Comparative Effects of Scooping Mobilization and Dynamic Cupping Therapy on Elbow Stiffness

NCT07482371 | Recruiting DMC

• 1 other identifier: Affifa
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

The current study is a randomized clinical trial, data is collected from Alqamar Hospital Shakarghar. The study includes 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection will be Goniometer and Quick DASH Questionnaire. Data will be analyzed through SPSS version 27.00.

Conditions

Children; Adults

Keywords

Scooping mobilization; Dynamic cupping; ROM; Pain; Function

Outcome Measures

Primary Outcomes (1)

• Range of motion

  Goniometer for range of motion of the elbow joint like flexion, extention, pronation and supination will be evaluated pre and post treatment.

  4 weeks

Secondary Outcomes (1)

• functional outcomes

  4 weeks

Study Arms (2)

Scooping mobilization technique

ACTIVE COMPARATOR

Participants in this group will receive scooping mobilization technique along with with electrotherapy like TNS, theraputic ultrasonic etc for 2 mints per session for 5 days a week total intervention period will be of 4 weeks.

Other: Scooping mobilization technique; Other: Dynamic cupping therapy

Dynamic cupping

ACTIVE COMPARATOR

Participants in this group will receive dynamic cupping technique along with with electrotherapy like TNS, theraputic ultrasonic etc for 10 mints per session for 5 days a week total intervention period will be of 4 weeks.

Other: Scooping mobilization technique; Other: Dynamic cupping therapy

Interventions

Scooping mobilization technique OTHER

Group A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks.

Dynamic cupping; Scooping mobilization technique

Dynamic cupping therapy OTHER

Group B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks.

Dynamic cupping; Scooping mobilization technique

Eligibility Criteria

• Age: 6 Years - 13 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children of age group 6-13
• Children with diagnosis of post-fracture elbow stiffness.
• Minimal immobilized period of 3 weeks
• Children with age group of both genders

You may not qualify if:

• Infection or tumers
• Neurological impairment
• Children with MSK disorders
• Metabolic bone disease
• Pathological fractures

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Model town

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Adil Munir, MSPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

9233224390125; imran.amjad@riphah.edu.pk

Muhammad Asif Javed, MS PT

CONTACT

923224209422; a.javed@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: participants will get separate treatment protocols and possile efforts will be put to mask the both group about the treatment
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The current study will be randomized clinical trial, data is collected from Alqamar hospital Shakarghar. The study will include 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy like IRR, therapeutic ultrasonic and TNS for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy like IRR, therapeutic ultrasonic and TNS for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection

Study Record Dates

• First Submitted: December 8, 2025
• First Posted: March 19, 2026
• Study Start: October 22, 2025
• Primary Completion (Estimated): June 2, 2026
• Study Completion (Estimated): June 16, 2026
• Last Updated: March 19, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)