Actively Recruiting
Additional Effects of Niel Asher Technique Along With Sleeper Stretch on Posterior Capsule in Patients With Adhesive Capsulitis
Led by Riphah International University · Updated on 2025-11-24
36
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
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, Codman's 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.
CONDITIONS
Brief Title
Additional Effects of Niel-asher Technique on Patients With Adhesive Capsulitis
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age between 40 and 60 years
- Male or female gender
- Diagnosed with adhesive capsulitis by an orthopedic or general physician
- Painful and limited active and passive shoulder movement following the capsular pattern (external rotation > abduction > internal rotation)
- In phase two or three of adhesive capsulitis based on symptom duration
- Presence of trigger points in at least one or two of the rotator cuff or deltoid muscles according to Simon and Travell's criteria
You will not qualify if you...
- Spinal injuries or other co-morbid conditions
- History of surgery, infection, trauma, pregnancy, fracture, or recent fall
- Intra-articular steroid therapy within the last 6 months
- Unwillingness to comply with follow-up schedule
- Participation in another intervention study
- Malignancy
- Thyroid disorders, rheumatoid arthritis, or glenohumeral osteoarthritis
- Previous surgery or manipulation under anesthesia of the affected shoulder
- Duration of symptoms less than three months
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 4 weeks
Participants receive either the Niel-Asher Technique combined with sleeper stretch and conventional physical therapy or sleeper stretch with conventional physical therapy to reduce pain and improve shoulder function.
3 visits per week for 4 weeks
Trial Site Locations
Total: 1 location
1
Shafi International Hospital
Islamabad, Punjab Province, Pakistan, 46600
Actively Recruiting
Research Team
K
KINZA ANWAR, MS-OMPT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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