Gong Mobilization With and Without Thoracic Manipulation in Patients With Adhesive Capsulitis

NCT07440680 | Completed

• 1 other identifier: REC/RCR & AHS/24/01109
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis.

Conditions

Adhesive Capsulitis

Keywords

Adhesive Capsulitis; Gong Mobilization; Thoracic Manipulation; Shoulder disability; Exercise Therapy

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale (NPRS)

  The Numerical Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess the intensity of pain. Patients were asked for their pain intensity and then mark the number on the line according to their pain perception. The categorical variables of the NPRS are, none for 0, mild for value 1-5, moderate for 6-7 and severe for 8-10.

  From enrollment to the end of treatment at 4 weeks

• SPADI-U

  SPADI-U is a self-reported shoulder-specific outcome questionnaire by the evaluation of subjective clinical outcome measures. SPADI-U is an Urdu translated version of SPADI for cultural adaptation. It has a total of 13 items with 5 items related to pain and 8 items related to disability. The maximum score of SPADI-U is the same to that of SPADI i.e. 13. The scoring system includes the sum of all attempted questions divided by the maximum score and the multiply by 100 to find in percentage. Five items are designed to quantify pain, and eight items cover the disability measures of a patient with shoulder pathology.

  from enrollment to the end of treatment at 4 weeks

Secondary Outcomes (4)

• Shoulder flexion ROM

  From enrollment till end of treatment at 4 weeks

• Shoulder Abduction ROM

  From enrollment till end of treatment at 4 weeks

• Shoulder internal rotation ROM

  from enrollment till end of treatment at 4 weeks

• Shoulder external rotation

  From enrollment till end of treatment at 4 weeks

Study Arms (2)

Gong Mobilization and thoracic manipulation

EXPERIMENTAL

Other: Gong mobilization; Other: Thoracic manipulation; Other: Conventional therapy

Gong Mobilization

ACTIVE COMPARATOR

Other: Gong mobilization

Interventions

Gong mobilization OTHER

Gong mobilization was applied on affected shoulder joint in which distraction is applied followed by corrective AP force. Patient performs abduction and then prolong stretching of 7 seconds. It takes 2 to 3 minutes and is applied for three sessions per week for 4 weeks.

Gong Mobilization; Gong Mobilization and thoracic manipulation

Thoracic manipulation OTHER

Thoracic manipulation was applied in prone position. Low amplitude high velocity thrust was applied at the end of available range at T4 and T5 after complete exhalation by the patient. intervention is applied for 3 times per week for 4 weeks.

Gong Mobilization and thoracic manipulation

Conventional therapy OTHER

Conventional therapy includes heat therapy for 8 minutes, TENS for 20 mins. Stretches of posterior capsule, serratus anterior, pectoralis major and minor along with Codman exercises.

Gong Mobilization and thoracic manipulation

Eligibility Criteria

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

You may qualify if:

• Age between 40 and 60 years
• Both male and female
• Clinically diagnosed with stage 2 frozen shoulder
• Hypomobility of the thoracic spine
• Unilateral or bilateral frozen shoulder with pain lasting for more than 3 month
• Shoulder ROM limited with a flexion \<165°, abduction \<150°, or external rotation \<45°, restricted capsular pattern .
• Positive shoulder shrug sign

You may not qualify if:

• Shoulder Arthritis
• Thoracic outlet syndrome
• Metabolic bone disease in the shoulder
• Neoplastic bone disease in the shoulder
• Osteoporosis and Osteomyelitis
• Arm fracture, torn ligament around the shoulder joint, and shoulder surgery
• Rheumatoid arthritis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Hassan Medical Clinic

Kasur, Punjab Province, 55030, Pakistan

Location

Related Publications (13)

• Sah MK, Nagaraj S, Pearlson K. Gong's mobilization versus cyriax manipulation on range of motion and function recovery in subject with frozen shoulder-a comparative study. International Journal of Development Research. 2017;7:13260-8.

  BACKGROUND

• Hua A. The Effects of Thoracic Spine Thrust Manipulation in Modulating Shoulder Pain and Dysfunction in Patients with Adhesive Capsulitis: Azusa Pacific University; 2018.

  BACKGROUND

• GoPinath Y, SeenivaSan SK, Veeraraghavan SNC, Viswanathan R, Govindaraj MK. Effect of Gong's Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis. Journal of Clinical & Diagnostic Research. 2018;12(9).

  BACKGROUND

• BILAL U, KHALID M, ANWAR K, ARSHAD H, AHMED U. Additional effects of Thoracic manipulation on pain, shoulder disability and range of motion in patients with Adhesive Capsulitis.

  BACKGROUND

• Prasanth S, Sreedharan S, Subbarayalu A, Shahul P. Comparative effect of Gong's mobilization and Spencer technique to manage frozen shoulder. Physiotherapy Quarterly. 2022;31(3):57-64.

  BACKGROUND

• Challey T, Dutta A, Kalita A, Pyngrope HR. Effectiveness of Gong's Mobilization Over Myofascial Release Technique in Patients with Adhesive Capsulitis..(2023). Int J Life Sci Pharma Res.13(3):L134-L44.

  BACKGROUND

• El Melhat AM, Abbas RL, Zebdawi MR, Ali Ismail AM. Effect of adding thoracic manipulation for the management of patients with adhesive capsulitis: a randomized clinical trial. Physiotherapy Theory and Practice. 2024:1-14.

  BACKGROUND

• Babu SKR, Ramalingam V, Swetha K. Effect of Gong's Mobilization Versus Conventional Physiotherapy Among Type II Diabetic Patients With Adhesive Capsulitis. Cureus. 2024;16(6).

  BACKGROUND

• Akram¹ Z, Zaheer G, Hanif A, Deen⁴ N, Rahman A, Liaquat F. EFFECT OF GONGS MOBILIZATION WITH NEUROMUSCULAR ELECTRICAL STIMULATION VS CONSERVATIVE EXCERCISES AMONG ADHESIVE CAPSULITIS. 2025.

  BACKGROUND

• Nilkar N, Pathan UI. COMPARISON OF GONGS MOBILIZATION AND MAITLAND'S MOBILIZATION IN POST OPERATIVE SHOULDER STIFFNESS. Cuestiones de Fisioterapia. 2025;54(4):938-52.

  BACKGROUND

• Summaya Maham M, Rubab N, Nayab A, Rahat F, Maria U, Arooj, et al. Effects of Gong's Mobilization vs Reverse Distraction Technique in Diabetic Patients with Adhesive Capsulitis. Journal of Health, Wellness and Community Research. 2025;3(9):e614.

  BACKGROUND

• Jahangir S, Naz H, Abid F, Shahid H, Mehmood M, Tariq M, et al. Effects Of Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder Randomized Control Study: Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder. Pakistan BioMedical Journal. 2022;5(7):70-3.

  BACKGROUND

• Amjad F, Asghar H. Comparative effects of gong's mobilization and mobilization with movement in patients with adhesive capsulitis: a randomized clinical trial. Scientific Reports. 2025;15(1):4272.

  BACKGROUND

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Humera Mubashar, MS-OMPT

  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: February 23, 2026
• First Posted: February 27, 2026
• Study Start: January 2, 2025
• Primary Completion: September 28, 2025
• Study Completion: September 28, 2025
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)