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

Riphah International University

Status: Enrolling

Conditions: Adhesive Capsulitis

Treatments: Other: Mulligan Mobilization and Conventional physiotherapy.; Other: Mulligan Mobilization and Niel Asher technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06985836

REC/RCR & AHS/24/0180

Details and patient eligibility

About

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.

Enrollment: 42 estimated patients

Sex: All

Ages: 40 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 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 criteria

• • Diabetes

  • Malignancy
  • Infection
  • Arthoplasty
  • Pregnancy
  • Neurological disorders
  • Fracture
  • Thyroid diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Mulligan Mobilization and Niel Asher technique

Experimental group

Description:

Shoulder mobilization that includes: * 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

Treatment:

Other: Mulligan Mobilization and Niel Asher technique

Other: Mulligan Mobilization and Conventional physiotherapy.

Mulligan Mobilization and Conventional physiotherapy.

Active Comparator group

Description:

Group B Will receive Baseline Physical therapy treatment and mulligan mobilization. Standardized Physiotherapy treatment will be: * 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

Treatment:

Other: Mulligan Mobilization and Conventional physiotherapy.