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Clinical Trial NCT07433478 for Frozen Shoulder 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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Cervical and Thoracic Mobility Training in Patients With Adhesive Capsulitis 40

Not yet recruiting
Clinical Trial NCT07433478 is an interventional study for Frozen Shoulder and is currently not yet recruiting. Enrollment is planned to begin on April 1, 2026 and continue until the study accrues 40 participants. Led by Zonguldak Bulent Ecevit University, this study is expected to complete by August 1, 2026. The latest data from ClinicalTrials.gov was last updated on February 27, 2026.
Brief Summary
The aim of this study is to investigate the effect of cervical and thoracic mobilization training on posture, shoulder pain, joint range of motion and shoulder function in patients with adhesive capsulitis.
Detailed Description
Adhesive capsulitis is a musculoskeletal disorder characterized by pain, stiffness, and a significant reduction in joint range of motion (ROM) in the shoulder joint, severely limiting daily living activities and functional capacity. The stiffness observed in the muscles and ligaments around the shoulder, especially after immobilization, leads to increased pain and restricted joint range of motion in the shoulder. All...Show More
Official Title

The Effect of Cervical and Thoracic Mobility Training on Posture, Shoulder Pain, Range of Motion, and Shoulder Functionality in Patients With Adhesive Capsulitis

Conditions
Frozen Shoulder
Other Study IDs
  • BEUN-AKBAS-4
NCT ID Number
Start Date (Actual)
2026-04
Last Update Posted
2026-02-27
Completion Date (Estimated)
2026-08
Enrollment (Estimated)
40
Study Type
Interventional
PHASE
N/A
Status
Not yet recruiting
Keywords
Frozen shoulder
Adhesizve capsulitis
mobilization
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
Single
Arms / Interventions
Participant Group/ArmIntervention/Treatment
Active ComparatorControl Group
This group will undergo a program that includes posture exercises, wand exercises, Codman exercises, finger ladder exercises, and shoulder wheel exercises.
Convantional rehabilitation
This group will have convantional rehabilitation exercises.
ExperimentalIntervention Group
This group will undergo a program that includes posture exercises, wand exercises, Codman exercises, finger ladder exercises, and shoulder wheel exercises and cervical and thoracic mobilization exercises in three sessions per week.
Cervical and Thoracic Mobilization Exercises
This group will have convantional exercises, cervical mobilization and thoracic mobilization.
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Digital Goniometer Evaluation
Shoulder range of motion will be evaluated via digital goniometer. Flexion, extension, internal rotation and external rotation ranges will be recorded in degrees.
3 weeks
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Craniovertebral Angle Measurement
To assess head posture, craniovertebral angle measurement will be performed. A device with the relevant software installed will be used for the measurement. The angle will be measured for both the symptomatic and asymptomatic sides. Results will be recorded in degrees.
3 weeks
Visual Analog Scale (VAS)
The Visual Analog Scale (VAS) will be used to evaluate pain for rest, activity and night periods. The data will be recorded in centimeters.On this scale, which is assessed by marking a line 10 centimetres long, the value "0" represents no pain, while the value "10" represents the most severe pain. As the score increases, the pain aggravates.
3 weeks
Scapular Tilt
The distance between the acromion and the bed will be measured while the shoulders are relaxed and retracted on supine position. The results will be recorded in centimeters.
3 weeks
Lateral Scapular Slide Test
This test is performed to determine the position of the scapula in the 0°, 45°, and 90° abduction positions of the shoulder. It is performed by determining the distance of the lower angle of the scapula from the corresponding thoracic spinal protuberance in the horizontal plane. All measurements will repeated 3 times and the results will be recorded in centimeters.
3 weeks
Scapular Location Test
This test is performed to determine scapular elevation and rotation. Measurement points are marked by palpating the spinous process at the level of the medial end of the scapular spine, the medial end of the scapular spine, the lateral end of the scapular spine, the spinous process of the vertebra at the level of the lower end of the scapula, the lower end of the scapula, and the T12 spinous process. Using a tape measure, the distance between the spinous process of the vertebra at the same level as the medial end of the scapular spine and the spinous process at the level of the distal end of the scapula and the distance between the spinous process at the level of the distal end of the scapula and the spinous process of T12 will be measured and recorded in centimeters.
3 weeks
Cervical and Thoracic Posture Assessment
The flexicurve tool will be used during the evaluation. Results will be recorded using millimeter measurement paper.
3 weeks
Disabilities of the Arm, Shoulder and Hand Questionnare (DASH)
The DASH scale is a patient-reported questionnaire used to assess upper extremity function. The scale consists of 30 items scored from 1 to 5. When at least 27 items are completed, the responses to all items are summed to calculate the score. An algorithm is used to adjust for missing data, and the results are expressed as a standardized total score ranging from 0 to 100. This 30-item scale assesses upper extremity function, including pain and activities of daily living.
3 weeks
Shoulder Pain and Disability Index (SPADI)
It was developed to assess the degree of shoulder pain and discomfort experienced by patients while performing daily living activities. The scale consists of a total of 13 items; 5 of these are pain-related, while 8 are disability-related. Each item is scored numerically from 0 to 10. The pain scale consists of 5 questions and is scored from 0 for "no pain" to 10 for "the most severe pain imaginable." The disability scale consists of 8 questions and is scored from 0 "no limitations" to 10 "unable to do." The total SPADI score is calculated by taking the percentage average of the pain and disability subscales. This score indicates the degree of the patient's shoulder pain and functional limitations in daily living activities.
3 weeks
Participation Assistant
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
20 Years
Eligible Sexes
All
  • Diagnosis of unilateral adhesive capsulitis
  • Being between the ages of 20 and 70

  • Presence of glenohumeral joint osteoarthritis, dislocation, subluxation, fracture, tumor
  • Rotator cuff injury
  • Diagnosis of radiculopathy, rheumatological or neurological disease
  • Presence of Thoracic Outlet Syndrome
  • History of surgery on the affected upper extremity
  • Any mental problem that would prevent compliance with tests and exercises
Zonguldak Bulent Ecevit University logoZonguldak Bulent Ecevit University
Study Responsible Party
Eda AKBAŞ, Principal Investigator, Associate Professor, Zonguldak Bulent Ecevit University
Study Central Contact
Contact: Eda AKBAŞ, PhD, +903722613341, [email protected]
Contact: Öznur GÜNEY, MSc, [email protected]
1 Study Locations in 1 Countries
Zonguldak Ataturk State Hospital, Zonguldak, Turkey (Türkiye)
Merve DEMİRCİ, MD, Contact, +903722521900, [email protected]