NCT06927115

Comparative Analysis of Mulligan and Maitland Mobilizations Techniques in Adhesive Capsulitis

Comparative Analysis of Mulligan and Maitland Mobilizations Techniques on Disability and Quality of Life in Adhesive Capsulitis

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 42 (actual)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 35 Years – 50 Years
• Healthy volunteers: Not accepted

Summary

Mobilization techniques are widely used in physiotherapy to address the pain and stiffness associated with adhesive capsulitis. Two commonly employed approaches are Mulligan's mobilization and Maitland's mobilization, both of which aim to restore joint mobility and improve functional outcomes. However, the relative effectiveness of these techniques in improving disability and quality of life in patients with adhesive capsulitis has not been conclusively established. This study will help to find out the best mobilization option for adhesive capsulitis or frozen shoulder for all four stages of adhesive capsulitis.

Detailed description

Adhesive capsulitis is a condition characterized by pain, loss of both active and passive range motion of the shoulder joint in all planes especially abduction and external rotation. In general population the prevalence of adhesive capsulitis is 2-5% and its incidence is 2%.The prevalence of adhesive capsulitis in diabetic patient is 11- 30% while in non-diabetic is 2-10%.Adhesive capsulitis is more common in women aged between 40-60 years (12). Adhesive capsulitis is bilateral in 20-30 % of cases and the opponent shoulder become involved within five years Based on etiology Adhesive capsulitis is classified into primary or true frozen shoulder and secondary, in primary adhesive capsulitis there is global capsular inflammation without any known cause or pre-existing condition while secondary adhesive capsulitis is associated with any recognized systemic, intrinsic or extrinsic cause. The systemic causes of secondary adhesive capsulitis comprise thyroid diseases, diabetes mellitus and decreased level of adrenaline. The intrinsic cause of secondary adhesive capsulitis is rotator cuff disease andcalcification of tendon or tendonitis. The extrinsic causes of secondary adhesive capsulitis include breast surgery in women, post trauma, clavicle or humerus fracture and early history of cerebral vascular accident

Conditions

• Adhesive Capsulitis of Shoulder

Interventions

Type	Name	Description
OTHER	Maitland Mobilization	Provide maitland mobilization technique along with conventional exercises like Monkey bar, towel stretching, and codmen exercise to each subject.
OTHER	Mulligan Mobilization	Provide mulligan mobilization technique along with conventional exercises like Monkey bar, towel stretching, and codmen exercise to each subject.

Timeline

• Start date: 2025-04-15
• Primary completion: 2025-12-30
• Completion: 2026-01-10
• First posted: 2025-04-15
• Last updated: 2026-02-18

Locations

1 site across 1 country: Pakistan