Comparative Analysis of Mulligan and Maitland Mobilizations Techniques in Adhesive Capsulitis

NCT06927115 | Completed DMC

• 1 other identifier: REC-01005 Rafi Ullah
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Mobilization techniques are widely used in physiotherapy to address the pain and stiffness associated with adhesive capsulitis. Two commonly employed approaches are Mulligan's mobilization and Maitland's mobilization, both of which aim to restore joint mobility and improve functional outcomes. However, the relative effectiveness of these techniques in improving disability and quality of life in patients with adhesive capsulitis has not been conclusively established. This study will help to find out the best mobilization option for adhesive capsulitis or frozen shoulder for all four stages of adhesive capsulitis.

Conditions

Adhesive Capsulitis of Shoulder

Keywords

Adhesive capsulitis; Shoulder joint mobility; Shoulder stiffness

Outcome Measures

Primary Outcomes (4)

• NPRS

  The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.

  six weeks

• Goniometer

  A goniometer is a standardized tool used to measure shoulder range of motion (ROM) in degrees. It consists of a protractor with two arms, one stationary and one movable, to assess joint angles during movement.

  Six weeks

• SPADI

  The Shoulder Pain and Disability Index (SPADI) is a self-reported questionnaire used to assess pain and functional disability in individuals with shoulder conditions. It consists of 13 items divided into two subscales: pain (5 items) and disability (8 items), scored on a 0-100 scale, with higher scores indicating greater impairment

  Six weeks

• SF- 36 Scale

  The Short Form-36 (SF-36) Health Survey is a validated questionnaire used to assess health-related quality of life (HRQoL) across eight domains, including physical functioning, pain, and general health. It generates physical and mental health summary scores on a 0-100 scale, with higher scores indicating better well-being.

  Six weeks

Study Arms (2)

Maitland Mobilization

EXPERIMENTAL

This group will be treated with Maitland mobilization with 30 repetition and 3 set in each repetition 3 time a week for 4 weeks along with conventional exercises like Monkey bar, towel stretching, and codmen exercise.

Other: Maitland Mobilization

Mulligan Mobilization

EXPERIMENTAL

This group will be treated with Maitland mobilization of the shoulder joint with 30 repetition and 3 set in each repetition 3 time a week for 4 weeks along with conventional exercises like Monkey bar, towel stretching, and codmen exercise.

Other: Mulligan Mobilization

Interventions

Maitland Mobilization OTHER

Provide maitland mobilization technique along with conventional exercises like Monkey bar, towel stretching, and codmen exercise to each subject.

Maitland Mobilization

Mulligan Mobilization OTHER

Provide mulligan mobilization technique along with conventional exercises like Monkey bar, towel stretching, and codmen exercise to each subject.

Mulligan Mobilization

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 35-50 years.
• Diagnosed case of primary adhesive capsulitis.
• Pain and limited range of motion in the affected shoulder. (External rotation\>abduction\>internal rotation)
• Willing to participate in the study

You may not qualify if:

• Previous shoulder surgery.
• Severe osteoporosis or fractures.
• Neurological or rheumatological conditions.
• Neck and cardiac surgery
• History of recent fractures

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah international University Malakand Campus

Chakdara, KPK, 18800, Pakistan

Location

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Zavata Afnan, MS NMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 7, 2025
• First Posted: April 15, 2025
• Study Start: April 15, 2025
• Primary Completion: December 30, 2025
• Study Completion: January 10, 2026
• Last Updated: February 18, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)