Effects of Gong's Mobilization With and Without Nielasher Technique on in Adhesive Capsulitis

Официальное название

Effects of Gong's Mobilization With and Without Niel Asher Technique on Shoulder Pain, Range of Motion and Disability in Adhesive Capsulitis

Обзор

Adhesive Capsulitis causes a progressive tightening of the glenohumeral joint capsule, restricting both active and passive movements and resulting in functional impairments. Joint mobilization is an essential component of physical therapy for managing adhesive capsulitis. Two new techniques are emerging in the treatment of Adhesive capsulitis; one of them is called Gong's Mobilization. This technique emphasizes correcting positional faults by applying controlled, dynamic movements to the glenohumeral joint. The other technique, known as Niel-Asher technique is a five-step trigger point therapy which offers a unique, non-invasive holistic approach to address adhesive capsulitis. This study, will be conducted as a randomized clinical trial at Ghurki Trust Teaching Hospital and Hope Rehabilitation Center, it aims to evaluate the effects of Gong's mobilization with and without Niel-Asher technique on shoulder pain, ROM and disability in Adhesive Capsulitis of patients aged 40-60 years. A non-probability convenience sampling method will recruit 46 participants meeting the inclusion criteria only. Participants will be randomly assigned to Group A (Gong's Mobilization) or Group B (Gong's mobilization and and Niel-Asher technique) with interventions given for four weeks. Pain severity will be measured using the Numeric Pain Rating Scale, Range of Motion will be assessed via goniometer, and disability will be evaluated using the SPADI. Statistical analysis using SPSS will compare outcomes between groups at baseline, at two weeks and post-treatment after 4 weeks.

Вмешательства

• Другое Gong's Mobilization
  It is performed in a side-lying position. * The therapist will stand on the affected side of the patient and push the head of humerus of the affected side in anterior to posterior direction parallel to the joint plane with the palm of his hand, simultaneously, with the other hand, the therapist will push the scapula from posterior to anterior direction realigning and stabilizing the humeral head within correct position. * The patient is asked to quickly and powerfully perform abduction while ke
• Другое Gong's Mobilization and Niel-Asher technique
  1\. In Niel-Asher technique, the patient was made to lie sideways and several deep strokes with your hand, from elbow to humeral head were applied. Apply sustained pressure over the embedded nodules or over the fibrous band which you may feel when you move upwards. 2. Apply deep sustained pressure on the tender point over the posterior joint capsule area (teres minor). 3. Perform circumduction of shoulder with bent elbow repeatedly several times from small to large complete circles. 4\. Release

Первичные конечные точки

• Shoulder Pain and Disability Index (SPADI) [Срок оценки: 6th week]
• Universal Goniometer (UG) [Срок оценки: 6th week]

Критерии участия

Критерии включения

• Individuals with age group of 40-60 years.
• Both Females and males individuals.
• Individuals diagnosed with Frozen shoulder (Adhesive Capsulitis) within stage II and III of frozen shoulder.
• Individuals with positive capsular pattern (ER>Abd> IR).
• Individuals with ROM loss ≥ 25% in at least two planes compared with the noninvolved shoulder

Критерии исключения

• Individuals with rotator cuff tears and overuse injury
• Individuals with inflammatory diseases (Osteoarthritis, Rheumatoid Arthritis, Gout) and Malignancies
• Individuals Using Corticosteroid Injections or Medications

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Rabiya Noor — Lahore

Публикации

• Pattnaik S, Kumar P, Sarkar B, Oraon AK. Comparison of Kaltenborn mobilization technique and muscle energy technique on range of motion, pain and function in subjects with chronic shoulder adhesive capsulitis. Hong Kong Physiother J. 2023 Dec;43(2):149-159. doi: 10.1142/S1013702523500166. Epub 2023 Jun 21. PMID 37583922

Идентификаторы

NCT: NCT07628335 · REC/RCR & AHS/25/0109

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗