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Comparative Effects of Gongs and Maitland Mobilization in Patients With Adhesive Capsulitis

21. juli 2026 opdateret af: Riphah International University

Comparative Effects of Gongs and Maitland Mobilization on Pain, Range of Motion, and Functional Disability in Patients With Adhesive Capsulitis

Adhesive capsulitis is a common musculoskeletal disorder characterized by shoulder pain, restricted range of motion (ROM), and functional disability, leading to limitations in daily activities and reduced quality of life. Manual therapy techniques, including Gong's Mobilization and Maitland Mobilization, are widely used in physiotherapy management; however, evidence comparing their effectiveness remains limited.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The study aim to compare the effects of Gong's Mobilization and Maitland Mobilization on pain, shoulder range of motion, and functional disability in patients with adhesive capsulitis. A randomized clinical trial will be conducted on 60 participants diagnosed with stage II and III adhesive capsulitis. Participants will be randomly allocated into two groups: Gong's Mobilization and Maitland Mobilization. Both groups also received conventional physiotherapy, including hot pack application, stretching, isometric exercises, and a home exercise program. Outcome measures includes the Numeric Pain Rating Scale (NPRS), Shoulder Pain and Disability Index (SPADI), and shoulder ROM assessed using a goniometer. Assessments will be performed at baseline, Week 3, and Week 6. Data were analyzed using Mann-Whitney U and Friedman tests with a significance level of p ≤ 0.05.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

52

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Adults aged between 40-65 years.
  • Both male and female genders
  • Stage II and III frozen shoulder
  • Positive Apley's Scratch test
  • Pain rating 3 to 7 on NPRS for at least 3 months
  • Frozen shoulder with at least 25% restricted ROM

Exclusion Criteria:

  • Mental disorders
  • Arthritic shoulder
  • Rotator cuff disease
  • Post-traumatic stiff shoulder
  • Post-CABG shoulder-hand syndrome
  • Post-stroke frozen shoulder
  • Bilateral frozen shoulder
  • Neurological disorders
  • Frozen Shoulder secondary to Brachial Plexus Injury, Parkinsonism, Ankylosis, Infection, or Arthroplasty

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Gong's Mobilization
Group A will receive Gong's Mobilization for adhesive capsulitis.
Andet: Group A: Gong's Mobilization
According to the criteria described by Gong et al., the patient was positioned in supine lying while the affected arm was placed upward to maintain the humerus in an upright position, with the elbow flexed to 90 degrees and the shoulder abducted to 90 degrees[A31.1]. The therapist then held the patient's hand and applied anterior-to-posterior pressure to the humerus while maintaining the elbow at a 90-degree angle. Subsequently, the therapist gently applied pressure to the articular capsule of the shoulder joint while elevating the patient's torso. The articular capsule was gently mobilized for 10-15 seconds followed by a 5-second release period. The therapist used one hand to perform medial rotation of the shoulder while stabilizing the elbow. This technique was performed for five sessions per week for four weeks, with 10-15 repetitions during each session
Aktiv komparator: Maitland Mobilization
Group B will receive Maitland Mobilization for adhesive capsulitis.
Andet: Maitland Mobilization
Maitland mobilization using posterior glide technique was administered with the patient in a supine position. The therapist grasped the head of the humerus with one hand to perform the movements and stabilized the clavicular region with the other hand. The therapist remained in a standing position while applying the glides. To further stabilize the scapula and prevent scapular protraction, a towel was placed underneath the scapula, allowing smoother scapular glides[A.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Numeric Pain Rating Scale (NPRS)
Tidsramme: upto 6 weeks
The Numeric Pain Rating Scale (NPRS) was a widely used tool designed to assess pain intensity in both clinical and research settings. It consisted of an 11-point scale ranging from 0 to 10, where 0 represented "no pain" and 10 indicated the "worst imaginable pain."
upto 6 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Goniometer
Tidsramme: upto 6 weeks
The goniometer was a widely used instrument in clinical and rehabilitation settings to measure joint angles and assess the range of motion (ROM).
upto 6 weeks
Shoulder Pain and Disability Index (SPADI)
Tidsramme: upto 6 weeks
The Shoulder Pain and Disability Index (SPADI) was a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consisted of 13 items divided into pain and disability subscales and was often used in both clinical practice and research.
upto 6 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Riphah International University

Efterforskere

  • Ledende efterforsker: Umama Irfan, MSPT*, Riphah International University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juli 2026

Primær færdiggørelse (Anslået)

30. november 2026

Studieafslutning (Anslået)

30. december 2026

Datoer for studieregistrering

Først indsendt

21. juli 2026

Først indsendt, der opfyldte QC-kriterier

21. juli 2026

Først opslået (Faktiske)

24. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • REC/RCR & AHS/25/0139

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Kliniske forsøg med Klæbende kapsulitis

Kliniske forsøg med Group A: Gong's Mobilization

Søg i lignende forsøg

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