Effects of Gongs Mobilization and Proprioceptive Neuromuscular Facilitation in Patients With Adhesive Capsulitis

NCT07576127 | Recruiting

• 1 other identifier: REC/02277 Fatima
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The randomized controlled trail aims is to evaluate the outcome of Gongs mobilization and PNF in patients with adhesive capsulitis. The significance of this study is to compare Gong's mobilization technique with proprioceptive neuromuscular facilitation (PNF) compare their effects on pain, range of motion, and functional disability. The sample size was calculated with G-power. This study would include total 44 female participants aged 40-60 years will be recruited and randomly assigned to two groups. Group A(Gongs mobilization+ conventional therapy)and Group B(PNF+ Conventional therapy). Intervention will be provided for 4 weeks 3 session per week. Primary outcome measures are pain, ROM and functional disability via NPRS, Goniometer and U-SPADI. Outcomes will be reassessed at baseline, after 2nd week, and after 4th week.

Conditions

Adhesive Capsulitis

Keywords

Pain; ROM; Functional Disability; Gongs Mobilization; PNF

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  Numeric pain rating scale is Subjective Assessment Tool used to assess level of discomfort patients are experiencing. It is eleven-point scale (0-10).whereas 0 indicates(no pain at all) and 10 indicates(worst imaginable pain).

  4 weeks

• Goniometer

  Universal goniometer is used to assess active and passive Range of motion

  4 weeks

• Shoulder pain and Disability Index Urdu version(SPADI-U)

  SPADI-U was Created to assess degree of pain and discomfort in carrying out activities of daily living by patients without any assistance. In the recent version 11-Point Numeric pain rating scale is used to rate each item. It has total 13 items, 5-items for evaluating pain and 8-items for disability.

  4 weeks

Study Arms (2)

Gongs Mobilization

EXPERIMENTAL

Gongs Mobilization + conventional Therapy

Behavioral: Gongs Mobilization; Behavioral: Proprioceptive Neuromuscular Facilitation

Proprioceptive Neuromuscular facilitation

EXPERIMENTAL

PNF + conventional Therapy

Behavioral: Gongs Mobilization; Behavioral: Proprioceptive Neuromuscular Facilitation

Interventions

Gongs Mobilization BEHAVIORAL

Glenohumeral mobilization (GM) will be performed in a side-lying position with the therapist standing on the affected side. An anterior-to-posterior glide will be applied to the humeral head parallel to the joint plane while the opposite hand stabilizes the scapula from posterior to anterior. The patient will perform quick shoulder abduction movements with the elbow extended as the therapist applies Maitland's Grade III-IV oscillatory glides, maintaining slight joint distraction and following the motion through the abduction phase. Each session will include two sets of five repetitions with a five-minute rest between sets, for a total of twelve sessions

Gongs Mobilization; Proprioceptive Neuromuscular facilitation

Proprioceptive Neuromuscular Facilitation BEHAVIORAL

The therapist will use proprioceptive neuromuscular facilitation (PNF) techniques specifically employing the hold-relax method followed by the D2 pattern of flexion-extension movement. Each session will last 15 minutes, comprising 10 sets of PNF. Each set will include 5 repetitions, with a 5-second hold and a 2-second rest between repetitions. This protocol will be administered over 12 sessions.

Gongs Mobilization; Proprioceptive Neuromuscular facilitation

Eligibility Criteria

• Age: 40 Years - 60 Years
• Gender Eligibility Details: Female aged between 40-60 years having unilateral adhesive capsulitis
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Females in the age group between 40-60 years.
• Diagnosed with Unilateral frozen shoulder.
• Patients in frozen stage (progressive loss of ROM, marked stiffness with gradual pain reduction).
• More than 25% painful limitation of GH ROM in two planes, more than 50% in external rotation(arm at 0 degree of abduction).

You may not qualify if:

• History of surgery on the affected shoulder.
• Patients having any cervical or thoracic problem.
• Painful, stiff shoulder after severe trauma, inflammatory diseases such as rheumatoid arthritis and malignancies.
• Recent fractures in and around the shoulder.
• Rotator cuff disorder.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Railway General Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

Related Publications (4)

• Kim DH. Outcome Measurement in Shoulder Diseases: Focus on Shoulder Pain and Disability Index (SPADI). Ann Rehabil Med. 2023 Oct;47(5):315-317. doi: 10.5535/arm.23130. Epub 2023 Oct 25. No abstract available.

  PMID: 37907222 BACKGROUND

• Khan AH, Bhuiyan MSH, Kabir MF, Hossain MZ, Jahan S, Hossain KMA, Rahman E. Effectiveness of proprioceptive neuromuscular facilitation pattern on upper extremity and scapula in patients with adhesive capsulitis: a single-centre assessor-blinded randomised controlled trial (RCT). Trials. 2025 May 3;26(1):146. doi: 10.1186/s13063-025-08848-0.

  PMID: 40317031 BACKGROUND

• Fernandes MR. Adhesive capsulitis: current concepts. Musculoskelet Surg. 2026 Mar;110(1):1-10. doi: 10.1007/s12306-025-00897-7. Epub 2025 Mar 17.

  PMID: 40095380 BACKGROUND

• Amjad F, Asghar H. Comparative effects of gong's mobilization and mobilization with movement in patients with adhesive capsulitis: a randomized clinical trial. Sci Rep. 2025 Feb 4;15(1):4272. doi: 10.1038/s41598-025-88422-5.

  PMID: 39905175 BACKGROUND

MeSH Terms

Conditions

Bursitis; Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Fatima Miraj, DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Fatima Miraj, DPT

CONTACT

+923045938254; fatimamiraj921@gmail.com

Attiq ur Rehman, MS

CONTACT

+92-336-1055533; attiq.rehman@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: May 4, 2026
• First Posted: May 8, 2026
• Study Start: September 1, 2025
• Primary Completion: May 5, 2026
• Study Completion (Estimated): May 15, 2026
• Last Updated: May 8, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)