Effects Of Gong's Versus Mulligan Mobilization In Patients With Adhesive Capsulitis

Effects Of Gong's Versus Mulligan Mobilization On Pain, Range Of Motion, Functional Disability and Quality Of Life In Patients With Adhesive Capsulitis

A Randomized Clinical Trial will be conducted at DHQ hospital kasur,BIT hospital kasur,Arif memorial hospital Lahore.Pre-diagnosed patients will be reassessed by applying (Shoulder Shrug Sign, Hand to neck, Hand to scapula, Hand to opposite scapula,Hand to back,Capsular pattern movement restriction)Plus all other special tests will be applied to confirm that symptoms are not due to other shoulder pathologies but are due to just adhesive capsulitis then through consecutive sampling technique on 60 patients they will be allocated using computer generated sampling(random number table) into Group A and Group B.

Study Overview

• Status: Recruiting
• Conditions: Adhesive Capsulitis of Shoulder
• Intervention / Treatment: Other: Gong's Mobilization Technique; Other: Mulligan Mobilization Technique

Detailed Description

A Randomized Clinical Trial will be conducted at DHQ hospital kasur,BIT hospital kasur,Arif memorial hospital Lahore.Pre-diagnosed patients will be reassessed by applying (Shoulder Shrug Sign, Hand to neck, Hand to scapula, Hand to opposite scapula,Hand to back,Capsular pattern movement restriction)Plus all other special tests will be applied to confirm that symptoms are not due to other shoulder pathologies but are due to just adhesive capsulitis then through consecutive sampling technique on 60 patients they will be allocated using computer generated sampling(random number table) into Group A and Group B. Group A will be treated with Gong's mobilization and Group B will be treated with Mulligan MWM The procedures will be performed Three sets of 10 repetitions, with 1 minute rest between sets,thrice per week for a total of six weeks. Pre and post intervention values will be taken on 1st day and after 6 weeks. Outcome measures will be conducted through VAS for pain,SPADI for functional disability , goniometer for range of motion ,SF-36 for quality of life after 6 weeks. Data will be analyzed during SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Imran Amjad, Phd PT; Phone Number: 03324390125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan
      • Recruiting
      • Iffat Anwar Medical Complex
      • Contact: Abid Hanif Awan, M.Phill PT; Phone Number: 03039878088; Email: abid.awan57@gmail.com
      • Principal Investigator: Adeena Nisar, DPT

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age 40 to 50 years
• Both male and female
• Pre-diagnosed Unilateral Primary Frozen shoulder patients
• Prediagnosed Stage 3(Frozen phase) patients(27)

Exclusion Criteria:

• Patients with previous surgery in the shoulder joint
• History of recent fracture or severe trauma to the shoulder
• Diagnosed instability or previous history of dislocation
• Systemic inflammatory conditions(e.g.rheumatoid arthritis)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Gong's Technique Group; The subject will sat on knee-high chair with the spine in a neutral position and comfortably extends both their arms. Therapist will stand on the side opposite to the affected side. The therapist will push the scapula of the affected side in a posterior to anterior direction with one hand, and pushed the humeral head in an anterior to posterior direction parallel to joint plane with the other hand. Simultaneously, the subject will quickly and powerfully perform shoulder abduction with elbow flexion and with palm facing inside and the back of the hand facing outside. During this time, the hands of the therapist kept facing the humeral head with long axis of the palm along with the long axis of the humerus. The therapist followed the subject performing shoulder abduction, at the same speed while maintaining a little distraction, and adding acceleration in the end range.	Other: Gong's Mobilization Technique; The therapist will push the scapula of the affected side in a posterior to anterior direction with one hand, and pushed the humeral head in an anterior to posterior direction parallel to joint plane with the other hand.
Experimental: Mulligan Mobilization; For shoulder abduction, therapist applied a posterolateral gliding force over the head of the humerus, while patient actively abducted his arm. For shoulder flexion, the therapist applied a posterolateral glide as patient flexed his shoulder. For shoulder internal rotation, therapist applied an inferior shoulder glide and stabilized the scapula as the patient internally rotated his shoulder, and adducted his upper arm. As the therapist pushed the shoulder into adduction in this way, the head of the humerus was distracted laterally. Therapist hand in the axilla acted as a fulcrum.For shoulder external rotation,therapist applied posterolateral glide in sitting position	Other: Mulligan Mobilization Technique; Mulligan Mobilization Technique

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Range of Motion	Goniometer	Pre & Post 6 weeks
Level of Pain	Numeric Pain Rating Scale	Pre & Post 6 weeks
Functional Disability	Shoulder Pain and Disability Index	Pre & Post 6 weeks
Quality of Life Level	Sort Form Survey-36	Pre & Post 6 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Muhammad Hassan, MSPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): April 24, 2024
• Primary Completion (Estimated): January 24, 2025
• Study Completion (Estimated): February 24, 2025

Study Registration Dates

• First Submitted: November 12, 2024
• First Submitted That Met QC Criteria: November 12, 2024
• First Posted (Estimated): November 13, 2024

Study Record Updates

• Last Update Posted (Estimated): November 13, 2024
• Last Update Submitted That Met QC Criteria: November 12, 2024
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: Range of Motion; Adhesive capsulitis; Functional Disability
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Joint Diseases; Bursitis
• Other Study ID Numbers: REC/RCR&AHS/24/0116

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No