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Additional Effects of Thoracic Mobilization Versus Manipulation Along With Standard Physical Therapy in Adhesive Capsulitis

RecruitingNAAges 40 Years - 60 YearsAllFoundation University Islamabad
NCT07838610 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Participants will be divided into two groups, with both receiving conventional physical therapy along with their respective thoracic intervention. One group will receive thoracic manipulation at the identified T1-T7 segment using a controlled High-Velocity, Low-Amplitude thrust in the prone position at the end of full exhalation, while the other group will receive central PosterioAnterior thoracic mobilization in the prone position for 30 repetitions with a 1-minute rest between two sets. The most painful or stiffest segment will be identified using the Passive Accessory Intervertebral Movement (PAIVM) test; if no joint sign is present, mobilization will be performed at T6-T7.

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📋 Eligibility rules (as published)
Inclusion Criteria * Age range between 40 and 60 years. * Both male and female patients with unilateral or bilateral shoulder pain. * Pain persisting for at least 3 months. * Decreased shoulder ROM, including external rotation, abduction, internal rotation, and flexion, with both active and passive ROM reduced by more than 50%. * Clinically diagnosed with Stage 2 or Stage 3 adhesive capsulitis. Exclusion Criteria * History of fracture, surgery, or dislocation in the affected shoulder. * Shoulder pain resulting from systemic diseases such as rheumatoid arthritis, infection, or tumors, or conditions such as myelopathy (positive Hoffman's sign). * Neurological conditions such as stroke or cervical radiculopathy (positive Spurling's test). * Thoracic Outlet Syndrome (positive Roos test). * Uncontrolled hypertension or cardiac instability, including unstable angina, recent myocardial infarction, or other cardiovascular conditions.
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What it tests

  • Thoracic Manipulation
  • Thoracic mobilization
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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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