An interventional study of Dynamic soft tissue mobilization and Bowen Technique and 3 moves in Adhesive Capsulitis, sponsored by University of Lahore. Recruiting at 1 site in Pakistan. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-07-02.
Sponsored by University of Lahore · Not applicable, Interventional, and Treatment
A randomized controlled trial included 72 patients diagnosed with adhesive capsulitis will conduct in University of Lahore Teaching Hospital. The study will complete within 9 months after the approval of synopsis. Patients who fulfilled the inclusion criteria will identified by individual physiotherapist and will enrolled for particular study. Informed written consent will be taken by the patients and will randomly allocated into two groups. The total numbers of sessions will 12 (3 sessions per week). The study will single blinded. The assessor will unaware of the treatment given to both groups.
Control group received routine physical therapy with dynamic soft tissue mobilization technique.
thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week. Experimental group received routine physical therapy along with Bowen technique. This includes thermotherapy, trans-cutaneous electrical nerve stimulation, shoulder isometrics and stretching that includes 12 sessions and three times per week
A randomized controlled trial will conduct at the UOL Teaching Hospital. Seventy-two diabetic patients aged 50-80 years with Grade 2 or 3 adhesive capsulitis will be divided into two groups at random: Bowen therapy will administered to Group A with routine physiotherapy, and Group B received DSTM with routine physiotherapy. Both interventions will delivered twice weekly for six weeks. Pain (VAS and SPADI Pain), ROM (flexion, abduction, external rotation), as well as functional impairment (SPADI Disability and Total Score) wil be assessed at baseline, week 3, and week 6.
411 studies on the registry are indexed under Bursitis; 112 are open to participants now.
This study's planned enrollment of 72 is above the median of 45 across 371 interventional studies indexed under Bursitis.
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Exclusion Criteria:
This group will receive bowen technique 3 moves with routine physical therapy including ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week)
Other: Bowen Technique and 3 moves
This group will receive dynamic soft tissue mobilization with routine physical therapy including heat application , ROM exercises, stretching exercises, strengthening exercises and scapular stabilization exercises . This group will receive 12 sessions ( 3 sessions per week)
Other: Dynamic soft tissue mobilization
Begin with gentle heat application or light massage to warm up the tissue for 5 minutes. Assess the range of motion and identify specific areas of tightness and pain. - Use hands or specialized tools to apply sustained pressure to the fascia and underlying muscles, concentrating on the scapular, pectoral, deltoidal, and rotator cuff muscles. Apply specific DSTM techniques to the identified muscles, gradually increasing the intensity as tolerated by the patient. Follow up with gentle stretching and strengthening exercises to maintain the gained ROM and improve muscle function.For subscapular are release Gentle circular movements over the subscapularis region to decrease the tension and increase the freedom of this muscle.For Supraspinatus and Infraspinatus Work Specific exercise over these muscles to help relieve pain and improve the shoulder joint.
As the client sits, take a position across from the shoulder that needs attention. Hold the side you are working on by its forearm. Arrange the forearm so that it is horizontal at about chest level, keeping the elbow at a 90˚ angle and the shoulder apart from the trunk. Move 1: This is an anterior move that involves placing the fingers of the other hand over the midpoint of the triceps and posterior deltoid tendon, which is situated deeper. The ideal way to execute the exercise is to adduct the shoulder joint to its maximum ROM while placing the thumb of the same hand on the humeral head.Move 2: After the shoulder has fully adducted to the other side, strike the humeral head percussionally in the neck's direction. Move 3: Put the arm back in the beginning position and work the anterior deltoid at its midpoint with a supero-lateral move. Then take a pause for 2 minutes and repeat the moves. Complete 3 sets of all these moves in 35 minutes including 2 minutes pause after these 3 moves.
Change in Visual Analogue Scale score
Visual analogue scale will be used to assess shoulder pain. Score ranges from 0-10. 0 shows least pain and 10 shows worst pain
Time frame: Change from preintervention to 6th weeks
Change in Universal Goniometer readings
Universal Goniometer will be used to assess shoulder range of motion.
Time frame: Change from preintervention to 6th weeks
change in Shoulder pain and disability Index (SPADI)
The 13 items of the SPADI measure two domains: an 8-item subscale measuring disability and a 5-item subscale measuring pain. The SPADI is available in two variants. The first version uses a visual analogue scale (VAS) to evaluate each item, while the second version uses a numerical rating scale (NRS).
Time frame: Change from preintervention to 6th weeks
Plan to share: No
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University of Lahore