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CompletedNCT07403409Updated Feb 11, 2026

Scapular Repeated Contractions Facilitation Versus Hold-relax Techniques in Patients With Adhesive Capsulitis

An interventional study of Repeated Contraction Facilitation Technique and Hold-Relax Technique in Adhesive Capsulitis of the Shoulder, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-02-11.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Jan 2025, registered Feb 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
All
01

Study summary

The study was conducted to determine the effects of scapular repeated contractions facilitation versus hold-relax techniques on pain, range of motion and functional disability in patients with adhesive capsulitis

02

Conditions studied

  • Adhesive Capsulitis of the Shoulder

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Keywords

  • Adhesive Capsulitis
  • Scapula Repeated Contraction Facilitation Technique
  • scapular Hold-Relax Technique
  • Proprioceptive Neuromuscular Facilitation
03

In context

Bursitis

411 studies on the registry are indexed under Bursitis; 112 are open to participants now.

This study's enrollment of 66 is above the median of 45 across 371 interventional studies indexed under Bursitis.

Browse Bursitis studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosed stage 2 of Adhesive Capsulitis (>4-12 months)
  • Difficulties in 2 or more movements: external rotation, abduction, flexion or internal rotation presenting limitation of more than 30 degrees
  • Patients having diagnosed Diabetes Mellitus type 2
  • Capsular pattern of restriction
  • Unilateral involvement of the shoulder
  • Patients who are not taking any pain killer

Exclusion criteria

Exclusion Criteria:

  • Surgical history of affected shoulder
  • History of trauma or fracture in affected shoulder
  • Cervical neuropathy or any other disorders of cervical spine, elbow and wrist
  • Any Neurological disorders such as stroke or parkinsonism
  • Any systemic disease such as rheumatoid arthritis, osteoporosis and malignancies in shoulder region
  • Intra-articular injection
  • Open wound or skin infection
  • Manipulation under anesthesia
  • Recurrent dislocation or subluxation
  • Shoulder injuries such as rotator cuff tear, or tendon calcification
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    Scapular Repeated Contraction Facilitation Technique

    Other: Repeated Contraction Facilitation Technique · Other: Conventional Physical therapy Treatment for Adhesive Capsulitis

  • Active comparator
    Scapular Hold-Relax Technique

    Other: Hold-Relax Technique · Other: Conventional Physical therapy Treatment for Adhesive Capsulitis

Interventions

  • OtherRepeated Contraction Facilitation Technique

    Repeated contraction facilitation on scapula in two diagonal patterns (D1\&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression. Isotonic contraction of muscles against the resistance throughout the active ROM was performed.3 sets of 10 repetitions were performed with 20 seconds of rest interval.

  • OtherHold-Relax Technique

    Hold -Relax on scapula in two diagonal patterns (D1\&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression in which restricted muscles were contracted isometrically with 5 sec hold followed by relaxation into new range .3 sets of 10 repetitions were performed with 20 seconds of rest interval.

  • OtherConventional Physical therapy Treatment for Adhesive Capsulitis

    Moist heat pack for 15-20 mins Therapeutic Ultrasound at 1MHz for 8-10 mins in continuous mode with the intensity of 1.5W/cm2 Active Assisted Shoulder for abduction, flexion, internal rotation and external rotation with 3 sets of 15 repetitions 4days/week for 4 weeks Wall slides, Finger ladder exercises, Wand exercises and home exercises were performed.3x15 repetitions with 2 min rest interval for 4 sessions per week for four weeks for each exercise Maitland Glenohumeral Joint Mobilization with 2-3 oscillations per second for 30 seconds for 5 sets 4 times a week in caudal and posteroanterior direction was applied for 4 weeks.

06

What researchers measure

Primary outcomes

  1. Numeric Pain Rating Scale

    Patient level of pain was assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" ,1- 3 indicates mild pain ,4-6 indicates moderate pain and 7-10 indicates "worst pain". NPRS have shown high test-retest reliability (r = 0.96 and 0.95, respectively) MCID value of NPRS is 2-3

    Time frame: At base line and end of 4 weeks

  2. Shoulder Pain And Disability Index

    SPADI was used to assess functional disability. It has 13 items, with 5 items for pain and 8 items for disability

    Time frame: from baseline to end of 4 weeks

Secondary outcomes

  1. ROM shoulder flexion

    changes from baseline ROM of shoulder flexion was taken

    Time frame: 4th week

  2. ROM shoulder abduction

    changes from baseline ROM of shoulder was taken

    Time frame: 4th week

  3. ROM shoulder external rotation

    changes from baseline ROM of shoulder external rotation was taken

    Time frame: 4th week

  4. ROM shoulder internal rotation

    changes from baseline ROM of shoulder internal rotation was taken

    Time frame: 4th week

07

Study locations

1 site
  • Rasool Medical Complex Gujrat
    Dhok Gujra, Punjab Province 50700, Pakistan
08

References and documents

Publications

  • Joshi D, Chitra J. Effect of scapular proprioceptive neuromuscular facilitation on shoulder pain, range of motion, and upper extremity function in hemiplegic patients: A randomized controlled trial. Indian Journal of Health Sciences and Biomedical Research KLEU. 2017;10(3):276-82.
  • Chitra J, Joshi D. Effect of scapular hold-relax technique on shoulder pain in hemiplegic subjects: A randomized controlled trial. Physiotherapy-The Journal of Indian Association of Physiotherapists. 2017;11(2):49-52.
  • Mishra N, Mishra A, Charaniya P. Effect of scapular proprioceptive neuromuscular facilitation on pain and disability in patients with adhesive capsulitis. Int J Yogic Hum Mov Sports Sciences. 2019;4(1):995-1000.
  • Saeed M, Hafeez S, Asad F, Haider W, Nawaz S, Kocub S. Comparison of scapular proprioceptive neuromuscular facilitation and myofascial release techniques on pain and function in scapular dyskinesia associated with adhesive capsulitis: Scapular dyskinesia associated with adhesive capsulitis. Pakistan BioMedical Journal. 2022:123-7.
  • Bhavika PG, Vinosh Kumar P. Effect of Scapular Proprioceptive Neuromuscular Facilitation versus Scapular Mobilization on Pain and function in adhesive capsulitis-A Pragmatic Randomized Clinical Trial. INTI JOURNAL. 2023;2023(64):1-6.
  • Akgüller T, Akbaba YA, Taşkıran H. The effect of scapular proprioceptive neuromuscular facilitation techniques on pain and functionality in patients with subacromial impingement syndrome: a randomized controlled trial. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 2023;33(03):149-61.
  • Shaikh SB, Ganvir SS. Effect of 4 Weeks of Scapular Proprioceptive Neuromuscular Facilitation on Scapular Alignment and Upper Extremity Motor Performance in Patients with Stroke: A Repeated Measure Design. Medical Journal of Dr DY Patil Vidyapeeth. 2023;16(Suppl 2):S228-S34.
  • Ragapriyaa R, Kamalakannan M, Anitha A, Ramana K. Effect of Scapular Clock Exercise Versus Scapular PNF Exercise on Pain and ROM for Anterior Capsular Stiffness of Shoulder Joint. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.
  • Cellatoglu H, Belgen Kaygisiz B. Effect of proprioceptive neuromuscular facilitation (PNF) technique on posture, balance and gait characteristics of older adults with scapular dyskinesis: a randomized controlled trial. PeerJ. 2025 Aug 14;13:e19718. doi: 10.7717/peerj.19718. eCollection 2025. PubMed 40827206 ↗
  • Butt MS, Tanveer F. Effects of scapular proprioceptive neuromuscular facilitation techniques in addition to routine physical therapy on clinical outcomes in patients with adhesive capsulitis: A randomized controlled trial. The Healer Journal of Physiotherapy and Rehabilitation Sciences. 2022;2(1):78-87.
  • Ghias S, Saeed H, Ahmed M, Faisal M, Solangi TA, Asim HAB, et al. Effectiveness of PNF Pattern in Regular Physical Therapy Sessions on Functional Mobility in Frozen Shoulder: PNF Pattern in Frozen Shoulder Therapy. THE THERAPIST (Journal of Therapies & Rehabilitation Sciences). 2024:46-50.
  • Lin P, Yang M, Huang D, Lin H, Wang J, Zhong C, Guan L. Effect of proprioceptive neuromuscular facilitation technique on the treatment of frozen shoulder: a pilot randomized controlled trial. BMC Musculoskelet Disord. 2022 Apr 20;23(1):367. doi: 10.1186/s12891-022-05327-4. PubMed 35443651 ↗
  • Zhang EJX, Lam YX, Lim WSR, Lie DTT. Effect of proprioceptive neuromuscular facilitation on efficacy and pain relief for symptomatic shoulder conditions: a meta-analysis. Journal of Orthopaedic Reports. 2025;4(1):100541.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07403409
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Feb 11, 2026
Start date
Jan 18, 2025
Primary completion
May 31, 2025
Completion
Oct 30, 2025
Last update
Feb 11, 2026

Study contacts

Ameena Amjad, Ph.D
principal investigator · Riphah International University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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