Comparing Bowen Technique and Dynamic Soft Tissue Mobilization for Pain, Movement, and Function in Diabetic Patients Aged 50-80 With Adhesive Capsulitis

What this Trial Is About

Researchers are conducting a randomized controlled trial to study patients aged 50 to 80 years with diabetic Grade 2 or 3 adhesive capsulitis, also known as frozen shoulder. The trial compares the effects of Bowen technique combined with routine physical therapy versus dynamic soft tissue mobilization DSTM combined with routine physical therapy. The goal is to evaluate changes in pain, range of motion, and functional disability over six weeks to better understand treatment options for this condition. Participants are randomly assigned to one of two groups. The experimental group receives Bowen technique along with routine physiotherapy including range of motion ROM exercises, stretching, strengthening, and scapular stabilization. The control group receives dynamic soft tissue mobilization combined with similar routine physical therapy exercises. Both groups attend 12 sessions, three times per week, over six weeks. The study is single-blinded with the assessor unaware of group assignments. Participants will be assessed at baseline, week 3, and week 6 for pain using the Visual Analogue Scale VAS and Shoulder Pain and Disability Index SPADI, range of motion with a goniometer, and functional impairment using SPADI scores. Throughout the study, adherence to therapy sessions will be monitored. The primary outcomes focus on changes in pain, range of motion, and disability from baseline to week 6. The entire study is expected to complete within nine months after approval, with ongoing safety and progress monitoring.

Bowen Technique Versus Dynamic Soft Tissue Mobilization on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis