Clinical trial NCT06985836: Effect of Mulligan Mobilization With or Without Niel Asher Technique in Patients With Adhesive Capsulitis
Official title: Effect of Mulligan Mobilization With or Without Niel Asher Technique on Pain, Range of Motion and Disability in Patients With Adhesive Capsulitis
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Adhesive Capsulitis
Keywords: adhesive capsulitis
frozen shoulder
mannual therapy
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-05-22
Enrollment: 42
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Adhesive capsulitis is a prevalent condition characterized by pain and stiffness in shoulder joint and surrounding muscles shows decrease range and strength in patients with adhesive capsulitis. This study aims to determine the effect of mulligan mobilization with or without Niel Asher technique on pain, range of motion and disability in patients with adhesive capsulitis. This study will be a randomized controlled trial and will be conducted in Ibne-siena Hospital Multan and Multicare physiotherapy clinic. Non-probability convenience sampling will be used to collect the data. Sample size of subjects with age group between 40 to 60 years will be taken. Data will be collected from the patients having present complaint of adhesive capsulitis. Outcome measures used will be Numeric pain rating scale (NPRS) for shoulder pain and SPADI for shoulder disability and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria. Subjects will be divided into two groups by random number generator table. Both the Groups will receive heating pad, TENS. Group A will receive Mulligan Mobilizations and Neil Asher technique, and Group B will receive Mulligan mobilization and Conventional Treatment. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 26.


Eligibility criteria: Inclusion Criteria:

* Age group 40-60 year
* Both gender male and female
* Stage 2 primary adhesive capsulitis with capsular pattern of restriction (rotation\>abduction\>flexion)
* Pain in shoulder should be ≤7 on NPRS
* Patient is willing to perform.

Exclusion Criteria:

* • Diabetes

  * Malignancy
  * Infection
  * Arthoplasty
  * Pregnancy
  * Neurological disorders
  * Fracture
  * Thyroid diseases

Primary outcomes:
measure: Numerical Pain Rating Scale (NPRS)
timeFrame: baseline and fourth week
measure: Universal Goniometer (UG)
timeFrame: baseline and fourth week
measure: Shoulder disability and shoulder Index SPADI
timeFrame: baseline and fourthweek
Secondary outcomes:
Other outcomes:
Locations:
city: Multān
country: Pakistan
facility: Ibne Siena hospital Multan.
state: Punjab
Study officials:
affiliation: Riphah International University
name: Rabiya Noor, PHD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Doner G, Guven Z, Atalay A, Celiker R. Evalution of Mulligan's technique for adhesive capsulitis of the shoulder. J Rehabil Med. 2013 Jan;45(1):87-91. doi: 10.2340/16501977-1064.
citation: Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005 Jun 1;30(11):1331-4. doi: 10.1097/01.brs.0000164099.92112.29.