Niel-Asher technique added to sleeper stretch and usual therapy for frozen shoulder
Official title: Additional Effects of Niel Asher Technique Along With Sleeper Stretch on Posterior Capsule in Patients With Adhesive Capsulitis.
Run by Riphah International University · NCT07203963 · Data updated 2026-11-12
This trial will test whether adding the Niel-Asher technique to sleeper stretches and conventional physical therapy helps adults with adhesive capsulitis (frozen shoulder) reduce pain, improve shoulder motion, and regain function.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 40 Years to 60 Years |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Islamabad, Punjab Province) |
| Status | Recruiting |
| Started | October 25, 2025 |
| Main results expected | September 15, 2026 |
| Study ends | September 20, 2026 |
| Registry record updated | November 24, 2025 |
| Trial ID | NCT07203963 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 40–60 years old diagnosed with adhesive capsulitis (phase two or three) who have trigger points in the rotator cuff or deltoid and who can attend in-person therapy sessions are ideal candidates.
✕Probably not a fit
Patients with recent shoulder surgery, infection, fracture, pregnancy, recent intra-articular steroid injection (within 6 months), significant spinal injury or other major comorbidity, active malignancy, or those enrolled in another intervention study are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center randomized controlled trial compares Niel-Asher technique plus sleeper stretch against sleeper stretch with conventional physical therapy in patients with adhesive capsulitis. Participants are adults aged 40–60 in phase two or three of frozen shoulder who have trigger points in rotator cuff or deltoid muscles. Primary outcomes include pain, active and passive shoulder range of motion, and functional disability. Treatments are delivered in person at the recruiting hospital with follow-up assessments to gauge additional benefit of the manual technique.
Why it matters
Potential benefit: If successful, adding the Niel-Asher technique could provide faster or greater reductions in pain and improvements in shoulder range of motion and daily function than standard therapy alone.
How similar studies have gone: Manual therapy plus stretching for frozen shoulder has shown mixed but sometimes positive results in prior studies, while direct evidence specifically for the Niel-Asher technique is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 40-60 years * Both Genders: Male and Female * Patient falls under diagnostic criteria for adhesive capsulitis which is Painful and limited active and passive glenohumeral ROM in capsular pattern (external rotation\> abduction\> internal rotation) * Patient diagnosed with adhesive capsulitis by orthopedic or general physician * Patient with phase two and three of adhesive capsulitis based on duration of symptoms * Patients of adhesive capsulitis with presence of trigger points in rotator cuff muscles and deltoid muscle (trigger points present in at least 1 or 2 of these muscles) based on simon and travell's criteria of trigger points diagnosis. Exclusion Criteria: * Spinal Injuries and any other co- morbidity * Any surgery, infection, trauma, pregnancy, fracture and fall * Patient with intra articular steroidal therapy with in last 6 months * Patient unwilling to comply follow up schedule * Patient involvement in another intervention study * Malignancy * Patient with thyroid disorders and RA and Glenohumeral OA * History of previous surgery or manipulation under anesthesia of affected shoulder * Patient with duration of symptoms of less than three months
Where it's running
-
Shafi International Hospital
Islamabad, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Kinza Anwar, Ms-Ompt — Riphah International University
- Study coordinator: Kinza Anwar, Ms-Ompt
- Email: kinza.anwar@riphah.edu.pk
- Phone: +92-3239735427
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Niel-Asher Technique vs Bowen Technique for Frozen Shoulder
This trial tests whether two manual therapy methods differ in reducing shoulder pain and improving motion for people with frozen shoulder aged 40–60.
-
Maitland mobilization with and without stroking release for frozen shoulder
This trial tests whether adding a stroking release technique to Maitland mobilization helps people aged 40–60 with stage 2–3 frozen shoulder improve shoulder movement and reduce pain.
-
Additional effects of thoracic mobilization versus manipulation with standard physical therapy in adhesive capsulitis
This study tests whether adding thoracic manipulation or thoracic mobilization to standard physical therapy helps people with adhesive capsulitis (frozen shoulder).
-
Spinal and Kaltenborn mobilization for a stiff shoulder (frozen shoulder)
A randomized trial tests spinal mobilization with arm movement and Kaltenborn mobilization to see if they reduce pain and improve motion and function in people with adhesive capsulitis.
-
Shoulder Frozen Shoulder: TAME vs Corticosteroid Injection
This study tests whether transcatheter arterial microembolization (TAME) works better than corticosteroid injections for people with frozen shoulder.
-
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.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.