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CTRI Number  CTRI/2020/03/023688 [Registered on: 02/03/2020] Trial Registered Prospectively
Last Modified On: 12/04/2021
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Proportion Of Muscle Imbalances Of the neck and shoulder In Subjects With Frozen Shoulder (Adhesive Capsulitis). 
Scientific Title of Study   Proportion Of Upper Crossed Syndrome In Subjects With Adhesive Capsulitis. 
Trial Acronym  POUCSISWAC 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aishwarya Jaideep 
Designation  Post Graduate  
Affiliation  Manipal Academy Of Higher Education 
Address  Department Of Physiotherapy Kasturba Medical College Center for Basic Sciences Bejai Mangalore.

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9867357633  
Fax    
Email  aaisha3jaideep@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Charu Eapen 
Designation  HOD, Dept. Of Physiotherapy. 
Affiliation  Manipal Academy Of Higher Education 
Address  Department of Physiotherapy Kasturba Medical College Center for Basic Sciences Bejai Mangalore

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9986024551  
Fax    
Email  charu.eapen@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Charu Eapen 
Designation  HOD, Dept. Of Physiotherapy. 
Affiliation  Manipal Academy Of Higher Education 
Address  Department of Physiotherapy Kasturba Medical College Center for Basic Sciences Bejai Mangalore

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9986024551  
Fax    
Email  charu.eapen@manipal.edu  
 
Source of Monetary or Material Support  
Manipal Academy Of Higher Education 
 
Primary Sponsor  
Name  Manipal Academy Of Higher Education 
Address  Kasturba Medical College, Mangalore-575001. India. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Aishwarya Jaideep  Kasturba Medical College Hospital  Room no.- 3 2nd floor Department of Physiotherapy Kasturba Medical College Hospital Attavar; and 5th floor Department of Physiotherapy Kasturba Medical College Hospital Ambedkar circle. Mangalore-575001
Dakshina Kannada
KARNATAKA 
9867357633

aaisha3jaideep@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M258||Other specified joint disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Subjects with clinically diagnosed adhesive capsulitis by a primary care physician or orthopedic
2.Subjects with either idiopathic or secondary adhesive capsulitis.
3.Subjects with <50% ROM restriction in more than two planes as compared to the unaffected limb.
4.Pain during sleep, difficulty with grooming, dressing activities, reaching activities behind the back and overhead.
 
 
ExclusionCriteria 
Details  1.Acute post surgical cases involving shoulder conditions.
2.Rheumatologic or Neurological disorders affecting the shoulder.
3.Associated fracture or recurrent subluxations.
4.Scoliosis(structural/functional)
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Julls test, shoulder abduction test, cervical flexion test.
Muscle lengths (levator scapular and pectoralis minor), muscle strength (upper and middle trapezius and serratus anterior), Cranio-vertebral angle measure. 
day of recruitment  
 
Secondary Outcome  
Outcome  TimePoints 
Shoulder Pain And Disability Index (SPADI)  Day of recruitment 
 
Target Sample Size   Total Sample Size="73"
Sample Size from India="73" 
Final Enrollment numbers achieved (Total)= "64"
Final Enrollment numbers achieved (India)="64" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/03/2020 
Date of Study Completion (India) 31/03/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The standard protocol for assessment in cases involving shoulder stiffness and adhesive capsulitis do not involve ruling out possible muscle length insufficiencies and faulty posture patterns as seen in upper crossed syndrome and hence all components might not be taken into consideration when planning treatment strategies.
If the proportion of upper crossed muscle imbalance is found to be more in patients with AC, it can be used improvise the diagnostic and therapeutic approach towards treating adhesive capsulitis conditions. 
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