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The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gong Mobilization and thoracic manipulation | Experimental |
| |
| Gong Mobilization | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gong mobilization | Other | Gong mobilization was applied on affected shoulder joint in which distraction is applied followed by corrective AP force. Patient performs abduction and then prolong stretching of 7 seconds. It takes 2 to 3 minutes and is applied for three sessions per week for 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | The Numerical Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess the intensity of pain. Patients were asked for their pain intensity and then mark the number on the line according to their pain perception. The categorical variables of the NPRS are, none for 0, mild for value 1-5, moderate for 6-7 and severe for 8-10. | From enrollment to the end of treatment at 4 weeks |
| SPADI-U | SPADI-U is a self-reported shoulder-specific outcome questionnaire by the evaluation of subjective clinical outcome measures. SPADI-U is an Urdu translated version of SPADI for cultural adaptation. It has a total of 13 items with 5 items related to pain and 8 items related to disability. The maximum score of SPADI-U is the same to that of SPADI i.e. 13. The scoring system includes the sum of all attempted questions divided by the maximum score and the multiply by 100 to find in percentage. Five items are designed to quantify pain, and eight items cover the disability measures of a patient with shoulder pathology. | from enrollment to the end of treatment at 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder flexion ROM | Changes in shoulder flexion ROM at baseline and 4 weeks was measured using Goniometer | From enrollment till end of treatment at 4 weeks |
| Shoulder Abduction ROM | Changes in shoulder abduction ROM at baseline and 4 weeks was measured using Goniometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Humera Mubashar, MS-OMPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hassan Medical Clinic | Kasur | Punjab Province | 55030 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Sah MK, Nagaraj S, Pearlson K. Gong's mobilization versus cyriax manipulation on range of motion and function recovery in subject with frozen shoulder-a comparative study. International Journal of Development Research. 2017;7:13260-8. | ||
| Background | Hua A. The Effects of Thoracic Spine Thrust Manipulation in Modulating Shoulder Pain and Dysfunction in Patients with Adhesive Capsulitis: Azusa Pacific University; 2018. | ||
| Background | GoPinath Y, SeenivaSan SK, Veeraraghavan SNC, Viswanathan R, Govindaraj MK. Effect of Gong's Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis. Journal of Clinical & Diagnostic Research. 2018;12(9). | ||
| Background | BILAL U, KHALID M, ANWAR K, ARSHAD H, AHMED U. Additional effects of Thoracic manipulation on pain, shoulder disability and range of motion in patients with Adhesive Capsulitis. | ||
| Background | Prasanth S, Sreedharan S, Subbarayalu A, Shahul P. Comparative effect of Gong's mobilization and Spencer technique to manage frozen shoulder. Physiotherapy Quarterly. 2022;31(3):57-64. | ||
| Background | Challey T, Dutta A, Kalita A, Pyngrope HR. Effectiveness of Gong's Mobilization Over Myofascial Release Technique in Patients with Adhesive Capsulitis..(2023). Int J Life Sci Pharma Res.13(3):L134-L44. |
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| ID | Term |
|---|---|
| D002062 | Bursitis |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Thoracic manipulation | Other | Thoracic manipulation was applied in prone position. Low amplitude high velocity thrust was applied at the end of available range at T4 and T5 after complete exhalation by the patient. intervention is applied for 3 times per week for 4 weeks. |
|
| Conventional therapy | Other | Conventional therapy includes heat therapy for 8 minutes, TENS for 20 mins. Stretches of posterior capsule, serratus anterior, pectoralis major and minor along with Codman exercises. |
|
| From enrollment till end of treatment at 4 weeks |
| Shoulder internal rotation ROM | Changes in shoulder Internal rotation ROM at baseline and 4 weeks was measured using Goniometer | from enrollment till end of treatment at 4 weeks |
| Shoulder external rotation | Changes in shoulder external rotation ROM at baseline and 4 weeks was measured using Goniometer. | From enrollment till end of treatment at 4 weeks |
| 38353489 | Background | El Melhat AM, Abbas RL, Zebdawi MR, Ali Ismail AM. Effect of adding thoracic manipulation for the management of patients with adhesive capsulitis: a randomized clinical trial. Physiother Theory Pract. 2025 Jan;41(1):65-78. doi: 10.1080/09593985.2024.2316897. Epub 2024 Feb 14. |
| 39070450 | Background | Kamani Raveendhra Babu S, Ramalingam V. Effect of Gong's Mobilization Versus Conventional Physiotherapy Among Type II Diabetic Patients With Adhesive Capsulitis. Cureus. 2024 Jun 27;16(6):e63325. doi: 10.7759/cureus.63325. eCollection 2024 Jun. |
| Background | Akram¹ Z, Zaheer G, Hanif A, Deen⁴ N, Rahman A, Liaquat F. EFFECT OF GONGS MOBILIZATION WITH NEUROMUSCULAR ELECTRICAL STIMULATION VS CONSERVATIVE EXCERCISES AMONG ADHESIVE CAPSULITIS. 2025. |
| Background | Nilkar N, Pathan UI. COMPARISON OF GONGS MOBILIZATION AND MAITLAND'S MOBILIZATION IN POST OPERATIVE SHOULDER STIFFNESS. Cuestiones de Fisioterapia. 2025;54(4):938-52. |
| Background | Summaya Maham M, Rubab N, Nayab A, Rahat F, Maria U, Arooj, et al. Effects of Gong's Mobilization vs Reverse Distraction Technique in Diabetic Patients with Adhesive Capsulitis. Journal of Health, Wellness and Community Research. 2025;3(9):e614. |
| Background | Jahangir S, Naz H, Abid F, Shahid H, Mehmood M, Tariq M, et al. Effects Of Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder Randomized Control Study: Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder. Pakistan BioMedical Journal. 2022;5(7):70-3. |
| 39905175 | Background | Amjad F, Asghar H. Comparative effects of gong's mobilization and mobilization with movement in patients with adhesive capsulitis: a randomized clinical trial. Sci Rep. 2025 Feb 4;15(1):4272. doi: 10.1038/s41598-025-88422-5. |