Latissimus dorsi release added to scapular PNF for adhesive capsulitis

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

In this randomized study, participants with stage II adhesive capsulitis are assigned to receive either scapular PNF hold-relax therapy alone or PNF plus latissimus dorsi myofascial release over 6 weeks (3 sessions per week). Outcomes include pain (NPRS), shoulder range of motion, latissimus dorsi tightness, and function (SPADI), analyzed with SPSS v26. Both groups receive the same duration and frequency of treatment. The goal is to determine if adding the myofascial release provides additional benefits beyond scapular PNF alone.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 1\. Age between 35 and 70 years.
* Both male and female participants.
* Stiffening (Stage II) phase of frozen shoulder.
* Pain intensity ≥ 4/10 on NPRS during shoulder movement.
* Unilateral shoulder involvement.
* Presence of capsular pattern:ER \> ABD \> IR limitation
* Apley's Scratch Test
* Limited both ROMs
* Symptom duration between 3 and 9 months.(Di Mascio et al., 2024)

Exclusion Criteria:

* Secondary adhesive capsulitis due to trauma or surgery
* History of shoulder fracture or dislocation.
* Bilateral frozen shoulder.
* Active systemic inflammatory or neurological disease
* Recent intra-articular corticosteroid injection (within last 3 months)
* Current anticoagulation therapy or bleeding disorders.
* Pregnant females.

Where it's running

• • Ibadat international hospital • Shaafi international hospital • South East hospital • Fauji Foundation hospital
  Islamabad, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Hufsa Naseer, DPT, MS-PT MSK
• Email: hufsanaseer@gmail.com
• Phone: +3095166821

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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.