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CTRI Number  CTRI/2020/04/024638 [Registered on: 15/04/2020] Trial Registered Prospectively
Last Modified On: 01/04/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   physiotherapy treatment to pectoralis minor in subjects with shoulder pain  
Scientific Title of Study   EFFECTIVENESS OF PECTORALIS MINOR RELEASE TECHNIQUES ON STRUCTURAL ADAPTATIONS IN SUBJECTS WITH ADHESIVE CAPSULITIS 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  RAYUDU GEETHA MOUNIKA 
Designation  ASSISTANT PROFESSOR 
Affiliation  SWATANTRA INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION 
Address  c/o GSL MEDICAL COLLEGE COLLEGE OF PHYSIOTHERAPY NH-16 RAJANAGARAM 533296
c/o GSL MEDICAL COLLEGE COLLEGE OF PHYSIOTHERAPY NH-16 RAJANAGARAM 533296
East Godavari
ANDHRA PRADESH
533293
India 
Phone  9666376705  
Fax    
Email  mounikarayudu.92@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  RAYUDU GEETHA MOUNIKA 
Designation  ASSISTANT PROFESSOR 
Affiliation  SWATANTRA INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION 
Address  c/o GSL MEDICAL COLLEGE COLLEGE OF PHYSIOTHERAPY NH-16 RAJANAGARAM 533296
c/o GSL MEDICAL COLLEGE COLLEGE OF PHYSIOTHERAPY NH-16 RAJANAGARAM 533296
East Godavari
ANDHRA PRADESH
533293
India 
Phone  9666376705  
Fax    
Email  mounikarayudu.92@gmail.com  
 
Details of Contact Person
Public Query
 
Name  RAYUDU GEETHA MOUNIKA 
Designation  ASSISTANT PROFESSOR 
Affiliation  SWATANTRA INSTITUTE OF PHYSIOTHERAPY AND REHABILITATION 
Address  c/o GSL MEDICAL COLLEGE COLLEGE OF PHYSIOTHERAPY NH-16 RAJANAGARAM 533296
c/o GSL MEDICAL COLLEGE COLLEGE OF PHYSIOTHERAPY NH-16 RAJANAGARAM 533296
East Godavari
ANDHRA PRADESH
533293
India 
Phone  9666376705  
Fax    
Email  mounikarayudu.92@gmail.com  
 
Source of Monetary or Material Support  
Swatantra Institute of Physiotherapy and Rehabilitation NH-16,laxmipurm,rajanagaram,533296. 
 
Primary Sponsor  
Name  RAYUDU GEETHA MOUNIKA 
Address  D.NO:4-118,mirthipadu,rajahmundry rural,seethanagaram mandal, east godavari district. 
Type of Sponsor  Other [SELF] 
 
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 
geetha mounika  Swatantra institute of physiotherapy and rehabilitation  NH-16,rajahmundry
East Godavari
ANDHRA PRADESH 
9666376705

mounikarayudu.92@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee,gsl medical college and general hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  conventional exercises like hot pack,TENS,therapeutic ultrasound, stretching and strengthening exercises  3 times a week for 6 weeks of duration. 
Intervention  pectoralis minor release techniques like IASTM and proprioceptive neuromuscular facilitation stretching.  3 times a week for 6 weeks of duration. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Subjects with stage 2 Adhesive Capsulitis
2. Pain in the shoulder for at least 3months
3. PMI less than 7.44
 
 
ExclusionCriteria 
Details  1. Reported a previous history of Cancer, Severe Vascular disease, Upper extremity fracture, Rheumatoid arthritis and Osteoporosis.
2. History of trauma or surgery to the shoulder
3. Skin infections, open wounds on the
shoulder
4. Neurological disorders.
5. Psychological disorders
6. Patients under steroids
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
PRIMARY OUTCOME-Ultrasonography- To measure the thickness of Pectoralis Minor
SPADI-FUCTIONAL ABILITY

 
Ultrasonography- To measure the thickness of Pectoralis Minor -BASELINE AND POST TEST
SPADI-BASELINE,3RD WEEK AND POST TEST 
 
Secondary Outcome  
Outcome  TimePoints 
1.VAS- Pain
2.ROM- Universal Goniometer
3.TSD- Rounded Shoulder Posture
4.PMI-Length of the muscle
 
VAS- Pain-pre 1st week 2nd week 3rd week 4th week 5th week post
ROM- Universal Goniometer-pre 3rd week and post
PMI-Baseline,3rd week and post test
TSD- Rounded Shoulder Posture pre and post 
 
Target Sample Size   Total Sample Size="152"
Sample Size from India="152" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   27/07/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
NEED OF THE STUDY
Altered Glenohumeral mechanics are major cause for functional restrictions in patients with Adhesive Capsulitis. In most of the Physiotherapy approaches are targeted towards glenohumeral mobilization and Scapulothoracic rehabilitation. But Pectoralis minor shortening is one of the unaddressed portion in the management of Adhesive Capsulitis. So, shortening of pectoralis minor can limit glenohumeral joint functioning to the full extent. It could be the reason behind long term disability. Failure to address this problem could results in incomplete recovery in adhesive capsulitis.   
So, the need of the study arises to see the effectiveness of pectoralis minor release techniques on structural adaptations in subjects with adhesive capsulitis. 

HYPOTHESIS
Hypothesis (H1):
Pectoralis minor release techniques may have significant effect than Conventional exercises on Pain, ROM, Function and Structural changes in subjects with Adhesive Capsulitis.

Null hypothesis (H0):
Pectoralis minor release techniques may not have significant effect than Conventional exercise on pain, ROM, function and Structural changes in subjects with Adhesive Capsulitis


 
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