CompletedNot Applicable

Combined Effects of Niel Asher Technique and Scapular Clock Exercises in Adhesive Capsulitis

Pakistan34 participantsStarted 2024-10-28

Plain-language summary

One of the most common shoulder condition in developed and developing countries is Adhesive Capsulitis, also known as Frozen Shoulder. Adhesive Capsulitis is a major cause of shoulder functional disability in patient as it is characterized by painful, restricted range of motion and capsular stiffness leading to difficulty in performing normal ADLs, causing an individual's activity limitations in dressing one's self, performing household chores and participation in the society. This study aims to determine the combined effects of Niel Asher Technique (NAT) and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in patients with Adhesive Capsulitis. This Randomized Controlled Trial will be conducted was conducted in RC medical Centre Lahore, over a 9-month period. A sample of 34 participants, aged 40-55 years were selected using non-probability convenient sampling. Informed Consent was obtained from all participants. Participants were divided into two groups: Group A received Niel Asher Technique and Scapular Clock Exercises along with conventional physical therapy, while Group B received only conventional physical therapy which included a moist hot pack, Therapeutic ultrasound, Shoulder Active Range of Motion Exercises and Maitland's Mobilization. Treatment duration will be 3 sessions/week for 4 weeks. Outcome measures including Numeric Pain Rating Scale (NPRS), Universal Goniometer and Shoulder Pain and Disability Index (SPADI) Urdu were assessed at baseline and after 4 weeks. Inclusion Criteria includes Stage II and III Adhesive Capsulitis, Positive Capsular pattern with limited both Active and Passive range of motion, shoulder pain with an NPRS score \>3 to ≤8. Exclusion Criteria includes patients with any systemic illness, metabolic disorder, prior history of shoulder surgery or shoulder dislocation. Data was analyzed using IBM SPSS version 27.0.

Who can participate

Age range40 Years – 55 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * • Age Group between 40-55 years * Gender: Both Male and Female * Pain Persisted for more than 3 months. * Primary Adhesive Capsulitis Stage II and III * Limited passive range of motion (PROM) with 40% reduction in atleast two of these shoulder movements (flexion, external rotation, internal rotation, and abduction) compared to unaffected side for more than 3 months atleast. * Capsular Pattern +ve * Impingement Tests (Neers Test, Hawkins Kennedy Test) -ve * NPRS score of \>3 to ≤8 of having shoulder pain Exclusion Criteria: * • Patient with systemic disease (Diabetes Mellitus, Thyroid Disorders, RA, Trauma, rotator cuff tears, malignancy, shoulder ligament injuries). * Previous shoulder surgery or Manipulation under anesthesia (MUA) * Prior history of shoulder dislocation

What they're measuring

Numeric Pain Rating Scale

Timeframe: From the start upto 4 weeks

Shoulder Pain and Disability Index

Timeframe: From start of study upto 4 weeks

Universal Goniometer

Timeframe: From start of study upto 4 weeks

Trial details

NCT IDNCT07484386

SponsorRiphah International University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-12-01