Gong v/s Kaltenborn Mobilization in Frozen Shoulder

NCT05931666 | Completed

• 1 other identifier: RIPHAH/RCRS/REC/Letter-01400
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 2

Brief Summary

The aim of this research is to determine the effects of Gong mobilization and Kaltenborn mobilization in patients of frozen shoulder. This is a Randomized clinical trial. The sample size is 40. The subjects are divided in two groups, with 20 subjects in Group A and 20 subjects in Group B. Study duration is of 6 months. Sampling technique applied is Nonprobability Purposive Sampling. Both males and females of aged 40-65 years with Stage-II frozen shoulder are included. Tools used in the study are Visual Analogue Scale (VAS), Goniometer, and SPADI (Shoulder pain and disability index) questionnaire.

Conditions

Frozen Shoulder

Keywords

Gong mobilization; Kaltenborn mobilization; Frozen shoulder

Outcome Measures

Primary Outcomes (1)

• Shoulder pain and disability index

  SPADI was developed to measure the pain and disability associated with shoulder pathology. The SPADI is a self-administered index consisting of 13 items divided into two subscales i.e. pain and disability. A remarkably good internal consistency and high test-retest reliability value was found (ICC for pain=0.989 \[95% CI=0.975-0.995\]; ICC for disability=0.990 \[95% CI=0.988-0.998\]

  3rd week

Secondary Outcomes (2)

• Visual Analogue Scale

  3rd week

• Shoulder ranges using Goniometer

  3rd week

Study Arms (2)

Gong Mobilization

EXPERIMENTAL

The subject placed in a side-lying position with the affected shoulder joint facing upward. and abducted at about 90 degrees to maintain the humerus vertical position with elbow in a 90-degree position. The therapist use one hand to keep the subject's elbow joint at 90 degrees, his elbow below the subject's elbow joint, and the other hand to press the humerus head from anterior to posterior. Therapist elevate own body, pulling on the articular capsule of the shoulder joint. This gentle pulling sustained for 10- 15 seconds before relaxing for 5 seconds; the whole manoeuver last roughly 2-3 minutes.

Other: Gong Mobilization

Kaltenborn Mobilization

EXPERIMENTAL

Patient lies supine on the table with the arm abducted approximately to 55⁰. The therapist stands facing the lateral side of upper arm. The scapula is fixed using a towel. The therapist's right hand holds around the patients elbow \& forearm from the ventral side. Left hand holds around the humeral head with the thumb ventrally just distal to the acromion \& the direction of movement is towards caudal assisted by therapist's body. Also anterior and posterior glides are applied with patient positioned similarly in supine lying to improve mobility at the shoulder joint.

Other: Kaltenborn Mobilization

Interventions

Gong Mobilization OTHER

Patients are treated with Gong mobilization protocol along with conventional therapy including ultrasound therapy, hot pack and conventional exercises consisting of codman exercises, ROM exercises and shoulder stabilization exercises. Total of 3 sessions per week for 3 consecutive weeks.

Gong Mobilization

Kaltenborn Mobilization OTHER

Patients are treated with Kaltenborn mobilization protocol along with conventional therapy including ultrasound therapy, hot pack and conventional exercises consisting of codman exercises, ROM exercises and shoulder stabilization exercises. Total of 3 sessions per week for 3 consecutive weeks.

Kaltenborn Mobilization

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with unilateral stage-II frozen shoulder.
• Both males and females.
• Subjects within 40- 65 years age.
• Capsular pattern restrictions in ROM (external rotation is more limited than abduction, which is more limited than internal rotation).

You may not qualify if:

• Subjects with previous surgery of the shoulder joint.
• Subjects with rotator cuff rupture.
• History of recent fracture or severe trauma to the shoulder.
• Restricted shoulder ROM due to burns or postoperative scars.
• Diagnosed instability or previous history of dislocation
• Systemic inflammatory conditions (e.g. rheumatoid arthritis)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Satellite Specialist Clinic

Rawalpindi, Punjab Province, 46030, Pakistan

Location

Professional Specialist Rehab Center

Rawalpindi, Punjab Province, 48201, Pakistan

Location

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Muhammad Affan Iqbal, PhD*

  Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: July 5, 2023
• Study Start: June 1, 2022
• Primary Completion: June 15, 2023
• Study Completion: June 22, 2023
• Last Updated: July 27, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)