Bowen Technique Versus Dynamic Soft Tissue Mobilization on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis

NCT ID: NCT07047846

Last Updated: 2025-07-02

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 72 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-07-16
• Study Completion Date: 2026-01-03

Brief Summary

A randomized controlled trial included 72 patients diagnosed with adhesive capsulitis will conduct in University of Lahore Teaching Hospital. The study will complete within 9 months after the approval of synopsis. Patients who fulfilled the inclusion criteria will identified by individual physiotherapist and will enrolled for particular study. Informed written consent will be taken by the patients and will randomly allocated into two groups. The total numbers of sessions will 12 (3 sessions per week). The study will single blinded. The assessor will unaware of the treatment given to both groups.

Control group received routine physical therapy with dynamic soft tissue mobilization technique.

thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week. Experimental group received routine physical therapy along with Bowen technique. This includes thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week

Detailed Description

A randomized controlled trial will conduct at the UOL Teaching Hospital. Seventy-two diabetic patients aged 50-80 years with Grade 2 or 3 adhesive capsulitis will be divided into two groups at random: Bowen therapy will administered to Group A with routine physiotherapy, and Group B received DSTM with routine physiotherapy. Both interventions will delivered twice weekly for six weeks. Pain (VAS and SPADI Pain), ROM (flexion, abduction, external rotation), as well as functional impairment (SPADI Disability and Total Score) wil be assessed at baseline, week 3, and week 6.

Conditions

Adhesive Capsulitis

Study Design

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

Study Groups

Bowen technique with routine physical therapy

This group will receive bowen technique 3 moves with routine physical therapy including ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week)

Group Type: EXPERIMENTAL

Bowen Technique and 3 moves

Intervention Type: OTHER

As the client sits, take a position across from the shoulder that needs attention. Hold the side you are working on by its forearm. Arrange the forearm so that it is horizontal at about chest level, keeping the elbow at a 90˚ angle and the shoulder apart from the trunk. Move 1: This is an anterior move that involves placing the fingers of the other hand over the midpoint of the triceps and posterior deltoid tendon, which is situated deeper. The ideal way to execute the exercise is to adduct the shoulder joint to its maximum ROM while placing the thumb of the same hand on the humeral head.Move 2: After the shoulder has fully adducted to the other side, strike the humeral head percussionally in the neck's direction. Move 3: Put the arm back in the beginning position and work the anterior deltoid at its midpoint with a supero-lateral move. Then take a pause for 2 minutes and repeat the moves. Complete 3 sets of all these moves in 35 minutes including 2 minutes pause after these 3 moves.

Dynamic soft tissue mobilization with routine physical therapy

This group will receive dynamic soft tissue mobilization with routine physical therapy including heat application , ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week)

Group Type: ACTIVE_COMPARATOR

Dynamic soft tissue mobilization

Intervention Type: OTHER

Begin with gentle heat application or light massage to warm up the tissue for 5 minutes. Assess the range of motion and identify specific areas of tightness and pain. - Use hands or specialized tools to apply sustained pressure to the fascia and underlying muscles, concentrating on the scapular, pectoral, deltoidal, and rotator cuff muscles. Apply specific DSTM techniques to the identified muscles, gradually increasing the intensity as tolerated by the patient. Follow up with gentle stretching and strengthening exercises to maintain the gained ROM and improve muscle function.For subscapular are release Gentle circular movements over the subscapularis region to decrease the tension and increase the freedom of this muscle.For Supraspinatus and Infraspinatus Work Specific exercise over these muscles to help relieve pain and improve the shoulder joint.

Interventions

Dynamic soft tissue mobilization

Begin with gentle heat application or light massage to warm up the tissue for 5 minutes. Assess the range of motion and identify specific areas of tightness and pain. - Use hands or specialized tools to apply sustained pressure to the fascia and underlying muscles, concentrating on the scapular, pectoral, deltoidal, and rotator cuff muscles. Apply specific DSTM techniques to the identified muscles, gradually increasing the intensity as tolerated by the patient. Follow up with gentle stretching and strengthening exercises to maintain the gained ROM and improve muscle function.For subscapular are release Gentle circular movements over the subscapularis region to decrease the tension and increase the freedom of this muscle.For Supraspinatus and Infraspinatus Work Specific exercise over these muscles to help relieve pain and improve the shoulder joint.

Intervention Type: OTHER

Bowen Technique and 3 moves

As the client sits, take a position across from the shoulder that needs attention. Hold the side you are working on by its forearm. Arrange the forearm so that it is horizontal at about chest level, keeping the elbow at a 90˚ angle and the shoulder apart from the trunk. Move 1: This is an anterior move that involves placing the fingers of the other hand over the midpoint of the triceps and posterior deltoid tendon, which is situated deeper. The ideal way to execute the exercise is to adduct the shoulder joint to its maximum ROM while placing the thumb of the same hand on the humeral head.Move 2: After the shoulder has fully adducted to the other side, strike the humeral head percussionally in the neck's direction. Move 3: Put the arm back in the beginning position and work the anterior deltoid at its midpoint with a supero-lateral move. Then take a pause for 2 minutes and repeat the moves. Complete 3 sets of all these moves in 35 minutes including 2 minutes pause after these 3 moves.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosed patients of 50-80 years of age
• Grade 2 & 3 (frozen and thawing) adhesive capsulitis
• patients willing to participate in the study
• Only diabetic patients

Exclusion Criteria

• Major mental health probleme
• Patients who has a history of surgery on the shoulder, other shoulder diseases including a rotator cuff tear, sub acromial impingement syndrome, and a shoulder labral tear
• Patients taking oral or intra-articular steroids and cortisone injection prior 3 months
• Subjects with rotator cuff tears or other shoulder ligament injuries, H/O arthritis related to shoulder, malignancy, adhesive capsulitis secondary to fractures, dislocation, reflex sympathetic dystrophy, neurological disorder

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore Hospital (ULH)

NETWORK

Sponsor Role: collaborator

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Nadia Rehman

Physical Therapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

UOL Teaching Hospital

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Dr farrukh Murtaza Physical Therapist, Phd (PT)*

Role: CONTACT

Farrukh.murtaza@uipt.uol.edu.pk

+923339970563

Facility Contacts

Dr farrukh murtaza Physical Therapist, PhD(PT)*

Role: primary

Farrukh.murtaza@uipt.uol.edu.pk

+923339970563

References

Hansen C, Taylor-Piliae RE. What is Bowenwork(R)? A systematic review. J Altern Complement Med. 2011 Nov;17(11):1001-6. doi: 10.1089/acm.2010.0023.

Reference Type: BACKGROUND

PMID: 22087611 (View on PubMed)

Aggarwal A, Saxena K, Palekar TJ, Rathi M. Instrument assisted soft tissue mobilization in adhesive capsulitis: A randomized clinical trial. J Bodyw Mov Ther. 2021 Apr;26:435-442. doi: 10.1016/j.jbmt.2020.12.039. Epub 2020 Dec 31.

Reference Type: BACKGROUND

PMID: 33992280 (View on PubMed)

Jusdado-Garcia M, Cuesta-Barriuso R. Soft Tissue Mobilization and Stretching for Shoulder in CrossFitters: A Randomized Pilot Study. Int J Environ Res Public Health. 2021 Jan 12;18(2):575. doi: 10.3390/ijerph18020575.

Reference Type: BACKGROUND

PMID: 33445505 (View on PubMed)

Carter B. A pilot study to evaluate the effectiveness of Bowen technique in the management of clients with frozen shoulder. Complement Ther Med. 2001 Dec;9(4):208-15. doi: 10.1054/ctim.2001.0481.

Reference Type: BACKGROUND

PMID: 12184347 (View on PubMed)

Other Identifiers

The University of Lahore

Identifier Type: OTHER

Identifier Source: secondary_id

REC-UOL-/494/08/24

Identifier Type: -

Identifier Source: org_study_id