Tele-rehabilitation With and Without Self-Mulligan Technique in Subacromial Pain Syndrome

NCT07610954 | Completed

• 1 other identifier: GIU/REC/26-35
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The present study demonstrated statistically significant improvements in pain, range of motion (ROM), and functional disability in both groups; however, participants receiving telerehabilitation with self-Mulligan technique exhibited significantly greater improvements compared to those receiving telerehabilitation alone. These findings highlight the added value of incorporating manual therapy concepts, even in a self- applied or remotely guided format, into rehabilitation programs for patients with subacromial pain syndrome (SAPS). The significant reduction in pain scores (VAS) and improvement in ROM across all planes in Group A can be explained by the biomechanical correction principle of the Mulligan Concept, particularly Mobilization with Movement (MWM). This technique is believed to correct minor positional faults in the glenohumeral joint, thereby restoring normal arthrokinematics, reducing nociceptive input, and improving movement efficiency. When combined with structured telerehabilitation exercises, it likely created a synergistic effect addressing both mechanical dysfunction and neuromuscular control.(25)

Conditions

Sub Acromial Impingement Syndrome; Mulligan Mobilization

Keywords

Tele rehabilitation; Mulligan technique; subacromial pain syndrome

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Pain was be measured using the Visual Analogue Scale (VAS) ranging from 0 (no pain) to 10 (worst pain). A mean reduction of ≥2 points after intervention was indicate a clinically significant improvement

  Baseline and 6 weeks

• Functional Disability

  Functional limitation was assessed using SPADI(Shoulder pain and disability index). A post-treatment improvement of 8-13 points in SPADI(Shoulder pain and disability index) would represent meaningful functional recovery

  Baseline and six weeks

Secondary Outcomes (1)

• Range of motion

  Baseline and 6 weeks post intervention

Study Arms (2)

Tele-rehabilitation without self mulligan technique

EXPERIMENTAL

Participants will receive a structured tele-rehabilitation program for subacromial pain syndrome.

Behavioral: Tele-rehabilitation

Tele-rehabilitation with self mulligan technique.

EXPERIMENTAL

Participants will receive a structured tele-rehabilitation program with self Mulligan mobilization techniques.

Behavioral: Tele-rehabilitation; Behavioral: Self Mulligan Technique

Interventions

Tele-rehabilitation BEHAVIORAL

Participants will receive a structured tele-rehabilitation program combined with self-administered Mulligan mobilization with movement techniques for subacromial pain syndrome. Tele-rehabilitation will include supervised online physiotherapy sessions consisting of shoulder range of motion exercises strengthening exercises stretching postural correction and home exercise guidance delivered virtually. Self-Mulligan techniques will be taught and performed by participants under physiotherapist supervision.

Tele-rehabilitation with self mulligan technique.; Tele-rehabilitation without self mulligan technique

Self Mulligan Technique BEHAVIORAL

Participants performed self Mulligan mobilization with movement techniques for the shoulder under physiotherapist supervision in addition to the tele-rehabilitation program. The intervention aimed to reduce pain and improve shoulder range of motion and functional disability in patients with subacromial pain syndrome.

Tele-rehabilitation with self mulligan technique.

Eligibility Criteria

• Age: 22 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals aged 25 to 55 years
• Clinically diagnosed with subacromial pain syndrome or subacromial impingement confirmed through orthopedic assessment
• Duration of symptoms at least three months

You may not qualify if:

• History of shoulder fracture dislocation or surgical intervention
• Neurological disorders affecting shoulder function such as cervical radiculopathy

Sponsors & Collaborators

• Green International University: lead

Study Sites (1)

Department of physical therapy,Green international university,Lahore.

Lahore, Punjab Province, 55150, Pakistan

Location

Related Links

• Related Info

MeSH Terms

Interventions

Telerehabilitation

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Dr. Fahad Tanveer, DPT,MSPT,PHD

  Green International University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessors will be blinded to group allocation to minimize assessment bias. Due to the nature of the intervention (tele-rehabilitation and self-administered exercises), participants and intervention providers will not be blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: Participants will be randomly assigned to two parallel groups. One group will receive tele-rehabilitation combined with self-administered Mulligan mobilization techniques, while the other group will receive tele-rehabilitation alone without Mulligan techniques. Outcomes will be compared between groups.

Study Record Dates

• First Submitted: May 13, 2026
• First Posted: May 28, 2026
• Study Start: January 1, 2025
• Primary Completion: March 5, 2026
• Study Completion: May 10, 2026
• Last Updated: May 28, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)