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NCT Number: NCT06985836

Effect of Mulligan Mobilization With or Without Niel Asher Technique in Patients With Adhesive Capsulitis

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.

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Key information

Conditions

Adhesive Capsulitis Bursitis Joint Diseases Musculoskeletal Diseases

Age range

40 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ibne Siena hospital Multan.

Multan Khurd, Punjab Province, 59300, Pakistan

Location status: Recruiting

Location contact

Iqra Fatima, MSOMPT

CONTACT

Rabiya Noor, PHD

CONTACT

[email protected]

03344355660

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Mulligan Mobilization and Niel Asher technique

Other
  • Mulligan mobilization technique for shoulder external rotation and abduction as described by Mulligan. 3 sets of 10 repetitions with 1 minute rest between sets, 3 times a week for 4 weeks are performed
  • Niel Asher technique provided for 3 sessions a week for 4 weeks

Mulligan Mobilization and Conventional physiotherapy.

Other
  • Modalities i.e. heating pad and TENS for ten Minutes
  • Postural correction exercises / Scapular retraction
  • Therapeutic Exercise : Codman' s, finger ladder, wand exercises
  • End Range Gleno-humeral joint stretching Both groups will come four times per week for a total of 4 weeks. Pre and post treatment values of both groups will be analyzed.

Primary outcomes

  1. Numerical Pain Rating Scale (NPRS)

    Time frame: baseline and fourth week

    Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates " no pain" and 10 indicates " worst pain" . NPRS have shown high test- retest reliability (r = 0.96 and 0.95, respectively)

  2. Universal Goniometer (UG)

    Time frame: baseline and fourth week

    The range of motion will be measured using universal goniometer that has an inter-rater reliability (ICC2, 2 = 0.79 to 0.92) for shoulder.

  3. Shoulder disability and shoulder Index SPADI

    Time frame: baseline and fourthweek

    The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper- extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. The reliability coefficient is ICC >0.89 for Shoulder.

Study contacts

Contact information is provided by the study sponsor or research team.

Iqbal Tariq, PHD

CONTACT

[email protected]

03338236752

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effect of Mulligan Mobilization With or Without Niel Asher Technique on Pain, Range of Motion and Disability in Patients With Adhesive Capsulitis

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
May 22, 2025
Registry last updated
May 22, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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