Gong Mobilization Versus Spencer Technique for Diabetic Frozen Shoulder

Comparative Effect of Gong Mobilization and Spencer Technique in the Management of Frozen Shoulder Among Diabetic Patients

The aim of this randomized controlled trial is to find the comparative effect of spencer technique and gong mobilization on pain, range of motion and functional disability among diabetic frozen shoulder patients.

Frozen shoulder, also known as adhesive capsulitis, is a common musculoskeletal condition characterized by progressive pain, stiffness, and significant restriction of both active and passive range of motion in the shoulder joint. The condition typically progresses through three stages: the painful or freezing stage, marked by increasing pain and stiffness; the frozen or adhesive stage, where pain may subside but stiffness persists; and the thawing stage, during which mobility gradually improves. Risk factors include age, gender (more common in women), trauma, prolonged immobilization, and systemic conditions such as diabetes mellitus. Studies suggest Gong mobilization may offer superior ROM gains, while the Spencer technique provides significant long-term benefits, especially when combined with conventional therapy. Treatment effectiveness can vary, indicating a need for approaches tailored to individual patient factors and condition stage. This is particularly relevant for diabetic patients, who often experience slower, more complex recoveries.

Inclusion Criteria:

• Patients with HbA1c ≥6.5% will be included.
• Patients diagnosed with frozen shoulder stage II, will be included.

Exclusion Criteria:

• Receiving other clinical trials that could interfere with the outcomes of this study.
• Subject with recent history of surgery on affected shoulder
• Subject with history of any trauma/fracture around shoulder complex
• Subject with rotator cuff lesion and tendon calcification.
• Patients contraindicated to joint mobilization