Comparative Analysis of Mulligan and Maitland Mobilizations Techniques in Adhesive Capsulitis

Riphah International University

Status: Enrolling

Conditions: Adhesive Capsulitis of Shoulder

Treatments: Other: Maitland Mobilization; Other: Mulligan Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT06927115

REC-01005 Rafi Ullah

Details and patient eligibility

About

Mobilization techniques are widely used in physiotherapy to address the pain and stiffness associated with adhesive capsulitis. Two commonly employed approaches are Mulligan's mobilization and Maitland's mobilization, both of which aim to restore joint mobility and improve functional outcomes. However, the relative effectiveness of these techniques in improving disability and quality of life in patients with adhesive capsulitis has not been conclusively established. This study will help to find out the best mobilization option for adhesive capsulitis or frozen shoulder for all four stages of adhesive capsulitis.

Full description

Adhesive capsulitis is a condition characterized by pain, loss of both active and passive range motion of the shoulder joint in all planes especially abduction and external rotation. In general population the prevalence of adhesive capsulitis is 2-5% and its incidence is 2%.The prevalence of adhesive capsulitis in diabetic patient is 11- 30% while in non-diabetic is 2-10%.Adhesive capsulitis is more common in women aged between 40-60 years (12). Adhesive capsulitis is bilateral in 20-30 % of cases and the opponent shoulder become involved within five years Based on etiology Adhesive capsulitis is classified into primary or true frozen shoulder and secondary, in primary adhesive capsulitis there is global capsular inflammation without any known cause or pre-existing condition while secondary adhesive capsulitis is associated with any recognized systemic, intrinsic or extrinsic cause. The systemic causes of secondary adhesive capsulitis comprise thyroid diseases, diabetes mellitus and decreased level of adrenaline. The intrinsic cause of secondary adhesive capsulitis is rotator cuff disease andcalcification of tendon or tendonitis. The extrinsic causes of secondary adhesive capsulitis include breast surgery in women, post trauma, clavicle or humerus fracture and early history of cerebral vascular accident

Enrollment: 42 estimated patients

Sex: All

Ages: 35 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 35-50 years.
• Diagnosed case of primary adhesive capsulitis.
• Pain and limited range of motion in the affected shoulder. (External rotation>abduction>internal rotation)
• Willing to participate in the study

Exclusion criteria

• Previous shoulder surgery.
• Severe osteoporosis or fractures.
• Neurological or rheumatological conditions.
• Neck and cardiac surgery
• History of recent fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 2 patient groups

Maitland Mobilization

Experimental group

Description:

This group will be treated with Maitland mobilization with 30 repetition and 3 set in each repetition 3 time a week for 4 weeks along with conventional exercises like Monkey bar, towel stretching, and codmen exercise.

Treatment:

Other: Maitland Mobilization

Mulligan Mobilization

Experimental group

Description:

This group will be treated with Maitland mobilization of the shoulder joint with 30 repetition and 3 set in each repetition 3 time a week for 4 weeks along with conventional exercises like Monkey bar, towel stretching, and codmen exercise.

Treatment:

Other: Mulligan Mobilization