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Università internazionale RiphahComparison of Niel-Asher and Spencer Techniques in Frozen Shoulder Patients 44 Esercizio
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La sperimentazione clinica NCT07080060 è uno studio interventistico per Spalla congelata, Capsulite adesiva, attualmente non ancora in arruolamento. L'arruolamento dovrebbe iniziare il 1 luglio 2025, con l'obiettivo di raggiungere 44 partecipanti. Sotto la guida di l'Università internazionale Riphah, dovrebbe concludersi entro il 30 novembre 2025. I dati più recenti da ClinicalTrials.gov sono stati aggiornati l'ultima volta il 23 luglio 2025.
Sommario breve
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...Mostra di più
Descrizione dettagliata
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,...Mostra di più
Titolo ufficiale
Effects of Niel-Asher Technique Versus Spencer Technique Along With Conventional Therapy on Pain, Range of Motion, and Functional Status in Frozen Shoulder Patients
Patologie
Spalla congelataCapsulite adesivaPubblicazioni
Articoli scientifici e documenti di ricerca pubblicati su questo studio clinico:- 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...
Altri ID dello studio
- REC/RCR & AHS/24/0167- Minahil
Numero NCT
Data di inizio (effettiva)
2025-07
Ultimo aggiornamento pubblicato
2025-07-23
Data di completamento (stimata)
2025-11-30
Arruolamento (previsto)
44
Tipo di studio
Interventistico
FASE
N.D.
Stato
Non ancora in arruolamento
Parole chiave
Manual Therapy
Niel-Asher Technique
Spencer Technique
Pain
Range of motion
Niel-Asher Technique
Spencer Technique
Pain
Range of motion
Scopo principale
Trattamento
Allocazione
Randomizzato
Modello di intervento
In parallelo
Mascheramento
Doppio
Bracci / Interventi
| Gruppo/Braccio di partecipanti | Intervento/Trattamento |
|---|---|
SperimentaleNiel-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...Mostra di più | 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...Mostra di più |
SperimentaleSpencer 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...Mostra di più |
Esito primario
| Misure di esito | Descrizione della misura | Arco temporale |
|---|---|---|
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 |
Assistente alla partecipazione
Criteri di eleggibilità
Età idonea
Adulto, Adulto anziano
Età minima
35 Years
Sessi idonei
Tutti
- 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.
Università internazionale Riphah416 studi clinici attivi da esplorareContatti principali dello studio
Contatto: Samrood Akram, Phd Scholar, 03324806143, [email protected]
Contatto: Amna Zia, Phd Scholar, 03244686993, [email protected]
1 Centri dello studio in 1 paesi
Punjab Province
Noor Thalassemia Foundation, Lahore, Punjab Province, 54000, Pakistan
Dr Bashir, Contatto, 03034328759