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Adhesive Capsulitis of ShoulderNCT05384093

Outcomes of Treatment Using the ERMI Shoulder Flexionater ®

A study testing High Intensity Stretch Device in people with Adhesive Capsulitis of Shoulder, run by Foundation for Orthopaedic Research and Education at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Study 1 - Adhesive Capsulitis Study - 110 patients The purpose of this study is to compare treatment of patients with symptoms of adhesive capsulitis, primary and secondary, between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Adhesive Capsulitis of Shoulder
What is being tested?
High Intensity Stretch Device
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
1 siteUnited States
Study dates
25 Jun 2019to 25 Oct 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Exhibits symptoms of adhesive capsulitis i. Shoulder pain with limited motion for more than one month ii. AND ≤ 30 degrees external rotation with arm at side iii. AND ≤ 130 degrees forward flexion d. Cortisone shot for all patients
  • Is not recovering normally based on objective criteria set for screening process i. Step 1 - Follow patients -all post-op patients with indicated procedures (see # 7 for list.) ii. Step 2 - Screen Patients -does patient meets inclusion criteria at 6 weeks or 3 months of follow-up?
  • < 15 degrees external rotation with arm at side at 6 weeks post-op
  • OR < 90 degrees forward flexion at 3 months post-op iii. Step 3 - Enroll patients that meet inclusion criteria and assign group
  • Underwent a manipulation under anesthesia or a lysis of adhesions procedure

Who cannot join

  • a. No prior shoulder surgery b. Infection c. Rheumatoid arthritis d. Any structural or systemic disorder that could result in pain or ROM limitation i. Such as inflammatory joint disease, osteoarthritis evidenced on radiographs ii. full thickness rotator cuff tear as shown by ultrasound imaging iii. history of major trauma or surgery involving the shoulder
  • For Study Group 2 - Postoperative Shoulder Stiffness Study (POS)
  • Revision surgery b. Infection c. Rheumatoid arthritis
  • 7. Procedures included
  • Shoulder arthroscopic procedures (29827, 29828, 29823,29824, 29826)
  • ORIF Humerus fracture (23615)
Show all 11Show fewer
  • For Study Group 3, Secondary Surgery Study (SAM)
  • Infection b. Rheumatoid arthritis c. Any structural or systemic disorder that could result in pain or ROM limitation i. Such as inflammatory joint disease, osteoarthritis evidenced on radiographs ii. full thickness rotator cuff tear as shown by ultrasound imaging iii. history of major trauma or surgery involving the shoulder
  • 7. Procedures included
  • Manipulation under anesthesia (23700)
  • Lysis of adhesions (29825)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Foundation for Orthopaedic Research and Education

    Tampa, Florida, 33607

Other trials in United States

About this study

Official title: Outcomes of Treatment Using the ERMI Shoulder Flexionater®

Study 1 - Adhesive Capsulitis Study - 110 patients The purpose of this study is to compare treatment of patients with symptoms of adhesive capsulitis, primary and secondary, between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device.

Study 2 - Postoperative Shoulder Stiffness Study - 90 patients The purpose of this study is to compare treatment of patients with post-operative stiffness indicative of secondary adhesive capsulitis between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device.

Study 3 - Stiffness after MUA Study - enroll all eligible patients (goal of at least 15) The purpose of this study is to compare treatment of patients who have undergone manipulation under anesthesia or lysis of adhesions between three groups: I) Physical Therapy alone; II) ERMI Shoulder Flexionater® alone; III) PT + Device.

Read the detailed description

Study 1 - Adhesive Capsulitis Study (AC)

Objective: The purpose of this study is to compare treatment efficacy of patients with symptoms of primary and secondary adhesive capsulitis between three groups: 1) Patients treated with Physical Therapy alone; 2) Patients treated with the ERMI Shoulder Flexionater® alone; 3) Patients treated with PT + Device in the treatment.

  1. Prospective randomized control trial
  2. Sample size - 110 patients
  3. Study Groups:
  4. Group I - Physical Therapy Only
  5. Group II - Flexionater® only
  6. Group III - Flexionater® and Physical Therapy
  7. Length of study - 2-year follow-up from last enrolled patient

Study 2 - Postoperative Shoulder Stiffness Study (POS)

Objective: The purpose of this study is to compare treatment efficacy of patients with post-operative stiffness indicative of secondary adhesive capsulitis between three groups: I) Patients treated with Physical Therapy alone; II) Patients treated with the ERMI Shoulder Flexionater® alone; III) Patients treated with PT + Device in the treatment.

  1. Prospective randomized control trial
  2. Sample size - 90 enrolled patients
  3. Study Groups:
  4. Group I - Physical Therapy only
  5. Group II - Flexionater® only
  6. Group III - Flexionater® and Physical Therapy
  7. Length of study - 2-year follow-up from last enrolled patient

Study 3 - Secondary Surgery Study (SAM)

Objective: The purpose of this study is to compare recovery of patients who have undergone a manipulation under anesthesia or a lysis of adhesions between three groups: 1) Patients treated with Physical Therapy alone; 2) Patients treated with the ERMI Shoulder Flexionater® alone; 3) Patients treated with PT + Device in the treatment.

  1. Prospective randomized control trial
  2. Sample size - 10 enrolled patients
  3. Study Groups:
  4. Group I Physical Therapy Only
  5. Group II - - Flexionater® only
  6. Group III - Flexionater® and Physical Therapy
  7. Length of study - 2-year follow-up from last enrolled patient
Being tested
High Intensity Stretch Device
Medical subject headings
Bursitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High Intensity Stretch DeviceDevice

    Also called Physical Therapy

    High Intensity Stretch and Physical Therapy are used either together or alone to treat study arm.

Study groups in NCT05384093
Study groupRoleWhat they receive
Adhesive Capsulitis StudyActive comparatorThe purpose of this study is to compare treatment efficacy of patients with symptoms of primary and secondary adhesive capsulitis between three groups: 1) Patients treated with Physical Therapy alone; 2) Patients treated with the ERMI Shoulder Flexionater® alone; 3) Patients treated with PT + Device in the treatment.
Receives: Device: High Intensity Stretch Device
Post operative Shoulder Stiffness StudyActive comparatorThe purpose of this study is to compare treatment efficacy of patients with post-operative stiffness indicative of secondary adhesive capsulitis between three groups: I) Patients treated with Physical Therapy alone; II) Patients treated with the ERMI Shoulder Flexionater® alone; III) Patients treated with PT + Device in the treatment.
Receives: Device: High Intensity Stretch Device
Secondary Surgery StudyActive comparatorThe purpose of this study is to compare recovery of patients who have undergone a manipulation under anesthesia or a lysis of adhesions between three groups: 1) Patients treated with Physical Therapy alone; 2) Patients treated with the ERMI Shoulder Flexionater® alone; 3) Patients treated with PT + Device in the treatment.
Receives: Device: High Intensity Stretch Device

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Shoulder Range of Motion Improvement

    Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice

    Measured: 3 months

  2. Shoulder Range of Motion

    Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice

    Measured: 6 months

  3. Shoulder Range of Motion

    Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice

    Measured: 12 months

  4. Shoulder Range of Motion

    Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice

    Measured: 24 months

  5. Shoulder Range of Motion

    Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice

    Measured: 6 weeks

  6. Shoulder Range of Motion

    Measuring Shoulder External Rotation and Forward Flexion using a goniometer according to standard practice

    Measured: baseline

  7. VAS (Visual Analog Scale) Pain Score

    Visual Analog Scale Pain Score 0 (no pain) - 10 (pain as bad as it can be)

    Measured: 3 months

  8. VAS Pain Score

    Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)

    Measured: 6 weeks

  9. VAS Pain Score

    Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)

    Measured: 6 months

  10. VAS Pain Score

    Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)

    Measured: 12 months

  11. VAS Pain Score

    Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)

    Measured: 24 months

  12. VAS Pain Score

    Visual Analog Scale Pain Score: 0 (no pain) - 10 (pain as bad as it can be)

    Measured: baseline

  13. ASES Score

    American Shoulder and Elbow Society Score (10 activities of daily living are calculated)

    Measured: baseline

  14. ASES Score

    American Shoulder and Elbow Society Score (10 activities of daily living are calculated)

    Measured: 3 month

  15. ASES Score

    American Shoulder and Elbow Society Score (10 activities of daily living are calculated)

    Measured: 6 weeks

  16. ASES Score

    American Shoulder and Elbow Society Score (10 activities of daily living are calculated)

    Measured: 6 months

  17. ASES Score

    American Shoulder and Elbow Society Score (10 activities of daily living are calculated)

    Measured: 12 months

  18. ASES Score

    American Shoulder and Elbow Society Score (10 activities of daily living are calculated)

    Measured: 24 months

Secondary outcomes (9)
  1. SST

    Simple Shoulder Test

    Measured: Baseline

  2. SST

    Simple Shoulder Test

    Measured: 3 month

  3. SST

    Simple Shoulder Test

    Measured: 6 weeks

  4. SST

    Simple Shoulder Test

    Measured: 6 months

  5. SST

    Simple Shoulder Test

    Measured: 12 months

  6. SST

    Simple Shoulder Test

    Measured: 24 months

  7. Device Compliance Questionnaire (if applicable)

    compliance with Device usage

    Measured: 6 weeks

  8. Device Compliance Questionnaire (if applicable)

    compliance with Device usage

    Measured: 3 months

  9. Device Compliance Questionnaire (if applicable)

    compliance with Device usage

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 May 2022
  2. Study start25 Jun 2019
  3. Primary completion25 Oct 2026 (estimated)
  4. Study completion25 Oct 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
210 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05384093
Sponsor's protocol ID
FORE AC 2019
Status last verified
Sep 2026
First submitted
3 May 2022
Last updated
9 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided: unknown at this time

Publications

  • Teytelbaum DE, Kumar NS, Dent CS, Neaville S, Warren DH, Simon P, Baker CE. Efficacy of a high-intensity home stretching device and traditional physical therapy in non-operative management of adhesive capsulitis - a prospective, randomized control trial. BMC Musculoskelet Disord. 2024 Apr 20;25(1):305. doi: 10.1186/s12891-024-07448-4.

    PubMed 38643086

Questions about this trial

What is this clinical trial studying?

A study testing High Intensity Stretch Device in people with Adhesive Capsulitis of Shoulder, run by Foundation for Orthopaedic Research and Education at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Shoulder Range of Motion Improvement (time frame: 3 months). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05384093, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2026.

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