Clinical trial Recruiting at 1 site Interventional Ages 40 to 60

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.

More Adhesive Capsulitis trials

Quick facts

Study typeInterventional
Ages40 Years to 60 Years
SexAll
Enrollment36 (estimated)
SponsorRiphah International University
Academic / other
Locations1 site (Islamabad, Punjab Province)
StatusRecruiting
StartedOctober 25, 2025
Main results expectedSeptember 15, 2026
Study endsSeptember 20, 2026
Registry record updatedNovember 24, 2025
Trial IDNCT07203963 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

Similar studies

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

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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.