Clinical trial NCT06927115: Comparative Analysis of Mulligan and Maitland Mobilizations Techniques in Adhesive Capsulitis
Official title: Comparative Analysis of Mulligan and Maitland Mobilizations Techniques on Disability and Quality of Life in Adhesive Capsulitis
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Adhesive Capsulitis of Shoulder
Keywords: Adhesive capsulitis
Shoulder joint mobility
Shoulder stiffness
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-04-15
Enrollment: 42
Sex: ALL
Minimum age (years): 35
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Mobilization techniques are widely used in physiotherapy to address the pain and stiffness associated with adhesive capsulitis. Two commonly employed approaches are Mulligan's mobilization and Maitland's mobilization, both of which aim to restore joint mobility and improve functional outcomes. However, the relative effectiveness of these techniques in improving disability and quality of life in patients with adhesive capsulitis has not been conclusively established. This study will help to find out the best mobilization option for adhesive capsulitis or frozen shoulder for all four stages of adhesive capsulitis.

Detailed description: Adhesive capsulitis is a condition characterized by pain, loss of both active and passive range motion of the shoulder joint in all planes especially abduction and external rotation. In general population the prevalence of adhesive capsulitis is 2-5% and its incidence is 2%.The prevalence of adhesive capsulitis in diabetic patient is 11- 30% while in non-diabetic is 2-10%.Adhesive capsulitis is more common in women aged between 40-60 years (12). Adhesive capsulitis is bilateral in 20-30 % of cases and the opponent shoulder become involved within five years Based on etiology Adhesive capsulitis is classified into primary or true frozen shoulder and secondary, in primary adhesive capsulitis there is global capsular inflammation without any known cause or pre-existing condition while secondary adhesive capsulitis is associated with any recognized systemic, intrinsic or extrinsic cause. The systemic causes of secondary adhesive capsulitis comprise thyroid diseases, diabetes mellitus and decreased level of adrenaline. The intrinsic cause of secondary adhesive capsulitis is rotator cuff disease andcalcification of tendon or tendonitis. The extrinsic causes of secondary adhesive capsulitis include breast surgery in women, post trauma, clavicle or humerus fracture and early history of cerebral vascular accident

Eligibility criteria: Inclusion Criteria:

* Age 35-50 years.
* Diagnosed case of primary adhesive capsulitis.
* Pain and limited range of motion in the affected shoulder. (External rotation\>abduction\>internal rotation)
* Willing to participate in the study

Exclusion Criteria:

* Previous shoulder surgery.
* Severe osteoporosis or fractures.
* Neurological or rheumatological conditions.
* Neck and cardiac surgery
* History of recent fractures

Primary outcomes:
measure: NPRS
timeFrame: six weeks
measure: Goniometer
timeFrame: Six weeks
measure: SPADI
timeFrame: Six weeks
measure: SF- 36 Scale
timeFrame: Six weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Chakdara
country: Pakistan
facility: Riphah international University Malakand Campus
state: KPK
Study officials:
affiliation: Riphah International University
name: Zavata Afnan, MS NMPT
role: PRINCIPAL_INVESTIGATOR
References: