the Borg RPE scale and individual therapeutic response. Intervention group: The men in the intervention group underwent an 8-week supervised combined rehabilitation program, consisting of three sessions per week, with each session lasting 45 to 55 minutes. The program comprised 7 minutes of myofascial release (MFR) targeting the shoulder complex using gentle stretching, sustained manual pressure, and slow, multi-directional strokes; Codman’s pendulum exercises performed with minimal active shoulder muscle engagement and progressive advancement; and elastic band exercises involving shoulder flexion, extension, abduction, adduction, and internal/external rotation. Resistance, repetitions, and exercise progression were adjusted based on the Borg RPE scale and individual therapeutic response. Control group: Control Group: Following the initial assessments, the men and women in the control group were informed that they would be contacted after eight weeks to begin therapeutic interventions. Additionally, they were contacted weekly throughout this eight-week period to monitor their well-being and provide psychological support. Pain intensity. Timepoint: Baseline and immediately after the 8-week intervention. Method of measurement: Visual Analog Scale (VAS). Shoulder range of motion (ROM). Timepoint: Baseline and immediately after the 8-week intervention. Method of measurement: Universal goniometer, measuring shoulder flexion, abduction, and external rotation. Shoulder functional disability. Timepoint: Baseline and immediately after the 8-week intervention. Method of measurement: Disabilities of the Arm, Shoulder and Hand (DASH) and Shoulder Pain and Disability Index (SPADI) questionnaires. Islamic Azad University Approved 2024-08-31 Ethics Committee of Islamic Azad University, Science and Research Branch University Square, Shohadaye Hesarak Boulevard, End of Shahid Sattari Expressway Tehran Tehran Iran (Islamic Republic of)