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This study evaluates the effectiveness of Gong's mobilization combined with neuromuscular electrical stimulation versus conservative exercises in improving range of motion, pain relief, and functional outcomes in patients with adhesive capsulitis.
Using a randomized controlled design with 36 participants with estimated drop out 10% will be 40, the study will measure changes in active and passive shoulder mobility and SPADI scores after 6 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gong's Mobilization with NMES | Experimental |
| |
| Comprehensive Conservative Physical Therapy | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gong's Mobilization with NMES | Diagnostic Test | Gong's Mobilization Technique: The participant will be positioned in a side-lying posture on a height-adjustable bed, with the affected side upward and the head supported by a pillow The therapist will apply an antero-posterior glide to the humeral head while stabilizing the scapula with the other hand. The participant will perform quick, powerful shoulder abduction in the coronal plane without external rotation or elbow flexion while the therapist maintains the mobilization force. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale (VAS | Visual Analogue Scale (VAS) is one of the pain rating scales. Pain intensity can be categorized based on VAS scores, with mild pain typically ranging from 1-3, moderate pain from 4-6, and severe pain from 7-10. | 12 Months |
| Shoulder Pain and Disability Index (SPADI) | The SPADI will be used to assess pain and disability. The pain subscale will measure the severity of pain during specific activities using a 0-10 numeric rating scale. The disability subscale will evaluate the difficulty experienced in performing daily activities involving the shoulder. SPADI scores will be recorded at the start of the treatment and again after completing the six treatment sessions to compare the changes in pain and functional status | 12 Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gosha shifa hospital lahore gulshan ravi A block | Lahore | Punjab Province | Pakistan |
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| ID | Term |
|---|---|
| D002062 | Bursitis |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Comprehensive Conservative Physical Therapy | Combination Product | Thermal Modality Application: Participants will receive either a cold or hot pack (based on individual preference and clinical presentation) applied to the affected shoulder for 10-15 minutes. Cold packs will be wrapped in a thin towel and applied to |
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