Neural Mobilization and Capsular Stretching in Adhesive Capsulitis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-01

Study Completion Date

2026-04-10

Brief Summary

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Restriction of glenohumeral (GH) mobility in patients with adhesive capsulitis (AC) was known owing to capsular adhesion. There is a little evidence about the involvement of neural restriction in limiting range of motion (ROM) of the GH joint in patients with AC. Objectives: The purpose of this study is to investigate the combined effect of median nerve mobilization and capsular stretching on improving shoulder external rotation, abduction and internal rotation ROM among patients with AC. Methods Thirty patients will be randomly assigned into two equal groups : Group (A) will receive median nerve mobilization and capsular stretching while Group (B) will receive only capsular stretching (anterior, posterior and anteroinferior capsular stretching). Both groups will receive passive and self-assisted exercises. All patients in both groups will be evaluated pre and post treatment for GH external rotation, abduction and internal rotation ROM.

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Detailed Description

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Conditions

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Adhesive Capsulitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

three groups

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Neural mobilization group

neural mobilization plus capsular stretching

Group Type EXPERIMENTAL

capsular stretching plus neural mobilization

Intervention Type OTHER

anterior, posterior and inferior capsular stretching and neural mobilization

Capsular stretching group

capsular stretching

Group Type ACTIVE_COMPARATOR

anterior, inferior and posterior capsular stretching

Intervention Type OTHER

anterior, inferior and posterior glenohumeral capsular stretching

Control group

traditional execises

Group Type ACTIVE_COMPARATOR

traditional exercises

Intervention Type OTHER

stretching exercises for anterior GH musculture plus auto passive exercises and pendulum exercises

Interventions

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capsular stretching plus neural mobilization

anterior, posterior and inferior capsular stretching and neural mobilization

Intervention Type OTHER

anterior, inferior and posterior capsular stretching

anterior, inferior and posterior glenohumeral capsular stretching

Intervention Type OTHER

traditional exercises

stretching exercises for anterior GH musculture plus auto passive exercises and pendulum exercises

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients from both gender (male \&female) will be included if they would have second or third stage AC with their age between forty and seventy years
* experiencing pain, capsular adhesions, and a reduction of greater than fifty percentage in passive ROM of the GH joint (external rotation, abduction, and internal rotation compared to the sound side
* lasting for a minimum of three months. Patients with positive upper limb tension test-1 will be also included in this study

Exclusion Criteria

* they would have stroke,Parkinson's diseases that interfere with shoulder muscles activity
* diabetes
* traumatic shoulder conditions
* glenohumeral osteoarthritis confirmed by x-ray
* previous surgery, and manipulation of the affected GH joint under general anesthesia
* Patients with passive elbow extension ROM

Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No