Effects of Gong's Mobilization With and Without Scapular High Lift on Shoulder Range of Motion and Functional Recovery in Adhesive Capsulitis. (Gongs Mob)
Effects of Gong's Mobilization With and Without Scapular High Lift on Shoulder Range of Motion and Functional Recovery in Adhesive Capsulitis; a Randomized Clinical Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Punjab Province
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Sialkot, Punjab Province, Pakistan, 51040
- Bethania Hospital Sialkot
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Sialkot, Punjab Province, Pakistan, 51310
- Raheem Surgical Hospital Sambrial
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Sialkot, Punjab Province, Pakistan, 51310
- University of Management and technology Sialkot Campus
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants, including both males and females.
- aged 40 to 60 years.
- Diagnosed with unilateral Adhesive capsulitis at the 2nd or 3rd stage of the disease
Exclusion Criteria:
- History of any trauma, tumor, fracture, surgery, or infection in a shoulder joint.
- Patient with pregnancy and a history of abnormal neurological status (radiculopathy, stroke with hemiplegia, brachial plexus injury).
- Restricted shoulder due to burns or postoperative scars.
- Moderate or High levels of diabetes.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: GROUP A (GONG'S MOBILIZATION WITH SCAPULAR HIGHLIFTS)
GROUP A (GONG'S MOBILIZATION WITH SCAPULAR HIGHLIFTS) containing 21 participants who will be given Gong's mobilization with scapular high lifts for 30 minutes along with the conventional physiotherapy.
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In this technique, the therapist applies a sustained lateral glide to the humeral head while the patient actively performs shoulder elevation or abduction.
Scapular high lifting is encouraged during the movement to assist shoulder elevation.
The technique is performed within a pain-free range to reduce pain and improve shoulder mobility and functional movement.
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Experimental: GROUP B (GONG'S MOBILIZATION WITHOUT SCAPULAR HIGHLIFTS)
GROUP B (GONG'S MOBILIZATION WITHOUT SCAPULAR HIGHLIFTS) containing 21 participants who were given Gong's mobilization without scapular high lifts for 30 minutes along with the conventional physiotherapy
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Patients received Gong's mobilization without allowing scapular high lifting.
The therapist applied a lateral glide to the humeral head while the patient performed pain-free shoulder elevation or abduction.
Scapular movement was controlled to avoid compensation, aiming to reduce pain and improve shoulder mobility and function.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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NUMERICAL PAIN RATING SCALE (NPRS)
Time Frame: 4 Weeks
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It is a fundamental tool used to evaluate pain intensity and pain tolerance.
Subjects can rate their pain from 0 (no pain at all) to 10 (pain as bad as it could be) to check whether the pain is acute or chronic.
42.
The test-retest reliability coefficient, the intra-class correlation coefficient (ICC) for NPRS, is 0.74, and the minimal clinically important difference (MCID) is 1.1 points
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4 Weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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SHOULDER PAIN AND DISABILITY INDEX (SPADI)
Time Frame: 4 Weeks
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SPADI is used to assess shoulder discomfort and impairment in patients with shoulder disorders.
It consists of 13 items divided into two domains; a sub-scale that measures pain contains 5 items, and the other sub-scale consists of 8 items to assess disability.
Every sub-scale has a scoring method that calculates the average (mean) at the end to make a score out of 100.
A high score indicates greater impairment or disability, and vice versa.
The reliability coefficient, the intra-class correlation, is ≥ 0.89, and its minimal clinically important difference (MCID) is 8 points
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4 Weeks
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UNIVERSAL GONIOMETERY:
Time Frame: 4 Weeks
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The primary movements of the shoulder include flexion and extension, abduction and adduction, horizontal abduction and adduction, as well as lateral and medial rotation.
While these movements are assessed at the glenohumeral joint, they rely on coordinated mobility at the sternoclavicular, acromioclavicular, and scapulothoracic joints41.
For shoulder AROM, the reliability coefficient, intra-class correlation (ICC), is 0.53-0.6544.
The ICC for PROM ranges from 0.87 to 0.99
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4 Weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Hamza Zahid, MS OMPT, University of Management and Technology Sialkot Pakistan
Publications and helpful links
General Publications
- Challey T, Dutta2 A, Kalita A, Pyngrope4 HR. Effectiveness of Gong's Mobilization Over Myofascial Release Technique in Patients with Adhesive Capsulitis.: Life Sciences-Physiotherapy. International Journal of Life Science and Pharma Research. 2023 May 1;L134-44.
- Eldridge A, Lohman E, Asavasopon S, Gharibvand L, Michener L. External handheld loads affect scapular elevation and upward rotation during shoulder elevation tasks. Int Biomech. 2024 Dec;11(1):1-8. doi: 10.1080/23335432.2024.2332212. Epub 2024 Mar 19.
- Poulose R, Navya T.V, Pawani DJ. A STUDY ON EFFECTIVENESS OF SCAPULAR PNF TECHNIQUES ON PAIN AND DYNAMIC STABILITY OF SCAPULA IN ADHESIVE CAPSULITIS OF SHOULDER JOINT. IJMAES. 2025;11(01):2271-86.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- kuhs/dpt/umt-skt-027
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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