Combining thoracic spine and shoulder joint mobilization for frozen shoulder

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled trial conducted at a university physical therapy center in Islamabad that compares combined thoracic spine plus glenohumeral joint mobilization versus glenohumeral mobilization alone for adhesive capsulitis. Participants aged 40–65 with stage II or III frozen shoulder and at least 3–4 months of symptoms will be enrolled and randomized to one of the two intervention groups. Outcomes include shoulder pain, range of motion, and functional disability measured over the study period using standardized clinical measures. The protocol applies manual central and unilateral posterior-anterior thoracic mobilizations alongside directed glenohumeral glides to test whether addressing regional interdependence yields superior clinical benefits.

Why it matters

Who can join: the full rules

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)

Where it's running

• Foundation University College of Physical Therapy
  Islamabad, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Laiba Malik, DPT
• Email: mlaiba085@gmail.com
• Phone: +3495049904

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Niel-Asher Technique vs Bowen Technique for Frozen Shoulder

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• Additional effects of thoracic mobilization versus manipulation with standard physical therapy in adhesive capsulitis

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• Shoulder Frozen Shoulder: TAME vs Corticosteroid Injection

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• Gong's Mobilization With and Without Niel-Asher Technique for Frozen Shoulder

  This trial tests whether Gong's mobilization alone or with the Niel-Asher trigger-point technique can ease pain, improve shoulder movement, and reduce disability in adults with adhesive capsulitis.

  Recruiting Riphah International University · Lahore, Punjab Province · NCT07628335

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.