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Active, Not Recruiting

NCT Number: NCT07310810

Mulligan Mobilization vs Shockwave Therapy in Adhesive Capsulitis

To investigate and compare the effects of Mulligan mobilization versus shock wave therapy in patients with adhesive capsulitis on Pain intensity level, Range of motion, Functional disability level, Ultrasonographic changes (soft tissue thickness) and Hand grip strength.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

40 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Physical Therapy

Giza, 12612, Egypt

About this study

sixty patients of both genders according to sample size calculation, referred from orthopedist, diagnosed adhesive capsulitis patients. they screened according to inclusion and exclusion criteria. Their age between 40 and 60 years was randomly allocated to three treatment groups.

  • Group A (study group) (n=20) will receive mulligan technique and conventional treatment.
  • Group B (study group) (n=20) will receive extracorporeal shockwave therapy and conventional treatment.
  • Group C (control group) (n=20) will receive conventional treatment only.

Inclusion criteria

patients that will be included in the study will be referred from orthopedic physician with:

  • Patients referred from orthopedist and diagnosed as frozen shoulder
  • The age of the participant will be from 40-60 (Agarwal S., et al.2016).
  • Body mass index from 25- 30 kg/m2.
  • having a painful stiff shoulder for at least 3 months
  • having limited ROM of a shoulder joint (ROM losses of 25% or greater compared with the noninvolved shoulder in at least 2 of the following shoulder motions: glenohumeral flexion, abduction and lateral rotation.
  • ability to complete Disabilities of the Arm, Shoulder and Hand questionnaires (DASH).

Exclusion criteria

  • history of surgery on the particular shoulder
  • Rheumatoid arthritis
  • painful stiff shoulder after a severe trauma
  • fracture of the shoulder complex
  • rotator cuff rupture
  • tendon calcification.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Patients referred from orthopedist and diagnosed as frozen shoulder The age of the participant will be from 40-60 (Agarwal S., et al.2016). Body mass index from 25- 30 kg/m2. having a painful stiff shoulder for at least 3 months having limited ROM of a shoulder joint (ROM losses of 25% or greater compared with the noninvolved shoulder in at least 2 of the following shoulder motions: glenohumeral flexion, abduction and lateral rotation.

ability to complete Disabilities of the Arm, Shoulder and Hand questionnaires (DASH).

Exclusion criteria

history of surgery on the particular shoulder Rheumatoid arthritis painful stiff shoulder after a severe trauma fracture of the shoulder complex rotator cuff rupture tendon calcification.

Treatment and study plan

Shockwave

Device

From sitting with shoulder abducted at 45 degree and elbow flexed and the forearm rested on flat surface, The patients in the intervention group B received shock wave therapy once a week for 4 weeks. The focus probe sets were used and, in each session, patients received ESWT from anterior and posterior directions (on the average 1200 shocks between 0.1 and 0.3 mJ/mm2) up to the maximum threshold of pain tolerance in the shoulder

Mulligan mobilization

Other

Mobilization with movement (MWM) is the concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end range applied by the patient. Passive end-of-range overpressure, or stretching, is then delivered without pain as a barrier

Other names: Mobilization with movement

conventional treatment

Other

Conventional treatment will be axillary ultrasound and laser ,low loading stretching exercise and home program exercises

Primary outcomes

  1. Pain intensity level.

    Time frame: 4 weeks

    measured by Visual analog scale

  2. Range of motion.

    Time frame: 4 weeks

    measured by digital goniometer

  3. Functional disability level.

    Time frame: 4 weeks

    Determined by Disabilities of the arm, shoulder and hand questionnaire (DASH)

  4. Soft tissue thickness (Capsule thickness)

    Time frame: 4 weeks

    measured by musculoskeletal ultrasonography

  5. Hand grip strength

    Time frame: 4 weeks

    Measured by hand dynamometer

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Mulligan Mobilization Versus Extracorporeal Shockwave Therapy on Ultrasonographic Changes in Patients With Adhesive Capsulitis

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Dec 30, 2025
Registry last updated
Dec 30, 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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