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Enrolling by invitationNCT07599059Updated Jun 17, 2026

AI-Assisted Ultrasound Therapy for Adhesive Capsulitis

An interventional study of Dual-Target Injection and Rotator Interval Injection in Adhesive Capsulitis, sponsored by National Taiwan University Hospital. Enrolling by invitation at 1 site in Taiwan. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by National Taiwan University Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
192
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to integrate artificial intelligence with ultrasound imaging to investigate the dynamic biomechanical characteristics of adhesive capsulitis and to compare the therapeutic effectiveness of three ultrasound-guided hydrodilatation techniques: rotator interval injection, dual-target injection, and posterior glenohumeral injection. In the observational phase, healthy participants and patients with adhesive capsulitis will undergo static and dynamic ultrasound evaluations to quantify subacromial motion and the minimal vertical acromiohumeral distance (mvAHD) during shoulder abduction. A Faster R-CNN model will automatically identify the acromion and greater tuberosity to extract motion trajectories and frequency-based features.

In the randomized clinical trial phase, patients will be assigned to one of the three hydrodilatation techniques to compare improvements in pain, function, and range of motion at 6 and 12 weeks. All participants will subsequently enter a one-year follow-up to document recurrence, defined as the need for repeat intervention. Clinical characteristics, static sonographic parameters, dynamic motion metrics, and short-term treatment responses will be incorporated into machine-learning models to predict long-term outcomes, including recurrence risk. Eligible patients who decline randomization may consent to join a parallel observational cohort. They will receive standard-of-care treatment (conservative or interventional) based on their preference, and undergo the exact same baseline, Week 6, and Week 12 clinical and ultrasound assessments as the randomized trial participants.

The ultimate goal is to establish an AI-assisted predictive framework that enables individualized risk stratification, early identification of poor responders, and optimization of injection strategies. This model is expected to improve clinical decision-making, enhance treatment precision, and contribute to higher-quality patient care.

02

Conditions studied

  • Adhesive Capsulitis

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Keywords

  • Adhesive Capsulitis
  • Artificial Intelligence
  • Dynamic Ultrasound
  • Subacromial Motion
  • Vertical Acromiohumeral Distance
03

In context

Bursitis

383 studies on the registry are indexed under Bursitis; 111 are open to participants now.

This study's planned enrollment of 192 is above the median of 44 across 346 interventional studies indexed under Bursitis.

Browse Bursitis studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • Inclusion Criteria for the Control Group:

    1. Age-matched adults (≥ 18 years old) with no symptoms of adhesive capsulitis.
    2. Age distribution matched with that of the disease group.
  • Inclusion Criteria for the Disease Group (Adhesive Capsulitis):

    1. Shoulder stiffness persisting for more than one month.
    2. Restriction of passive range of motion by more than 30° in at least two of the three directions (forward flexion, abduction, and external rotation) compared to the contralateral side, with imaging findings consistent with the diagnostic features of primary adhesive capsulitis.

      Exclusion Criteria:

  • Exclusion Criteria (for both Control and Disease Groups):

    1. Systemic rheumatic disease (like rheumatoid arthritis and ankylosing spondylitis).
    2. History of .
    3. Previous major trauma, surgeries, or recent injection therapy on the affected shoulder.
    4. Suprascapular nerve block within the previous three months.
    5. Inability to clearly understand or express personal willingness due to central nervous system injury.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
192 participants (estimated)

Study arms

  • Experimental
    Rotator Interval Injection

    Procedure: Rotator Interval Injection

  • Experimental
    Dual-Target Injecton

    Procedure: Dual-Target Injection

  • Experimental
    Posterior Recess Injection

    Procedure: Posterior Recess Injection

Interventions

  • ProcedureDual-Target Injection

    An ultrasound-guided injection targeting both the rotator interval and the subdeltoid bursa.

  • ProcedureRotator Interval Injection

    An ultrasound-guided injection administered through the rotator interval approach.

  • ProcedurePosterior Recess Injection

    An injection into the glenohumeral joint utilizing a posterior approach.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Shoulder Pain and Disability Index (SPADI) Total Score

    Shoulder Pain and Disability Index: 1. Minimum and Maximum Values: 0 to 100 2. Higher scores mean a worse outcome (indicating more severe shoulder pain and a higher degree of disability).

    Time frame: Baseline, Week 6, and Week 12

Secondary outcomes

  1. Change from Baseline in Visual Analog Scale (VAS) for Pain

    Visual Analogue Scale: 1. Minimum and Maximum Values: 0 to 10 (often measured as 0 to 100 millimeters) 2. Higher scores mean a worse outcome (0 represents no pain at all, while 10 or 100 represents the worst imaginable pain).

    Time frame: Baseline, Week 6, and Week 12

  2. Change from Baseline in Shoulder Range of Motion (ROM)

    Time frame: Baseline, Week 6, and Week 12

  3. Incidence of Treatment-Related Adverse Events

    Time frame: Up to Week 12

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2026; primary completion for Jul 2029, 35 months later.

Of 217 non-industry interventional studies with no phase under Bursitis, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 17. This study's planned 35 months is above that.

Counting every sponsor, half of 217 studies reached it within 10 months; a quarter within 5 and three quarters within 17.

How these figures are worked out, and which studies are left out of them.

Registered
May 14, 2026
First posted
May 20, 2026
StartEst.
Aug 1, 2026
Primary completionEst.
Jul 31, 2029
CompletionEst.
Jul 31, 2030
Last update
Jun 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07599059
Responsible party
Sponsor
First posted
May 20, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Jul 31, 2029 (estimated)
Completion
Jul 31, 2030 (estimated)
Last update
Jun 17, 2026

Oversight

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

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