Study of Niel-Asher Technique Combined With Sleeper Stretch and Conventional Therapy for Treating Adhesive Capsulitis in Adults Aged 40 to 60

What this Trial Is About

This research aims to evaluate the additional effects of the Niel-Asher technique combined with sleeper stretch and conventional physical therapy on reducing pain, improving shoulder ranges of motion, and enhancing functional ability in patients with Adhesive Capsulitis, also known as frozen shoulder. Adhesive capsulitis is a painful condition marked by stiffness and reduced movement in the shoulder joint, often caused by fibrosis and contracture of the joint capsule. It is more common in females aged 40 to 60 and leads to significant limitations in shoulder rotation and other movements. The study compares two treatment approaches one group receives the Niel-Asher technique along with sleeper stretch and conventional therapy, while the other group receives only sleeper stretch and conventional therapy. The Niel-Asher technique involves deep stroking massage and compression of trigger points on major shoulder muscles, applied three times a week for four weeks. Sleeper stretch is applied passively by the investigator to improve shoulder flexibility, also three times a week. Conventional therapy includes joint glides, active and assisted range of motion exercises, isometric exercises, Codmans and pulley exercises, and ischemic pressure to release trigger points. Participants will be involved in treatment sessions over four weeks, with assessments at the end of this period. Researchers will measure pain levels using the Visual Analogue Scale VAS, shoulder function and disability with the Shoulder Pain and Disability Index SPADI, and shoulder range of motion using a goniometer. These measures will help evaluate how the treatments affect pain, movement, and daily function. The trial is randomized and single-blinded, with follow-up planned to monitor progress and treatment effects up to four weeks.

Additional Effects of Niel-asher Technique on Patients With Adhesive Capsulitis