Effects Of Gong's Versus Mulligan Mobilization In Patients With Adhesive Capsulitis

A Randomized Clinical Trial will be conducted at DHQ hospital kasur,BIT hospital kasur,Arif memorial hospital Lahore.Pre-diagnosed patients will be reassessed by applying (Shoulder Shrug Sign, Hand to neck, Hand to scapula, Hand to opposite scapula,Hand to back,Capsular pattern movement restriction)Plus all other special tests will be applied to confirm that symptoms are not due to other shoulder pathologies but are due to just adhesive capsulitis then through consecutive sampling technique on 60 patients they will be allocated using computer generated sampling(random number table) into Group A and Group B. Group A will be treated with Gong's mobilization and Group B will be treated with Mulligan MWM The procedures will be performed Three sets of 10 repetitions, with 1 minute rest between sets,thrice per week for a total of six weeks. Pre and post intervention values will be taken on 1st day and after 6 weeks. Outcome measures will be conducted through VAS for pain,SPADI for functional disability , goniometer for range of motion ,SF-36 for quality of life after 6 weeks. Data will be analyzed during SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Inclusion criteria

• Age 40 to 50 years
• Both male and female
• Pre-diagnosed Unilateral Primary Frozen shoulder patients
• Prediagnosed Stage 3(Frozen phase) patients(27)

Exclusion criteria

• Patients with previous surgery in the shoulder joint
• History of recent fracture or severe trauma to the shoulder
• Diagnosed instability or previous history of dislocation
• Systemic inflammatory conditions(e.g.rheumatoid arthritis)