Effects of Gongs Mobilization vs Reverse Distraction Technique in Diabetic Patients With Adhesive Capsulitis

NCT06913361 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall23/791
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Adhesive capsulitis (AC) represents a renowned musculoskeletal condition which has been clinically classified as frozen shoulder (FS). Adhesive capsulitis occurs 3-5% of the time in the general population, but in diabetics, the frequency can reach 20%. This study is being conducted to determine the effects of gongs mobilization vs reverse distraction technique in diabetic patients with adhesive capsulitis. This study will be a randomized control trial and data will be collected from Haq Orthopedic Hospital. Sample size is 20 calculated by using G power and adding 20 % attrition.

Conditions

Adhesive Capsulitis

Outcome Measures

Primary Outcomes (2)

• NUMERIC PAIN RATING SCALE (NPRS)

  Value of sensitivity/specificity/ validity/reliability: intra-class correlation coefficient 0.58 to 0.93. Measurement: Numerical Interpretation: The Numeric Pain Rating Scale (NPRS) is a simple and widely used tool for assessing pain intensity. Patients rate their pain on a scale from 0 to 10, where 0 indicates ""no pain"" and 10 indicates ""worst pain imaginable."" The interpretation of NPRS scores helps classify pain severity and monitor changes over time.

  12 Months

• SHOULDER PAIN AND DISABILITY INDEX

  The items of the questionnaire are assessed on a 0-10 numeric rating scale in which 0 means no disability and 10 is maximum disability. The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities

  12 Months

Study Arms (2)

Gongs Mobilization

EXPERIMENTAL

Diagnostic Test: Gongs Mobilization

Reverse Distraction Technique

EXPERIMENTAL

Combination Product: Reverse Distraction Technique

Interventions

Gongs Mobilization DIAGNOSTIC_TEST

The treatment begins with moist heat for 10 minutes, Gong's mobilization with conventional therapy for 8 minutes. The total treatment time was 45 minutes once a day for four days per week for four weeks.

Gongs Mobilization

Reverse Distraction Technique COMBINATION_PRODUCT

The treatment begins with moist heat for 10 minutes, Reverse Distraction technique with conventional therapy for 8 minutes. The total treatment time was 45 minutes once a day for four days per week for four weeks. Position of the patient: side-lying. The patient is lying at the plinth's edge on the unaffected side. In front of the patient is the therapist's position.

Reverse Distraction Technique

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both males and females.
• Diagnosed case of Unilateral Adhesive Capsulitis.
• Age group of 40-60 years.
• Stage 2 and 3 of Adhesive Capsulitis.
• Diabetes Mellitus Type II.
• Patients with decreased ROM (less than or equal to 120 degrees), pain, and mild to moderate levels of type II diabetics (below or equal to 200 mg/dL).
• No history of shoulder surgeries to the affected shoulder.

You may not qualify if:

• Systemic arthritic conditions of the shoulder (Rheumatoid arthritis, osteoporosis or malignancies in the shoulder region) .
• Disorders of the Cervical spine .
• Corticosteroids injections in the affected Shoulder in preceding 6 weeks.
• Skin lesions or bruises around the Shoulder.
• Shoulder injuries such as Rotator cuff tear.
• Fracture in and around the shoulder joint.

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Haq Orthopaedic hospital, Sanda road

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 29, 2025
• First Posted: April 6, 2025
• Study Start: March 20, 2025
• Primary Completion: June 20, 2025
• Study Completion: February 10, 2026
• Last Updated: April 6, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)