Bowen Technique Versus Dynamic Soft Tissue Mobilization on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis

NCT07047846 | Recruiting DMC

• 2 other identifiers: REC-UOL-/494/08/24The University of Lahore
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

A randomized controlled trial included 72 patients diagnosed with adhesive capsulitis will conduct in University of Lahore Teaching Hospital. The study will complete within 9 months after the approval of synopsis. Patients who fulfilled the inclusion criteria will identified by individual physiotherapist and will enrolled for particular study. Informed written consent will be taken by the patients and will randomly allocated into two groups. The total numbers of sessions will 12 (3 sessions per week). The study will single blinded. The assessor will unaware of the treatment given to both groups. Control group received routine physical therapy with dynamic soft tissue mobilization technique. thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week. Experimental group received routine physical therapy along with Bowen technique. This includes thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week

Conditions

Adhesive Capsulitis

Keywords

Adhesive Capsulitis; Bowen Therapy; Dynamic Soft Tissue Mobilization; range of motion; Shoulder Pain; physiotherapy

Outcome Measures

Primary Outcomes (3)

• Change in Visual Analogue Scale score

  Visual analogue scale will be used to assess shoulder pain. Score ranges from 0-10. 0 shows least pain and 10 shows worst pain

  Change from preintervention to 6th weeks

• Change in Universal Goniometer readings

  Universal Goniometer will be used to assess shoulder range of motion.

  Change from preintervention to 6th weeks

• change in Shoulder pain and disability Index (SPADI)

  The 13 items of the SPADI measure two domains: an 8-item subscale measuring disability and a 5-item subscale measuring pain. The SPADI is available in two variants. The first version uses a visual analogue scale (VAS) to evaluate each item, while the second version uses a numerical rating scale (NRS).

  Change from preintervention to 6th weeks

Study Arms (2)

Bowen technique with routine physical therapy

EXPERIMENTAL

This group will receive bowen technique 3 moves with routine physical therapy including ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week)

Other: Bowen Technique and 3 moves

Dynamic soft tissue mobilization with routine physical therapy

ACTIVE COMPARATOR

This group will receive dynamic soft tissue mobilization with routine physical therapy including heat application , ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week)

Other: Dynamic soft tissue mobilization

Interventions

Dynamic soft tissue mobilization OTHER

Begin with gentle heat application or light massage to warm up the tissue for 5 minutes. Assess the range of motion and identify specific areas of tightness and pain. - Use hands or specialized tools to apply sustained pressure to the fascia and underlying muscles, concentrating on the scapular, pectoral, deltoidal, and rotator cuff muscles. Apply specific DSTM techniques to the identified muscles, gradually increasing the intensity as tolerated by the patient. Follow up with gentle stretching and strengthening exercises to maintain the gained ROM and improve muscle function.For subscapular are release Gentle circular movements over the subscapularis region to decrease the tension and increase the freedom of this muscle.For Supraspinatus and Infraspinatus Work Specific exercise over these muscles to help relieve pain and improve the shoulder joint.

Dynamic soft tissue mobilization with routine physical therapy

Bowen Technique and 3 moves OTHER

As the client sits, take a position across from the shoulder that needs attention. Hold the side you are working on by its forearm. Arrange the forearm so that it is horizontal at about chest level, keeping the elbow at a 90˚ angle and the shoulder apart from the trunk. Move 1: This is an anterior move that involves placing the fingers of the other hand over the midpoint of the triceps and posterior deltoid tendon, which is situated deeper. The ideal way to execute the exercise is to adduct the shoulder joint to its maximum ROM while placing the thumb of the same hand on the humeral head.Move 2: After the shoulder has fully adducted to the other side, strike the humeral head percussionally in the neck's direction. Move 3: Put the arm back in the beginning position and work the anterior deltoid at its midpoint with a supero-lateral move. Then take a pause for 2 minutes and repeat the moves. Complete 3 sets of all these moves in 35 minutes including 2 minutes pause after these 3 moves.

Bowen technique with routine physical therapy

Eligibility Criteria

• Age: 50 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosed patients of 50-80 years of age
• Grade 2 \& 3 (frozen and thawing) adhesive capsulitis
• patients willing to participate in the study
• Only diabetic patients

You may not qualify if:

• Major mental health probleme
• Patients who has a history of surgery on the shoulder, other shoulder diseases including a rotator cuff tear, sub acromial impingement syndrome, and a shoulder labral tear
• Patients taking oral or intra-articular steroids and cortisone injection prior 3 months
• Subjects with rotator cuff tears or other shoulder ligament injuries, H/O arthritis related to shoulder, malignancy, adhesive capsulitis secondary to fractures, dislocation, reflex sympathetic dystrophy, neurological disorder

Sponsors & Collaborators

• University of Lahore: lead
• University of Lahore Hospital (ULH): collaborator

Study Sites (1)

UOL Teaching Hospital

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (4)

• Hansen C, Taylor-Piliae RE. What is Bowenwork(R)? A systematic review. J Altern Complement Med. 2011 Nov;17(11):1001-6. doi: 10.1089/acm.2010.0023.

  PMID: 22087611 BACKGROUND

• Aggarwal A, Saxena K, Palekar TJ, Rathi M. Instrument assisted soft tissue mobilization in adhesive capsulitis: A randomized clinical trial. J Bodyw Mov Ther. 2021 Apr;26:435-442. doi: 10.1016/j.jbmt.2020.12.039. Epub 2020 Dec 31.

  PMID: 33992280 BACKGROUND

• Jusdado-Garcia M, Cuesta-Barriuso R. Soft Tissue Mobilization and Stretching for Shoulder in CrossFitters: A Randomized Pilot Study. Int J Environ Res Public Health. 2021 Jan 12;18(2):575. doi: 10.3390/ijerph18020575.

  PMID: 33445505 BACKGROUND

• Carter B. A pilot study to evaluate the effectiveness of Bowen technique in the management of clients with frozen shoulder. Complement Ther Med. 2001 Dec;9(4):208-15. doi: 10.1054/ctim.2001.0481.

  PMID: 12184347 BACKGROUND

MeSH Terms

Conditions

Bursitis; Shoulder Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Arthralgia; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Dr farrukh Murtaza Physical Therapist, Phd (PT)*

CONTACT

+923339970563; Farrukh.murtaza@uipt.uol.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical Therapist

Study Record Dates

• First Submitted: June 4, 2025
• First Posted: July 2, 2025
• Study Start: July 16, 2025
• Primary Completion: September 10, 2025
• Study Completion: January 3, 2026
• Last Updated: July 2, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)