Spencer's Technique Versus Mulligan's Technique for Stage II Frozen Shoulder
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-55
SponsorSuperior University
About this trial
Stage II frozen shoulder (adhesive capsulitis) is associated with pain, stiffness, restricted shoulder range of motion, and reduced quality of life. This randomized controlled trial will compare Spencer's Muscle Energy Technique with Mulligan's Mobilization with Movement in adults with Stage II idiopathic frozen shoulder. Seventy-two participants will be randomized to two groups of 36. Both groups will receive their allocated manual therapy together with conventional physiotherapy for four weeks, three sessions per week. Outcomes will be assessed at baseline and after the 4-week intervention using the Numeric Pain Rating Scale, goniometric shoulder range of motion, and the SF-36 questionnaire.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female participants aged 30 to 55 years.
History of idiopathic Stage II frozen shoulder.
Experiencing shoulder pain for at least 3 months.
Disqualifiers
History of rotator cuff tears, rheumatoid arthritis, gouty arthritis, tumors of the shoulder region, or thoracic outlet syndrome.
History of fracture of the upper limb involving the affected shoulder.
Trial design
Design model
Parallel
Treatments tested in this trial
Spencer's Muscle Energy Technique With Conventional Physiotherapy
Other interventionSpencer's technique will use sequential passive shoulder movements including extension, flexion, circumduction with compression, circumduction with distraction, abduction, internal rotation, and external rotation. Conventional physiotherapy will include moist heat, shoulder isometrics, pulley and finger-ladder exercises, pectoral stretching, and Codman's pendulum exercises. Treatment will be provided three sessions per week for four weeks, approximately 30 to 40 minutes per session.
Mulligan's Mobilization With Movement With Conventional Physiotherapy
Other interventionMulligan's Mobilization with Movement will use a passive accessory glide applied in the direction of arm movement within the pain-free range. The protocol describes three sets of 10 repetitions with two minutes of rest between sets. Conventional physiotherapy will include moist heat, shoulder isometrics, pulley and finger-ladder exercises, pectoral stretching, and Codman's pendulum exercises. Treatment will be provided three sessions per week for four weeks, approximately 30 to 40 minutes per session.
Treatment groups
72 Participants
are divided into 2 treatment groupsGroup A: Group A: Spencer's TechniqueExperimental treatment 1 intervention
Group B: Group B: Mulligan's TechniqueActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Pain Intensity Assessed by Numeric Pain Rating Scale (NPRS)
Pain intensity will be assessed using the 11-point Numeric Pain Rating Scale from 0 (no pain) to 10 (worst imaginable pain).
Time frame
Baseline and immediately after the 4-week intervention2
Shoulder Range of Motion Assessed by Goniometer
Shoulder flexion, abduction, and external rotation will be measured in degrees using a goniometer.
Time frame
Baseline and immediately after the 4-week intervention3
Health-Related Quality of Life Assessed by SF-36
Health-related quality of life will be assessed using the 36-item Short Form Health Survey (SF-36). Domain scores are transformed to a 0 to 100 scale, with higher scores indicating better health status.
Time frame
Baseline and immediately after the 4-week interventionSponsors and contacts
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Source ClinicalTrials.gov
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