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This study aims to evaluate the comparative effectiveness of Mulligan's mobilization versus the Cyriax capsular stretching technique for individuals suffering from adhesive capsulitis. Specifically, the research focuses on determining which approach is more successful in alleviating pain, improving shoulder range of motion (ROM), and reducing functional disability.
This randomized clinical trial, conducted in Gujranwala, involved 30 participants with adhesive capsulitis who were assigned via a lottery method into two equal groups: one receiving Cyriax capsular stretching and the other Mulligan's mobilization. Both cohorts underwent a standard baseline regimen of moist heat, TENS, and therapeutic exercises over a four-week period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cyriax Technique | Experimental | along with Baseline treatment, cyriax capsular stretching is given to group 1 with 3 sets of 8-10 reps. |
|
| Mulligan Mobilization | Active Comparator | along with Baseline treatment, Mulligan mobilization is given to group 1 with 3 sets of 8-10 reps. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cyriax Technique | Other | along with Baseline Electrotherapeutic treatment, Cyriax Stretching Technique is given to group 1 with 3 sets of 8-10 reps. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Numeric pain rating scale | it is used to measure pain and a has a scale of 0-10 where 0 means no pain and 10 means worst possible pain | 4 weeks |
| Shoulder pain and disability index | it is used to measure the impact of shoulder pathology on a patient's life. A higher score indicates greater pain and functional impairment. A score of 0% represents no disability, while 100% represents maximum disability. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion | Goniometer is used to measure improvement in shoulder range of motion | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Imran Rafiq, PhD Rehabilitation Sciences | Elite College of Management Sciences, Gujranwala | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Elite College of Management Sciences, Gujranwala | Gujranwala | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Aqdas Shahzad 1,M.,PT., MuhammadAzhar2BS., Nursing, Hassan Zafar3DPT., Muhammad A. Khan4MSc., PT., Sana Shakir5DPT. (2024). Therapeutic effects of mobilization in alleviating pain and improving shoulder mobility in adhesive capsulitis- A systematic review. Journal of Musculoskeletal Surgery and Research. | ||
| 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. | |
| Background | Ami Makwana,N. M.(2023). The effect of cyriax soft tissue release and myofascial release on pain pressure threshold, flexibility and muscle length in idiopathic adhesive capsulitis- a comparative study. International Journal of Community Medicine and Public Health | ||
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| ID | Term |
|---|---|
| D002062 | Bursitis |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Mulligan Mobilization | Other | along with Baseline Electrotherapeutic treatment, Mulligan Mobilization is given to group 1 with 3 sets of 8-10 reps. |
|
| Background |
| Date A, Rahman L. Frozen shoulder: overview of clinical presentation and review of the current evidence base for management strategies. Future Sci OA. 2020 Oct 30;6(10):FSO647. doi: 10.2144/fsoa-2020-0145. |
| 28920546 | Background | Alashkham A, Alraddadi A, Felts P, Soames R. Blood supply and vascularity of the glenoid labrum: Its clinical implications. J Orthop Surg (Hong Kong). 2017 Sep-Dec;25(3):2309499017731632. doi: 10.1177/2309499017731632. |