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Additional Effects of Thoracic Spine Mobilization Combined With Glenohumeral Joint Mobilization on Pain, Range of Motion, and Functional Disability in Adhesive Capsulitis

RecruitingNAAges 40 Years - 65 YearsAllFoundation University Islamabad
NCT07328295 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Adhesive capsulitis is a debilitating shoulder condition characterized by pain, restricted range of motion (ROM), and significant functional limitations. Conventional treatment primarily targets the glenohumeral joint, often neglecting the role of regional interdependence, particularly the thoracic spine's influence on shoulder mobility. Emerging evidence suggests that thoracic spine mobility plays a crucial role in optimizing shoulder mechanics, yet its therapeutic application in adhesive capsulitis remains underexplored. This study aims to investigate the additional effects of thoracic spine mobilization combined with glenohumeral joint mobilization, providing a more comprehensive rehabilitation approach to enhance pain relief, ROM, and functional outcomes. A randomized controlled trial (RCT) will be conducted over one year at the Rehabilitation Department of Fauji Foundation Hospital

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📋 Eligibility rules (as published)
Inclusion Criteria: * • Both male and female patients with a primary complaint of unilateral or bilateral shoulder pain * Pain has persisted for at least 3 to 4 months * Decreased shoulder ROM observed, including external shoulder rotation, abduction, internal rotation, and flexion * Age range between 40 to 65 years * Diagnosed with stage 2nd or 3rd of the disease. Exclusion Criteria: * • Patients if they had any shoulder pain resulting from systematic disease such as Rheumatoid Arthritis (morning stiffness \> 1 hour, multiple small joints pain/swelling) Infection, Tumors, and conditions like myelopathy (Hoffman's sign). * Recent shoulder joint fracture/ trauma. * Thoracic Outlet Syndrome (Roos test). * The presence of Cervical radiculopathy (Spurling's test)
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What it tests

  • Thoracic spine mobilization with Glenohumeral joint mobilization
  • Glenohumeral joint mobilization only
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Where

1 site
Foundation University College of Physical Therapy
Islamabad, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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