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RecruitingNCT07921017Updated Nov 6, 2026

Effects of Cervicothoracic Mobilization in Patients With Supraspinatus Tendinitis

An interventional study of Cervicothoracic Junction Mobilization and Traditional Physical Therapy in Rotator Cuff Tendonitis, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to participants aged 25 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

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

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
25 Years to 45 Years
Sex
All
01

Study summary

This study aims to evaluate the effects of cervicothoracic junction mobilization on pain, shoulder range of motion (ROM), and disability in patients with supraspinatus tendinitis. A randomized controlled trial will include 62 participants divided into experimental and control groups. The experimental group will receive cervicothoracic mobilization alongside conventional physiotherapy, while the control group will receive conventional physiotherapy only. Outcomes will be assessed using NPRS, a goniometer, and SPADI. Data will be analyzed using IBM SPSS, with results reported after data collection and analysis.

Read the detailed description

Supraspinatus tendinitis is a frequent cause of shoulder pain and functional impairment and may be influenced by dysfunction in the cervicothoracic region. Mobilization of the cervicothoracic junction has been suggested to improve shoulder symptoms by enhancing regional mobility and neuromuscular control; however, evidence in patients with supraspinatus tendinitis remains limited. This study will evaluate the effects of cervicothoracic junction mobilization on shoulder pain, range of motion (ROM), and disability in patients with supraspinatus tendinitis. A randomized controlled trial will be conducted with 62 participants diagnosed with supraspinatus tendinitis, recruited via convenience sampling after written informed consent. Participants will be randomly allocated into two groups (31each) using a computer-generated sequence by a blinded assistant, concealed in opaque envelopes. Group A (Experimental) will receive cervicothoracic mobilization (C6T4) using Maitland's Grade III-IV central PA and transverse oscillatory techniques, alongside conventional physiotherapy. Group B (Control) will receive conventional physiotherapy only, including moist heat (10 min), Codman's pendulum, stretching, scapular setting, and open-chain TheraBand resistance exercises. Outcomes-pain (NPRS), shoulder range of motion (goniometer), and disability (SPADI)-will be assessed at baseline and post-intervention. Data will be analyzed using an independent t-test in IBM SPSS, with significance set at p \< 0.05. Will be given after Data Collection.

02

Conditions studied

  • Rotator Cuff Tendonitis

Keywords

  • Rotator cuff tendinopathy
  • Manual Therapy
  • ROM
  • Disability
  • Shoulder Pain
03

In context

Rotator Cuff Injuries

631 studies on the registry are indexed under Rotator Cuff Injuries; 156 are open to participants now.

This study's planned enrollment of 62 is close to the median of 60 across 456 interventional studies indexed under Rotator Cuff Injuries.

Browse Rotator Cuff Injuries studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female patients both are included age ranging from 25 to 45 years.
  • Diagnosis confirmed through Jobe's Test (Empty can) and characteristic signs and symptoms of supraspinatus tendinitis.

Exclusion criteria

Exclusion Criteria:

  • History of any previous surgical intervention involving the shoulder.
  • Shoulder joint instability due to causes other than supraspinatus pathology.
  • Presence of acromioclavicular joint arthritis.
  • Participants were excluded if they had osteoporosis, spinal fractures, or tumors.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
62 participants (estimated)

Study arms

  • Experimental
    Cervicothoracic Junction Mobilization

    This group will receive Maitland-based rhythmic oscillatory mobilizations, including central posterior-anterior and transverse techniques applied to the cervicothoracic region (C6-T4).

    Other: Cervicothoracic Junction Mobilization

  • Active comparator
    Traditional physiotherapy

    A standard physical therapy protocol is given to the participants in this group

    Other: Traditional Physical Therapy

Interventions

  • OtherCervicothoracic Junction Mobilization

    Participants will receive Maitland-based rhythmic oscillatory mobilizations, including central posterior-anterior and transverse techniques applied to the cervicothoracic region (C6-T4), on every alternate day in addition to the same physiotherapy program provided to the control group over six weeks.

  • OtherTraditional Physical Therapy

    Cryotherapy for 10 minutes for the first 2 days. Codman exercises: 10 repetitions of each movement, 3 days/week, a strengthening protocol for the rotator cuff muscles and scapula.

06

What researchers measure

Primary outcomes

  1. Numeric Pain Rating Scale (NPRS)

    It is a scale to measure pain, where 0 indicates no pain, and 10 indicates the worst pain possible.

    Time frame: 4rth week

  2. Shoulder Pain And Disability Index (SPADI)

    The Shoulder Pain and Disability Index (SPADI) is a self-reported questionnaire used to assess shoulder pain and disability in daily activities. It consists of 13 items divided into two subscales: pain (5 items) and disability (8 items), with higher scores indicating greater pain and functional limitation.

    Time frame: 4rth week

  3. ROM Shoulder (Abduction)

    Changes from ROM of Shoulder Abduction were taken with the help of a goniometer

    Time frame: 4rth week

  4. ROM Shoulder (external rotation)

    Changes from ROM of Shoulder External rotation were taken with the help of a goniometer

    Time frame: 4rth week

  5. ROM shoulder (Flexion)

    Changes from ROM of Shoulder Flexion were taken with the help of a goniometer

    Time frame: 4rth week

07

Study locations

1 of 1 sites recruiting
  • Itefaq Hospital and PMC by Dr. Waqar Ali
    Lahore, Punjab Province 54700, Pakistan
    Recruiting
    • Dr. Ali Raza, MS · Contactdralirazapt@gmail.com · 03326099065
    • Zarish Fatima, MS OMPT · Principal investigator
    • Ali Raza, MS · Sub investigator
08

References and documents

Publications

  • Bergman GJ, Winters JC, Groenier KH, Pool JJ, Meyboom-de Jong B, Postema K, van der Heijden GJ. Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. Ann Intern Med. 2004 Sep 21;141(6):432-9. doi: 10.7326/0003-4819-141-6-200409210-00008. PubMed 15381516 ↗
  • Vila-Dieguez O, Heindel MD, Awokuse D, Kulig K, Michener LA. Exercise for rotator cuff tendinopathy: Proposed mechanisms of recovery. Shoulder Elbow. 2023 Jun;15(3):233-249. doi: 10.1177/17585732231172166. Epub 2023 May 4. PubMed 37325389 ↗
  • Liu S, Chen L, Shi Q, Fang Y, Da W, Xue C, Li X. Efficacy of manual therapy on shoulder pain and function in patients with rotator cuff injury: A systematic review and meta-analysis. Biomed Rep. 2024 Apr 11;20(6):89. doi: 10.3892/br.2024.1778. eCollection 2024 Jun. PubMed 38682089 ↗
  • Spargoli G. SUPRASPINATUS TENDON PATHOMECHANICS: A CURRENT CONCEPTS REVIEW. Int J Sports Phys Ther. 2018 Dec;13(6):1083-1094. PubMed 30534473 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07921017
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Oct 29, 2026
Primary completion
Dec 2, 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Nov 6, 2026

Study contacts

Imran Amjad, Phd
Contact
imran.amjad@riphah.edu.pk
03324390125
Ali Raza, Mphill
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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