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

NCT ID: NCT06985836

Last Updated: 2025-05-22

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-12-15
• Study Completion Date: 2025-06-15

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.

Conditions

Adhesive Capsulitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Mulligan Mobilization and Niel Asher technique

Shoulder mobilization that includes:

• 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

Group Type: EXPERIMENTAL

Mulligan Mobilization and Niel Asher technique

Intervention Type: 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.

Intervention Type: 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.

Mulligan Mobilization and Conventional physiotherapy.

Group B Will receive Baseline Physical therapy treatment and mulligan mobilization.

Standardized Physiotherapy treatment will be:

• 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

Group Type: ACTIVE_COMPARATOR

Mulligan Mobilization and Conventional physiotherapy.

Intervention Type: 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.

Interventions

Mulligan Mobilization and Niel Asher technique

• 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

Intervention Type: OTHER

Mulligan Mobilization and Conventional physiotherapy.

• 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.

Intervention Type: OTHER

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

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rabiya Noor, PHD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Ibne Siena hospital Multan.

Multan Khurd, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Iqbal Tariq, PHD

Role: CONTACT

Iqbal.tariq@riphah.edu.pk

03338236752

Facility Contacts

Iqra Fatima, MSOMPT

Role: primary

Rabiya Noor, PHD

Role: backup

rabiya.noor@riphah.edu.pk

03344355660

References

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.

Reference Type: BACKGROUND

PMID: 23037929 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 15928561 (View on PubMed)

Other Identifiers

REC/RCR & AHS/24/0180

Identifier Type: -

Identifier Source: org_study_id