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Clinical Trial NCT07080060 for Frozen Shoulder, Adhesive Capsulitis is not yet recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
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Riphah International UniversityComparison of Niel-Asher and Spencer Techniques in Frozen Shoulder Patients 44 Exercise-Based
Clinical Trial NCT07080060 is an interventional study for Frozen Shoulder, Adhesive Capsulitis and is currently not yet recruiting. Enrollment is planned to begin on 1 July 2025 and continue until the study accrues 44 participants. Led by Riphah International University, this study is expected to complete by 30 November 2025. The latest data from ClinicalTrials.gov was last updated on 23 July 2025.
Brief Summary
This study aims to compare the effectiveness of two manual therapy techniques-Niel-Asher Technique and Spencer Technique-when combined with conventional physiotherapy in treating patients with frozen shoulder (adhesive capsulitis). Frozen shoulder is a painful condition that limits movement and function of the shoulder joint. The study will include 44 adults aged 35 to 65 years who have been diagnosed with stage II f...Show More
Detailed Description
Frozen shoulder, also known as adhesive capsulitis, is a common musculoskeletal condition characterised by pain, stiffness, and reduced range of motion of the glenohumeral joint. It is often associated with idiopathic onset, and can significantly impair daily activities and quality of life. While conventional physiotherapy-including modalities such as heat, TENS, and therapeutic exercise-forms the basis of treatment,...Show More
Official Title
Effects of Niel-Asher Technique Versus Spencer Technique Along With Conventional Therapy on Pain, Range of Motion, and Functional Status in Frozen Shoulder Patients
Conditions
Frozen ShoulderAdhesive CapsulitisPublications
Scientific articles and research papers published about this clinical trial:- Cavalleri E, Servadio A, Berardi A, Tofani M, Galeoto G. The effectiveness of physiotherapy in idiopathic or primary frozen shoulder. A systematic review and meta- analysis. MLTJ MUSCLES, LIGAMENTS AND TENDONS JOURNAL. 2020;10(1):24-39.
- Tang CK, Shih YF, L...
Other Study IDs
- REC/RCR & AHS/24/0167- Minahil
NCT ID Number
Start Date (Actual)
2025-07
Last Update Posted
2025-07-23
Completion Date (Estimated)
2025-11-30
Enrollment (Estimated)
44
Study Type
Interventional
PHASE
N/A
Status
Not yet recruiting
Keywords
Manual Therapy
Niel-Asher Technique
Spencer Technique
Pain
Range of motion
Niel-Asher Technique
Spencer Technique
Pain
Range of motion
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
Double
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalNiel-Asher Technique Participants in this group will receive the Niel-Asher Technique, a manual therapy approach focusing on trigger point release and myofascial decompression of the shoulder girdle. Treatment will involve structured pressure techniques applied to specific muscular trigger points including the infraspinatus, supraspinatus, subscapularis, and levator scapulae. The intervention will be delivered in side-lying and sitting p...Show More | Niel-Asher Technique Participants in this group will receive the Niel-Asher Technique, a manual therapy approach focusing on trigger point release and myofascial decompression of the shoulder girdle. Treatment will involve structured pressure techniques applied to specific muscular trigger points including the infraspinatus, supraspinatus, subscapularis, and levator scapulae. The intervention will be delivered in side-lying and sitting p...Show More |
ExperimentalSpencer Technique Participants in this group will receive the Spencer Technique, an osteopathic manual therapy consisting of eight mobilization steps: extension, flexion, circumduction with compression, circumduction with distraction, abduction, adduction with external rotation, internal rotation, and traction stretch. Each movement will be performed with patient participation using muscle energy techniques. | Spencer Technique Participants in this group will receive the Spencer Technique, an osteopathic manual therapy consisting of eight mobilization steps: extension, flexion, circumduction with compression, circumduction with distraction, abduction, adduction with external rotation, internal rotation, and traction stretch. Each movement will be performed with patient participation using muscle energy techniques.
Conventional physiotherap...Show More |
Primary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Numeric Pain Rating Scale | Pain intensity in the affected shoulder will be assessed using the Visual Analogue Scale (VAS), a validated 10-point scale where 0 indicates "no pain" and 10 indicates "worst imaginable pain." A decrease in score indicates pain reduction. | Baseline and 4 Weeks Post-Treatment |
Shoulder Range of Motion (ROM) | Shoulder joint range of motion, including flexion, abduction, and external rotation, will be measured using a universal goniometer. ROM will be recorded in degrees. An increase in ROM values indicates functional improvement. | Baseline and 4 Weeks Post-Treatment |
Shoulder Pain and Disability Index (SPADI) | Shoulder function will be evaluated using the Shoulder Pain and Disability Index (SPADI), a self-reported questionnaire assessing pain and disability. Scores range from 0 (no pain/disability) to 100 (maximum pain/disability). A reduction in score indicates functional improvement. | Baseline and 4 Weeks Post-Treatment |
Participation Assistant
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
35 Years
Eligible Sexes
All
- Age group between 35-65 years diagnosed with primary Adhesive Capsulitis.
- Both gender male and female.
- Both Active and passive Range of Motion is limited.
- Stage II Frozen Shoulder patients (Freezing Stage,3-9 months).
- More than 50% of range of motion is limited in Flexion, Abduction and External rotation as compared to unaffected side.
- Pain reported on VAS score <7/10 in shoulder region.
- Patients agree to sign written consent form.
- Patients with systemic illness:
- Diabetes Mellitus, Thyroid disorders.
- Rheumatoid Arthritis, Malignancy.
- Patients with mechanical injuries like:
- Rotator Cuff injury, Ligamentous Injuries.23
- Previous Surgery or Manipulation under Anesthesia.
- Patients with Stage I, III, IV of Frozen Shoulder.
- Patient reported with VAS score >7/10 in shoulder region.
Riphah International University416 active studies to exploreStudy Central Contact
Contact: Samrood Akram, Phd Scholar, 03324806143, [email protected]
Contact: Amna Zia, Phd Scholar, 03244686993, [email protected]
1 Study Locations in 1 Countries
Punjab Province
Noor Thalassemia Foundation, Lahore, Punjab Province, 54000, Pakistan
Dr Bashir, Contact, 03034328759