Effects of Gongs Mobilization and Proprioceptive Neuromuscular Facilitation in Patients With Adhesive Capsulitis
2026年5月4日 更新者：Riphah International University
The randomized controlled trail aims is to evaluate the outcome of Gongs mobilization and PNF in patients with adhesive capsulitis.
The significance of this study is to compare Gong's mobilization technique with proprioceptive neuromuscular facilitation (PNF) compare their effects on pain, range of motion, and functional disability.
The sample size was calculated with G-power.
This study would include total 44 female participants aged 40-60 years will be recruited and randomly assigned to two groups.
Group A(Gongs mobilization+ conventional therapy)and Group B(PNF+ Conventional therapy).
Intervention will be provided for 4 weeks 3 session per week.
Primary outcome measures are pain, ROM and functional disability via NPRS, Goniometer and U-SPADI.
Outcomes will be reassessed at baseline, after 2nd week, and after 4th week.
調査の概要
詳細な説明
Adhesive capsulitis ,which is also referred as frozen shoulder is described as a progressive and self-limiting condition leading to gradual onset of pain and loss of shoulder Range of motion. It restricts both Active and Passive movements due to adhesions in Glenohumeral(GH) joint capsule. which leads to fibrosis, scarring and contracture of joint capsule. As fibrosis progresses restricting the shoulder normal Range of motion. ultimately impacting person's daily activities and frequently interfering with sleep and making basic activities like combing hair , dressing and overhead activities difficult.
Gong's Mobilization(GM) serves as an effective technique in the treatment of Frozen shoulder, it was introduced by W. Gong, the mainstay of this mobilization is to correct the positional fault of the humeral head that is often medially rotated and dragged forward due to muscular tension of Subscapularis and Pectoralis Major along with the tightness of posterior capsule. Gong mobilization intends to keep the humeral head in its correct position during dynamic motion of the GH joint by keeping the affected scapula in anterior to posterior position and the humeral head in posterior to anterior direction at the same time. Proprioceptive neuromuscular facilitation (PNF) stretch is a technique commonly used in clinical environments to enhance both active and passive range of motion (ROM), with the ultimate goal of optimizing motor performance and rehabilitation
研究の種類
介入
入学 (推定)
44
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Fatima Miraj, DPT
- 電話番号：+923045938254
- メール：fatimamiraj921@gmail.com
研究連絡先のバックアップ
- 名前：Attiq ur Rehman, MS
- 電話番号：+92-336-1055533
- メール：attiq.rehman@riphah.edu.pk
研究場所
-
-
Punjab Province
-
Rawalpindi、Punjab Province、パキスタン、46000
- 募集
- Pakistan Railway General Hospital
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Females in the age group between 40-60 years.
- Diagnosed with Unilateral frozen shoulder.
- Patients in frozen stage (progressive loss of ROM, marked stiffness with gradual pain reduction).
- More than 25% painful limitation of GH ROM in two planes, more than 50% in external rotation(arm at 0 degree of abduction).
Exclusion Criteria:
- History of surgery on the affected shoulder.
- Patients having any cervical or thoracic problem.
- Painful, stiff shoulder after severe trauma, inflammatory diseases such as rheumatoid arthritis and malignancies.
- Recent fractures in and around the shoulder.
- Rotator cuff disorder.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Gongs Mobilization
Gongs Mobilization + conventional Therapy
|
Glenohumeral mobilization (GM) will be performed in a side-lying position with the therapist standing on the affected side.
An anterior-to-posterior glide will be applied to the humeral head parallel to the joint plane while the opposite hand stabilizes the scapula from posterior to anterior.
The patient will perform quick shoulder abduction movements with the elbow extended as the therapist applies Maitland's Grade III-IV oscillatory glides, maintaining slight joint distraction and following the motion through the abduction phase.
Each session will include two sets of five repetitions with a five-minute rest between sets, for a total of twelve sessions
The therapist will use proprioceptive neuromuscular facilitation (PNF) techniques specifically employing the hold-relax method followed by the D2 pattern of flexion-extension movement.
Each session will last 15 minutes, comprising 10 sets of PNF.
Each set will include 5 repetitions, with a 5-second hold and a 2-second rest between repetitions.
This protocol will be administered over 12 sessions.
|
|
実験的：Proprioceptive Neuromuscular facilitation
PNF + conventional Therapy
|
Glenohumeral mobilization (GM) will be performed in a side-lying position with the therapist standing on the affected side.
An anterior-to-posterior glide will be applied to the humeral head parallel to the joint plane while the opposite hand stabilizes the scapula from posterior to anterior.
The patient will perform quick shoulder abduction movements with the elbow extended as the therapist applies Maitland's Grade III-IV oscillatory glides, maintaining slight joint distraction and following the motion through the abduction phase.
Each session will include two sets of five repetitions with a five-minute rest between sets, for a total of twelve sessions
The therapist will use proprioceptive neuromuscular facilitation (PNF) techniques specifically employing the hold-relax method followed by the D2 pattern of flexion-extension movement.
Each session will last 15 minutes, comprising 10 sets of PNF.
Each set will include 5 repetitions, with a 5-second hold and a 2-second rest between repetitions.
This protocol will be administered over 12 sessions.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Numeric Pain Rating Scale
時間枠：4 weeks
|
Numeric pain rating scale is Subjective Assessment Tool used to assess level of discomfort patients are experiencing.
It is eleven-point scale (0-10).whereas
0 indicates(no pain at all) and 10 indicates(worst imaginable pain).
|
4 weeks
|
|
Goniometer
時間枠：4 weeks
|
Universal goniometer is used to assess active and passive Range of motion
|
4 weeks
|
|
Shoulder pain and Disability Index Urdu version(SPADI-U)
時間枠：4 weeks
|
SPADI-U was Created to assess degree of pain and discomfort in carrying out activities of daily living by patients without any assistance.
In the recent version 11-Point Numeric pain rating scale is used to rate each item.
It has total 13 items, 5-items for evaluating pain and 8-items for disability.
|
4 weeks
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Fatima Miraj, DPT、Riphah International University
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Kim DH. Outcome Measurement in Shoulder Diseases: Focus on Shoulder Pain and Disability Index (SPADI). Ann Rehabil Med. 2023 Oct;47(5):315-317. doi: 10.5535/arm.23130. Epub 2023 Oct 25. No abstract available.
- Khan AH, Bhuiyan MSH, Kabir MF, Hossain MZ, Jahan S, Hossain KMA, Rahman E. Effectiveness of proprioceptive neuromuscular facilitation pattern on upper extremity and scapula in patients with adhesive capsulitis: a single-centre assessor-blinded randomised controlled trial (RCT). Trials. 2025 May 3;26(1):146. doi: 10.1186/s13063-025-08848-0.
- Fernandes MR. Adhesive capsulitis: current concepts. Musculoskelet Surg. 2026 Mar;110(1):1-10. doi: 10.1007/s12306-025-00897-7. Epub 2025 Mar 17.
- Amjad F, Asghar H. Comparative effects of gong's mobilization and mobilization with movement in patients with adhesive capsulitis: a randomized clinical trial. Sci Rep. 2025 Feb 4;15(1):4272. doi: 10.1038/s41598-025-88422-5.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2025年9月1日
一次修了 (推定)
2026年5月5日
研究の完了 (推定)
2026年5月15日
試験登録日
最初に提出
2026年5月4日
QC基準を満たした最初の提出物
2026年5月4日
最初の投稿 (実際)
2026年5月8日
学習記録の更新
投稿された最後の更新 (実際)
2026年5月8日
QC基準を満たした最後の更新が送信されました
2026年5月4日
最終確認日
2026年5月1日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- REC/02277 Fatima
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個々の参加者データ (IPD) を共有する予定はありますか?
いいえ
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いいえ
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