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Clinical Trial NCT07134010 (PIT; AC) for Adhesive Capsulitis is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
The Impact of Perineural Injection Therapy for Adhesive Capsulitis. (PIT; AC) 24 Home-Based Exercise-Based
The main questions it aims to answer are:
Does PIT reduce shoulder pain and improve shoulder range of motion more effectively than conventional therapy alone?
What side effects or medical problems do participants experience whe...
Show MoreThe Impacts of Perineural Injection Therapy on Adhesive Capsulitis in a Single Centre Hospital in Selangor: A Randomized Controlled Trial Pilot Study
Study Overview :
Adhesive capsulitis, commonly known as "frozen shoulder," is a painful condition that limits shoulder movement and affects daily activities such as dressing, reaching overhead, or lifting objects. It often affects adults between the ages...
Show MoreThe Impact of Perineural Injection Therapy for Adhesive Capsulitis at a Single Centre University Hospital in Selangor: A Pilot Study
- PIT; AC
- REC/06/2025 (PG/FB/26)
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalIntervention group Perineural injection Therapy | perineural injection Intervention The procedure will be performed by a rehabilitation physician who has obtained hospital-level credentialing and privileging to practice Perineural Injection Therapy (PIT). The physician has undergone hands-on training with Dr. Lyftogt-certified trainers in Malaysia.
PIT will be administered weekly for six week (Total 6 sessions). In addition to this intervention, patient will also receive conventional t...Show More Physiotherapy Patients will be receiving a structured home-based exercise program and will be instructed on how to perform these exercises at home. The exercise regime will be 30 minutes, 3 times a day to enhance shoulder mobility and strength in addition to the regular monthly outpatient physiotherapy session. Oral analgesics exclude NSAIDs will be prescribed as needed to manage pain. |
Sham ComparatorConventional group Physiotherapy | Physiotherapy Patients will be receiving a structured home-based exercise program and will be instructed on how to perform these exercises at home. The exercise regime will be 30 minutes, 3 times a day to enhance shoulder mobility and strength in addition to the regular monthly outpatient physiotherapy session. Oral analgesics exclude NSAIDs will be prescribed as needed to manage pain. |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Numerical Rating Scale | Participants will rate their shoulder pain on a scale from 0 to 10, where 0 indicates "no pain" and 10 represents "worst imaginable pain." | Measured at baseline (Week 0), post-treatment (Week 6), 1-month follow-up (Week 10), and 3-month follow-up (Week 18). |
Shoulder Range of Motion (ROM) | Tool: Goniometer (standardized physical measurement)
Passive ROM will be measured in four directions: forward flexion, abduction, internal rotation, and external rotation. Values will be recorded in degrees. | Measured at baseline (Week 0), post-treatment (Week 6), 1-month follow-up (Week 10), and 3-month follow-up (Week 18). |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Functional Outcome | Tool: Shoulder Pain and Disability Index (SPADI) - validated English and Malay versions
A self-reported questionnaire with 13 items divided into two subscales: 5 for pain and 8 for functional disability. Each item is scored from 0 (no pain/disability) to 10 (worst pain/disability), with higher scores indicating greater impairment. | Measured at baseline (Week 0), post-treatment (Week 6), 1-month follow-up (Week 10), and 3-month follow-up (Week 18). |
Adverse Reactions | Tool: Adverse Event Reporting Form and Patient Diary
Description: Side effects will be classified into:
Mild: Local pain, bruising, or redness
Moderate: Transient numbness, swelling, or prolonged discomfort
Severe: Infection or allergic reaction | Monitored throughout the 6-week intervention |
- Age 18 and above.
- Diagnosed with primary adhesive capsulitis by a specialist.
- Limitation of range of motion ≥ 50% relative to the normal side or normal reference (in patient with bilateral adhesive capsulitis) in three or more movement directions (i.e., external rotation, abduction, forward flexion, and internal rotation).
- Chronic adhesive capsulitis shoulder pain lasting for at least 3 months.
- Pain score of at least 4/10 on the Numerical Rating Scale (NRS) during movement, indicating at least moderate pain severity.
- Consented to the study.
- Received any shoulder pain injection within the past 6 weeks or surgical intervention such manipulation under anesthesia, arthroscopic capsular release, or open surgery for capsular release.
- Diagnosed with other shoulder pathology such as neurologic deficits affecting shoulder function, tumour, rotator cuff injury or fracture.
- Has history of allergy to dextrose solution.
- Patients receiving steroidsimmunosuppressants, psychotropic medication, or other medications that may affect, the clinical outcomes
- Patients with haemorrhagic disease, taking anticoagulant drugs, or patients with severe diabetes mellitus having an increased risk of infection (HBA1c >8%)
- Do not understand Malay or English language.
- Unable to follow a 3 steps command.
Selangor