RecruitingNot ApplicableNCT06985836

Effect of Mulligan Mobilization With or Without Niel Asher Technique in Patients With Adhesive Capsulitis

Effect of Mulligan Mobilization With or Without Niel Asher Technique on Pain, Range of Motion and Disability in Patients With Adhesive Capsulitis

Sponsor

Riphah International University

Enrollment

42 participants

Start Date

Dec 15, 2024

Study Type

INTERVENTIONAL

Conditions

Adhesive Capsulitis

Summary

Adhesive capsulitis is a prevalent condition characterized by pain and stiffness in shoulder joint and surrounding muscles shows decrease range and strength in patients with adhesive capsulitis. This study aims to determine the effect of mulligan mobilization with or without Niel Asher technique on pain, range of motion and disability in patients with adhesive capsulitis. This study will be a randomized controlled trial and will be conducted in Ibne-siena Hospital Multan and Multicare physiotherapy clinic. Non-probability convenience sampling will be used to collect the data. Sample size of subjects with age group between 40 to 60 years will be taken. Data will be collected from the patients having present complaint of adhesive capsulitis. Outcome measures used will be Numeric pain rating scale (NPRS) for shoulder pain and SPADI for shoulder disability and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria. Subjects will be divided into two groups by random number generator table. Both the Groups will receive heating pad, TENS. Group A will receive Mulligan Mobilizations and Neil Asher technique, and Group B will receive Mulligan mobilization and Conventional Treatment. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 26.

Eligibility

Min Age: 40 YearsMax Age: 60 Years

Inclusion Criteria5

Age group 40-60 year
Both gender male and female
Stage 2 primary adhesive capsulitis with capsular pattern of restriction (rotation\>abduction\>flexion)
Pain in shoulder should be ≤7 on NPRS
Patient is willing to perform.

Exclusion Criteria8

• Diabetes
Malignancy
Infection
Arthoplasty
Pregnancy
Neurological disorders
Fracture
Thyroid diseases

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Interventions

OTHERMulligan Mobilization and Niel Asher technique

* Mulligan mobilization technique for shoulder external rotation and abduction as described by Mulligan. 3 sets of 10 repetitions with 1 minute rest between sets, 3 times a week for 4 weeks are performed * Niel Asher technique provided for 3 sessions a week for 4 weeks

OTHERMulligan Mobilization and Conventional physiotherapy.

* Modalities i.e. heating pad and TENS for ten Minutes * Postural correction exercises / Scapular retraction * Therapeutic Exercise : Codman' s, finger ladder, wand exercises * End Range Gleno-humeral joint stretching Both groups will come four times per week for a total of 4 weeks. Pre and post treatment values of both groups will be analyzed.