Comparing Spinal Mobilization with Arm Movement and Kaltenborn Mobilization for Pain and Function in Frozen Shoulder

What this Trial Is About

Researchers are comparing two manual therapy techniques, Spinal Mobilization with Arm Movement SMWAM and Kaltenborn Mobilization, to see their effects on pain, shoulder range of motion, functional reaching, and disability in patients with adhesive capsulitis, also known as frozen shoulder. Prior studies have demonstrated benefits of each technique independently, but direct comparison between them is limited, making this research important for understanding which method may better support recovery. Participants will be randomly assigned to receive either SMWAM or Kaltenborn Mobilization treatments. In the SMWAM group, participants sit upright while a sustained transverse glide is applied to the cervical spine as they actively abduct the affected arm 10 times per session. In the Kaltenborn group, participants receive moist hot pack application followed by a sequence of mobilizations including glenohumeral traction and glides, repeated 15 times with holds and rests, lasting about 10 minutes per session. Each intervention aims to reduce pain and improve shoulder function. During the study, participants pain levels, shoulder range of motion external rotation, abduction, internal rotation, and functional disability will be measured at the start and after six weeks of treatment. Assessments use tools like the Numeric Pain Rating Scale and the Shoulder Pain and Disability Index. The study will monitor improvements and any changes in shoulder mobility and function over this period, helping to identify which therapy may better benefit individuals with frozen shoulder.

Spinal Mobilization With Arm Movement and Kaltenborn Mobilization in Adhesive Capsulitis