NCT07724613

Brief Summary

Adhesive capsulitis is a common musculoskeletal disorder characterized by shoulder pain, restricted range of motion (ROM), and functional disability, leading to limitations in daily activities and reduced quality of life. Manual therapy techniques, including Gong's Mobilization and Maitland Mobilization, are widely used in physiotherapy management; however, evidence comparing their effectiveness remains limited.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
52

participants targeted

Target at P25-P50 for not_applicable

Timeline
5mo left

Started Jul 2026

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress17%
Jul 2026Dec 2026

Study Start

First participant enrolled

July 1, 2026

Completed
20 days until next milestone

First Submitted

Initial submission to the registry

July 21, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 24, 2026

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2026

Last Updated

July 24, 2026

Status Verified

July 1, 2026

Enrollment Period

5 months

First QC Date

July 21, 2026

Last Update Submit

July 21, 2026

Conditions

Adhesive Capsulitis

Keywords

Adhesive capsulitis, frozen shoulder, Gong's mobilization, Maitland mobilization, pain, range of motion, functional disability, physiotherapy.

Outcome Measures

Primary Outcomes (1)

  • Numeric Pain Rating Scale (NPRS)

    The Numeric Pain Rating Scale (NPRS) was a widely used tool designed to assess pain intensity in both clinical and research settings. It consisted of an 11-point scale ranging from 0 to 10, where 0 represented "no pain" and 10 indicated the "worst imaginable pain."

    upto 6 weeks

Secondary Outcomes (2)

  • Goniometer

    upto 6 weeks

  • Shoulder Pain and Disability Index (SPADI)

    upto 6 weeks

Study Arms (2)

Gong's Mobilization

EXPERIMENTAL

Group A will receive Gong's Mobilization for adhesive capsulitis.

Other: Group A: Gong's Mobilization

Maitland Mobilization

ACTIVE COMPARATOR

Group B will receive Maitland Mobilization for adhesive capsulitis.

Other: Maitland Mobilization

Interventions

Maitland MobilizationOTHER

Maitland mobilization using posterior glide technique was administered with the patient in a supine position. The therapist grasped the head of the humerus with one hand to perform the movements and stabilized the clavicular region with the other hand. The therapist remained in a standing position while applying the glides. To further stabilize the scapula and prevent scapular protraction, a towel was placed underneath the scapula, allowing smoother scapular glides\[A.

Maitland Mobilization
Group A: Gong's MobilizationOTHER

According to the criteria described by Gong et al., the patient was positioned in supine lying while the affected arm was placed upward to maintain the humerus in an upright position, with the elbow flexed to 90 degrees and the shoulder abducted to 90 degrees\[A31.1\]. The therapist then held the patient's hand and applied anterior-to-posterior pressure to the humerus while maintaining the elbow at a 90-degree angle. Subsequently, the therapist gently applied pressure to the articular capsule of the shoulder joint while elevating the patient's torso. The articular capsule was gently mobilized for 10-15 seconds followed by a 5-second release period. The therapist used one hand to perform medial rotation of the shoulder while stabilizing the elbow. This technique was performed for five sessions per week for four weeks, with 10-15 repetitions during each session

Gong's Mobilization

Eligibility Criteria

Age40 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults aged between 40-65 years.
  • Both male and female genders
  • Stage II and III frozen shoulder
  • Positive Apley's Scratch test
  • Pain rating 3 to 7 on NPRS for at least 3 months
  • Frozen shoulder with at least 25% restricted ROM

You may not qualify if:

  • Mental disorders
  • Arthritic shoulder
  • Rotator cuff disease
  • Post-traumatic stiff shoulder
  • Post-CABG shoulder-hand syndrome
  • Post-stroke frozen shoulder
  • Bilateral frozen shoulder
  • Neurological disorders
  • Frozen Shoulder secondary to Brachial Plexus Injury, Parkinsonism, Ankylosis, Infection, or Arthroplasty

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (9)

  • Choi JM, Cho EY, Lee BH. Effects of Dynamic Stretching Combined with Manual Therapy on Pain, ROM, Function, and Quality of Life of Adhesive Capsulitis. Healthcare (Basel). 2023 Dec 24;12(1):45. doi: 10.3390/healthcare12010045.

    PMID: 38200951BACKGROUND

  • Xia WZ, Cortes RE, Chin KF, Cobiella C, Lambert S. "Idiopathic" adhesive capsulitis is caused by reactivation of latent neurotrophic virus involving peripheral nerves around the shoulder capsule: A hypothesis. Medical Hypotheses. 2025;197:111604.

    BACKGROUND

  • Nakandala P, Nanayakkara I, Wadugodapitiya S, Gawarammana I. The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review. J Back Musculoskelet Rehabil. 2021;34(2):195-205. doi: 10.3233/BMR-200186.

    PMID: 33185587BACKGROUND

  • Sarasua SM, Floyd S, Bridges WC, Pill SG. The epidemiology and etiology of adhesive capsulitis in the U.S. Medicare population. BMC Musculoskelet Disord. 2021 Sep 27;22(1):828. doi: 10.1186/s12891-021-04704-9.

    PMID: 34579697BACKGROUND

  • 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: 40095380BACKGROUND

  • Kulm S, Langhans MT, Shen TS, Kolin DA, Elemento O, Rodeo SA. Genome-Wide Association Study of Adhesive Capsulitis Suggests Significant Genetic Risk Factors. J Bone Joint Surg Am. 2022 Nov 2;104(21):1869-1876. doi: 10.2106/JBJS.21.01407. Epub 2022 Nov 2.

    PMID: 36223477BACKGROUND

  • Jacob L, Gyasi RM, Koyanagi A, Haro JM, Smith L, Kostev K. Prevalence of and Risk Factors for Adhesive Capsulitis of the Shoulder in Older Adults from Germany. J Clin Med. 2023 Jan 14;12(2):669. doi: 10.3390/jcm12020669.

    PMID: 36675599BACKGROUND

  • Do JG, Hwang JT, Yoon KJ, Lee YT. Correlation of Ultrasound Findings With Clinical Stages and Impairment in Adhesive Capsulitis of the Shoulder. Orthop J Sports Med. 2021 May 10;9(5):23259671211003675. doi: 10.1177/23259671211003675. eCollection 2021 May.

    PMID: 33997079BACKGROUND

  • Leafblad N, Mizels J, Tashjian R, Chalmers P. Adhesive Capsulitis. Phys Med Rehabil Clin N Am. 2023 May;34(2):453-468. doi: 10.1016/j.pmr.2022.12.009. Epub 2023 Feb 28.

    PMID: 37003663BACKGROUND

MeSH Terms

Conditions

BursitisPain

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Umama Irfan, MSPT*

    Riphah International University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sumrod Akram

CONTACT

03324806143samrood.akram@riphah.edu.pk

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 21, 2026

First Posted

July 24, 2026

Study Start

July 1, 2026

Primary Completion (Estimated)

November 30, 2026

Study Completion (Estimated)

December 30, 2026

Last Updated

July 24, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share