Comparative Effects of Gongs and Maitland Mobilization in Patients With Adhesive Capsulitis

Официальное название

Comparative Effects of Gongs and Maitland Mobilization on Pain, Range of Motion, and Functional Disability in Patients With Adhesive Capsulitis

Обзор

Adhesive capsulitis is a common musculoskeletal disorder characterized by shoulder pain, restricted range of motion (ROM), and functional disability, leading to limitations in daily activities and reduced quality of life. Manual therapy techniques, including Gong's Mobilization and Maitland Mobilization, are widely used in physiotherapy management; however, evidence comparing their effectiveness remains limited.

Подробное описание

The study aim to compare the effects of Gong's Mobilization and Maitland Mobilization on pain, shoulder range of motion, and functional disability in patients with adhesive capsulitis. A randomized clinical trial will be conducted on 60 participants diagnosed with stage II and III adhesive capsulitis. Participants will be randomly allocated into two groups: Gong's Mobilization and Maitland Mobilization. Both groups also received conventional physiotherapy, including hot pack application, stretching, isometric exercises, and a home exercise program. Outcome measures includes the Numeric Pain Rating Scale (NPRS), Shoulder Pain and Disability Index (SPADI), and shoulder ROM assessed using a goniometer. Assessments will be performed at baseline, Week 3, and Week 6. Data were analyzed using Mann-Whitney U and Friedman tests with a significance level of p ≤ 0.05.

Вмешательства

• Другое Group A: Gong's Mobilization
  According to the criteria described by Gong et al., the patient was positioned in supine lying while the affected arm was placed upward to maintain the humerus in an upright position, with the elbow flexed to 90 degrees and the shoulder abducted to 90 degrees\[A31.1\]. The therapist then held the patient's hand and applied anterior-to-posterior pressure to the humerus while maintaining the elbow at a 90-degree angle. Subsequently, the therapist gently applied pressure to the articular capsule of
• Другое Maitland Mobilization
  Maitland mobilization using posterior glide technique was administered with the patient in a supine position. The therapist grasped the head of the humerus with one hand to perform the movements and stabilized the clavicular region with the other hand. The therapist remained in a standing position while applying the glides. To further stabilize the scapula and prevent scapular protraction, a towel was placed underneath the scapula, allowing smoother scapular glides\[A.

Первичные конечные точки

• Numeric Pain Rating Scale (NPRS) [Срок оценки: upto 6 weeks]

Вторичные конечные точки (2)

• Goniometer [Срок оценки: upto 6 weeks]
• Shoulder Pain and Disability Index (SPADI) [Срок оценки: upto 6 weeks]

Критерии участия

Критерии включения

• Adults aged between 40-65 years.
• Both male and female genders
• Stage II and III frozen shoulder
• Positive Apley's Scratch test
• Pain rating 3 to 7 on NPRS for at least 3 months
• Frozen shoulder with at least 25% restricted ROM

Критерии исключения

• Mental disorders
• Arthritic shoulder
• Rotator cuff disease
• Post-traumatic stiff shoulder
• Post-CABG shoulder-hand syndrome
• Post-stroke frozen shoulder
• Bilateral frozen shoulder
• Neurological disorders
• Frozen Shoulder secondary to Brachial Plexus Injury, Parkinsonism, Ankylosis, Infection, or Arthroplasty

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Публикации

• Choi JM, Cho EY, Lee BH. Effects of Dynamic Stretching Combined with Manual Therapy on Pain, ROM, Function, and Quality of Life of Adhesive Capsulitis. Healthcare (Basel). 2023 Dec 24;12(1):45. doi: 10.3390/healthcare12010045. PMID 38200951
• Xia WZ, Cortes RE, Chin KF, Cobiella C, Lambert S. "Idiopathic" adhesive capsulitis is caused by reactivation of latent neurotrophic virus involving peripheral nerves around the shoulder capsule: A hypothesis. Medical Hypotheses. 2025;197:111604.
• Nakandala P, Nanayakkara I, Wadugodapitiya S, Gawarammana I. The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review. J Back Musculoskelet Rehabil. 2021;34(2):195-205. doi: 10.3233/BMR-200186. PMID 33185587
• Sarasua SM, Floyd S, Bridges WC, Pill SG. The epidemiology and etiology of adhesive capsulitis in the U.S. Medicare population. BMC Musculoskelet Disord. 2021 Sep 27;22(1):828. doi: 10.1186/s12891-021-04704-9. PMID 34579697
• Fernandes MR. Adhesive capsulitis: current concepts. Musculoskelet Surg. 2026 Mar;110(1):1-10. doi: 10.1007/s12306-025-00897-7. Epub 2025 Mar 17. PMID 40095380
• Kulm S, Langhans MT, Shen TS, Kolin DA, Elemento O, Rodeo SA. Genome-Wide Association Study of Adhesive Capsulitis Suggests Significant Genetic Risk Factors. J Bone Joint Surg Am. 2022 Nov 2;104(21):1869-1876. doi: 10.2106/JBJS.21.01407. Epub 2022 Nov 2. PMID 36223477
• Jacob L, Gyasi RM, Koyanagi A, Haro JM, Smith L, Kostev K. Prevalence of and Risk Factors for Adhesive Capsulitis of the Shoulder in Older Adults from Germany. J Clin Med. 2023 Jan 14;12(2):669. doi: 10.3390/jcm12020669. PMID 36675599
• Do JG, Hwang JT, Yoon KJ, Lee YT. Correlation of Ultrasound Findings With Clinical Stages and Impairment in Adhesive Capsulitis of the Shoulder. Orthop J Sports Med. 2021 May 10;9(5):23259671211003675. doi: 10.1177/23259671211003675. eCollection 2021 May. PMID 33997079

Идентификаторы

NCT: NCT07724613 · REC/RCR & AHS/25/0139

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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