RecruitingNot ApplicableNCT07203963

Additional Effects of Niel-asher Technique on Patients With Adhesive Capsulitis

Additional Effects of Niel Asher Technique Along With Sleeper Stretch on Posterior Capsule in Patients With Adhesive Capsulitis.

Sponsor

Riphah International University

Enrollment

36 participants

Start Date

Oct 25, 2025

Study Type

INTERVENTIONAL

Conditions

Adhesive Capsulitis

Summary

The aim of this randomized controlled trial is to find the additional effects of Niel-Asher technique along with sleeper stretch and conventional physical therapy on pain, shoulder ranges of motion and functional disability in patients with Adhesive capsulitis

Eligibility

Min Age: 40 YearsMax Age: 60 Years

Inclusion Criteria6

Age 40-60 years
Both Genders: Male and Female
Patient falls under diagnostic criteria for adhesive capsulitis which is Painful and limited active and passive glenohumeral ROM in capsular pattern (external rotation\> abduction\> internal rotation)
Patient diagnosed with adhesive capsulitis by orthopedic or general physician
Patient with phase two and three of adhesive capsulitis based on duration of symptoms
Patients of adhesive capsulitis with presence of trigger points in rotator cuff muscles and deltoid muscle (trigger points present in at least 1 or 2 of these muscles) based on simon and travell's criteria of trigger points diagnosis.

Exclusion Criteria9

Spinal Injuries and any other co- morbidity
Any surgery, infection, trauma, pregnancy, fracture and fall
Patient with intra articular steroidal therapy with in last 6 months
Patient unwilling to comply follow up schedule
Patient involvement in another intervention study
Malignancy
Patient with thyroid disorders and RA and Glenohumeral OA
History of previous surgery or manipulation under anesthesia of affected shoulder
Patient with duration of symptoms of less than three months

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Interventions

OTHERNiel-Asher Technique + sleeper stretch

Niel-Asher Technique, Manual Soft Tissue releaser, Neuro-muscular release technique for adhesive capsulitis ( This manual technique will be applied for 3 days a week for 4 weeks).Sleeper stretch will be applied passively by investigator, pressure of the stretch will be held for 30 seconds (repeated twice with 30 seconds break for 3 days a week) Conventional PT including 1: shoulder anteroposterior, posteroanterior and inferior glides ( 3 times a week for 4 week) 2: active and active assisted ROM exercises of shoulder joint (frequency: 1 set of 10 repetitions twice a day). 3: Shoulder Isometric exercises, Codman's exercises and pulley and finger ladder exercises (frequency: 1 set of 10 repetitions twice a day), 4: trigger points will be released by applying ischemic pressure (90 seconds) on trigger points found in rotator cuff muscles.

OTHERsleeper stretch + Conventional Treatment

Sleeper stretch will be applied passively by investigator, pressure of the stretch will be held for 30 seconds (repeated twice with 30 seconds break for 3 days a week). Conventional PT including 1: shoulder anteroposterior, posteroanterior and inferior glides ( 3 times a week for 4 week) 2: active and active assisted ROM exercises of shoulder joint (frequency: 1 set of 10 repetitions twice a day). 3: Shoulder Isometric exercises, Codman's exercises and pulley and finger ladder exercises (frequency: 1 set of 10 repetitions twice a day) 4: ischemic compression (90seconds hold) on trigger points found in rotator cuff muscles