Additional Effects of Niel-asher Technique on Patients With Adhesive Capsulitis

NCT07203963 | Recruiting

• 1 other identifier: Maria Barket
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled trial is to find the additional effects of Niel-Asher technique along with sleeper stretch and conventional physical therapy on pain, shoulder ranges of motion and functional disability in patients with Adhesive capsulitis

Conditions

Adhesive Capsulitis

Keywords

Niel-Asher Technique (NAT); Sleeper stretch; trigger points

Outcome Measures

Primary Outcomes (3)

• Visual Analogue scale VAS

  It is a pain rating scale. The findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain. Patient will be asked to verbally report the pain score

  4 weeks

• Shoulder pain and disability Index (SPADI)

  The shoulder pain and disability index (SPADI) was developed to measure Current shoulder pain and disability, it is widely used valid and reliable tool. The SPADI contains 13 items that assess two domains, a 5-item subscale that measures pain and 8-item subscale that measures disability.

  4 weeks

• Goniometer

  A goniometer will be used to measure the range of motion (ROM) of the Shoulder joint. Goniometer is an instrument that measures the available range of motion at a joint

  4 weeks

Study Arms (2)

Niel-Asher Technique+ sleeper stretch+ Conventional PT

OTHER

Niel-Asher Technique

Other: Niel-Asher Technique + sleeper stretch

sleeper stretch + Conventional Treatment

OTHER

Sleeper stretch+ Conventional

Other: sleeper stretch + Conventional Treatment

Interventions

Niel-Asher Technique + sleeper stretch OTHER

Niel-Asher Technique, Manual Soft Tissue releaser, Neuro-muscular release technique for adhesive capsulitis ( This manual technique will be applied for 3 days a week for 4 weeks).Sleeper stretch will be applied passively by investigator, pressure of the stretch will be held for 30 seconds (repeated twice with 30 seconds break for 3 days a week) Conventional PT including 1: shoulder anteroposterior, posteroanterior and inferior glides ( 3 times a week for 4 week) 2: active and active assisted ROM exercises of shoulder joint (frequency: 1 set of 10 repetitions twice a day). 3: Shoulder Isometric exercises, Codman's exercises and pulley and finger ladder exercises (frequency: 1 set of 10 repetitions twice a day), 4: trigger points will be released by applying ischemic pressure (90 seconds) on trigger points found in rotator cuff muscles.

Niel-Asher Technique+ sleeper stretch+ Conventional PT

sleeper stretch + Conventional Treatment OTHER

Sleeper stretch will be applied passively by investigator, pressure of the stretch will be held for 30 seconds (repeated twice with 30 seconds break for 3 days a week). Conventional PT including 1: shoulder anteroposterior, posteroanterior and inferior glides ( 3 times a week for 4 week) 2: active and active assisted ROM exercises of shoulder joint (frequency: 1 set of 10 repetitions twice a day). 3: Shoulder Isometric exercises, Codman's exercises and pulley and finger ladder exercises (frequency: 1 set of 10 repetitions twice a day) 4: ischemic compression (90seconds hold) on trigger points found in rotator cuff muscles

sleeper stretch + Conventional Treatment

Eligibility Criteria

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

You may qualify if:

• Age 40-60 years
• Both Genders: Male and Female
• Patient falls under diagnostic criteria for adhesive capsulitis which is Painful and limited active and passive glenohumeral ROM in capsular pattern (external rotation\> abduction\> internal rotation)
• Patient diagnosed with adhesive capsulitis by orthopedic or general physician
• Patient with phase two and three of adhesive capsulitis based on duration of symptoms
• Patients of adhesive capsulitis with presence of trigger points in rotator cuff muscles and deltoid muscle (trigger points present in at least 1 or 2 of these muscles) based on simon and travell's criteria of trigger points diagnosis.

You may not qualify if:

• Spinal Injuries and any other co- morbidity
• Any surgery, infection, trauma, pregnancy, fracture and fall
• Patient with intra articular steroidal therapy with in last 6 months
• Patient unwilling to comply follow up schedule
• Patient involvement in another intervention study
• Malignancy
• Patient with thyroid disorders and RA and Glenohumeral OA
• History of previous surgery or manipulation under anesthesia of affected shoulder
• Patient with duration of symptoms of less than three months

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Shafi International Hospital

Islamabad, Punjab Province, 46600, Pakistan

RECRUITING

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• KINZA ANWAR, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

KINZA ANWAR, MS-OMPT

CONTACT

+92-3239735427; kinza.anwar@riphah.edu.pk

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: September 25, 2025
• First Posted: October 2, 2025
• Study Start: October 25, 2025
• Primary Completion (Estimated): September 15, 2026
• Study Completion (Estimated): September 20, 2026
• Last Updated: November 24, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)