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Completed

NCT Number: NCT07440680

Gong Mobilization With and Without Thoracic Manipulation in Patients With Adhesive Capsulitis

The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis.

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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

Hassan Medical Clinic

Kasur, Punjab Province, 55030, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age between 40 and 60 years
  • Both male and female
  • Clinically diagnosed with stage 2 frozen shoulder
  • Hypomobility of the thoracic spine
  • Unilateral or bilateral frozen shoulder with pain lasting for more than 3 month
  • Shoulder ROM limited with a flexion <165°, abduction <150°, or external rotation <45°, restricted capsular pattern .
  • Positive shoulder shrug sign

Exclusion criteria

  • Shoulder Arthritis
  • Thoracic outlet syndrome
  • Metabolic bone disease in the shoulder
  • Neoplastic bone disease in the shoulder
  • Osteoporosis and Osteomyelitis
  • Arm fracture, torn ligament around the shoulder joint, and shoulder surgery
  • Rheumatoid arthritis

Treatment and study plan

Gong Mobilization

Other

Gong mobilization was applied on affected shoulder joint in which distraction is applied followed by corrective AP force. Patient performs abduction and then prolong stretching of 7 seconds. It takes 2 to 3 minutes and is applied for three sessions per week for 4 weeks.

Thoracic manipulation

Other

Thoracic manipulation was applied in prone position. Low amplitude high velocity thrust was applied at the end of available range at T4 and T5 after complete exhalation by the patient. intervention is applied for 3 times per week for 4 weeks.

Conventional Therapy

Other

Conventional therapy includes heat therapy for 8 minutes, TENS for 20 mins. Stretches of posterior capsule, serratus anterior, pectoralis major and minor along with Codman exercises.

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    Time frame: From enrollment to the end of treatment at 4 weeks

    The Numerical Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess the intensity of pain. Patients were asked for their pain intensity and then mark the number on the line according to their pain perception. The categorical variables of the NPRS are, none for 0, mild for value 1-5, moderate for 6-7 and severe for 8-10.

  2. SPADI-U

    Time frame: from enrollment to the end of treatment at 4 weeks

    SPADI-U is a self-reported shoulder-specific outcome questionnaire by the evaluation of subjective clinical outcome measures. SPADI-U is an Urdu translated version of SPADI for cultural adaptation. It has a total of 13 items with 5 items related to pain and 8 items related to disability. The maximum score of SPADI-U is the same to that of SPADI i.e. 13. The scoring system includes the sum of all attempted questions divided by the maximum score and the multiply by 100 to find in percentage. Five items are designed to quantify pain, and eight items cover the disability measures of a patient with shoulder pathology.

Secondary outcomes

  1. Shoulder flexion ROM

    Time frame: From enrollment till end of treatment at 4 weeks

    Changes in shoulder flexion ROM at baseline and 4 weeks was measured using Goniometer

  2. Shoulder Abduction ROM

    Time frame: From enrollment till end of treatment at 4 weeks

    Changes in shoulder abduction ROM at baseline and 4 weeks was measured using Goniometer

  3. Shoulder internal rotation ROM

    Time frame: from enrollment till end of treatment at 4 weeks

    Changes in shoulder Internal rotation ROM at baseline and 4 weeks was measured using Goniometer

  4. Shoulder external rotation

    Time frame: From enrollment till end of treatment at 4 weeks

    Changes in shoulder external rotation ROM at baseline and 4 weeks was measured using Goniometer.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Gong Mobilization With and Without Thoracic Manipulation on Pain, Range of Motion and Disability in Patients With Adhesive Capsulitis

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 27, 2026
Registry last updated
Feb 27, 2026

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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