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Adhesive CapsulitisNCT07440680

Gong Mobilization With and Without Thoracic Manipulation in Patients With Adhesive Capsulitis

A study testing Gong mobilization, Thoracic manipulation and Conventional therapy in people with Adhesive Capsulitis, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis. Read more about this study

Who is it for?
Ages 40 to 60 years
Conditions the study is for
Adhesive Capsulitis
What is being tested?
Gong mobilization, Thoracic manipulation and Conventional therapy
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 sitePakistan
Study dates
2 Jan 2025to 28 Sep 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age between 40 and 60 years
  • Both male and female
  • Clinically diagnosed with stage 2 frozen shoulder
  • Hypomobility of the thoracic spine
  • Unilateral or bilateral frozen shoulder with pain lasting for more than 3 month
  • Shoulder ROM limited with a flexion <165°, abduction <150°, or external rotation <45°, restricted capsular pattern .
  • Positive shoulder shrug sign

Who cannot join

  • Shoulder Arthritis
  • Thoracic outlet syndrome
  • Metabolic bone disease in the shoulder
  • Neoplastic bone disease in the shoulder
  • Osteoporosis and Osteomyelitis
  • Arm fracture, torn ligament around the shoulder joint, and shoulder surgery
  • Rheumatoid arthritis

Trial locations and contacts

1 site in 1 country.

Pakistan1 site

  • Hassan Medical Clinic

    Kasur, Punjab Province, 55030

Other trials in Pakistan

About this study

Official title: Effects of Gong Mobilization With and Without Thoracic Manipulation on Pain, Range of Motion and Disability in Patients With Adhesive Capsulitis

The study was conducted to determine effects of gong mobilization with and without thoracic manipulation on pain, range of motion and disability in patients with adhesive capsulitis.

Being tested
Gong mobilization, Thoracic manipulation, Conventional therapy
Keywords
Adhesive Capsulitis, Gong Mobilization, Thoracic Manipulation, Shoulder disability, Exercise Therapy
Medical subject headings
Bursitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gong mobilizationOther

    Gong mobilization was applied on affected shoulder joint in which distraction is applied followed by corrective AP force. Patient performs abduction and then prolong stretching of 7 seconds. It takes 2 to 3 minutes and is applied for three sessions per week for 4 weeks.

  • Thoracic manipulationOther

    Thoracic manipulation was applied in prone position. Low amplitude high velocity thrust was applied at the end of available range at T4 and T5 after complete exhalation by the patient. intervention is applied for 3 times per week for 4 weeks.

  • Conventional therapyOther

    Conventional therapy includes heat therapy for 8 minutes, TENS for 20 mins. Stretches of posterior capsule, serratus anterior, pectoralis major and minor along with Codman exercises.

Study groups in NCT07440680
Study groupRoleWhat they receive
Gong Mobilization and thoracic manipulationExperimentalNot described
Receives: Other: Gong mobilization; Other: Thoracic manipulation; Other: Conventional therapy
Gong MobilizationActive comparatorNot described
Receives: Other: Gong mobilization

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numeric Pain Rating Scale (NPRS)

    The Numerical Pain Rating Scale (NPRS) is a unidimensional, patient-reported outcome measure used to assess the intensity of pain. Patients were asked for their pain intensity and then mark the number on the line according to their pain perception. The categorical variables of the NPRS are, none for 0, mild for value 1-5, moderate for 6-7 and severe for 8-10.

    Measured: From enrollment to the end of treatment at 4 weeks

  2. SPADI-U

    SPADI-U is a self-reported shoulder-specific outcome questionnaire by the evaluation of subjective clinical outcome measures. SPADI-U is an Urdu translated version of SPADI for cultural adaptation. It has a total of 13 items with 5 items related to pain and 8 items related to disability. The maximum score of SPADI-U is the same to that of SPADI i.e. 13. The scoring system includes the sum of all attempted questions divided by the maximum score and the multiply by 100 to find in percentage. Five items are designed to quantify pain, and eight items cover the disability measures of a patient with shoulder pathology.

    Measured: from enrollment to the end of treatment at 4 weeks

Secondary outcomes (4)

  1. Shoulder flexion ROM

    Changes in shoulder flexion ROM at baseline and 4 weeks was measured using Goniometer

    Measured: From enrollment till end of treatment at 4 weeks

  2. Shoulder Abduction ROM

    Changes in shoulder abduction ROM at baseline and 4 weeks was measured using Goniometer

    Measured: From enrollment till end of treatment at 4 weeks

  3. Shoulder internal rotation ROM

    Changes in shoulder Internal rotation ROM at baseline and 4 weeks was measured using Goniometer

    Measured: from enrollment till end of treatment at 4 weeks

  4. Shoulder external rotation

    Changes in shoulder external rotation ROM at baseline and 4 weeks was measured using Goniometer.

    Measured: From enrollment till end of treatment at 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Feb 2026
  2. Study start2 Jan 2025
  3. Primary completion28 Sep 2025
  4. Study completion28 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07440680
Sponsor's protocol ID
REC/RCR & AHS/24/01109
Status last verified
Feb 2026
First submitted
23 Feb 2026
Last updated
27 Feb 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sah MK, Nagaraj S, Pearlson K. Gong's mobilization versus cyriax manipulation on range of motion and function recovery in subject with frozen shoulder-a comparative study. International Journal of Development Research. 2017;7:13260-8.

  • Hua A. The Effects of Thoracic Spine Thrust Manipulation in Modulating Shoulder Pain and Dysfunction in Patients with Adhesive Capsulitis: Azusa Pacific University; 2018.

  • GoPinath Y, SeenivaSan SK, Veeraraghavan SNC, Viswanathan R, Govindaraj MK. Effect of Gong's Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis. Journal of Clinical & Diagnostic Research. 2018;12(9).

  • BILAL U, KHALID M, ANWAR K, ARSHAD H, AHMED U. Additional effects of Thoracic manipulation on pain, shoulder disability and range of motion in patients with Adhesive Capsulitis.

  • Prasanth S, Sreedharan S, Subbarayalu A, Shahul P. Comparative effect of Gong's mobilization and Spencer technique to manage frozen shoulder. Physiotherapy Quarterly. 2022;31(3):57-64.

  • Challey T, Dutta A, Kalita A, Pyngrope HR. Effectiveness of Gong's Mobilization Over Myofascial Release Technique in Patients with Adhesive Capsulitis..(2023). Int J Life Sci Pharma Res.13(3):L134-L44.

  • El Melhat AM, Abbas RL, Zebdawi MR, Ali Ismail AM. Effect of adding thoracic manipulation for the management of patients with adhesive capsulitis: a randomized clinical trial. Physiother Theory Pract. 2025 Jan;41(1):65-78. doi: 10.1080/09593985.2024.2316897. Epub 2024 Feb 14.

    PubMed 38353489

  • Kamani Raveendhra Babu S, Ramalingam V. Effect of Gong's Mobilization Versus Conventional Physiotherapy Among Type II Diabetic Patients With Adhesive Capsulitis. Cureus. 2024 Jun 27;16(6):e63325. doi: 10.7759/cureus.63325. eCollection 2024 Jun.

    PubMed 39070450

  • Akram¹ Z, Zaheer G, Hanif A, Deen⁴ N, Rahman A, Liaquat F. EFFECT OF GONGS MOBILIZATION WITH NEUROMUSCULAR ELECTRICAL STIMULATION VS CONSERVATIVE EXCERCISES AMONG ADHESIVE CAPSULITIS. 2025.

  • Nilkar N, Pathan UI. COMPARISON OF GONGS MOBILIZATION AND MAITLAND'S MOBILIZATION IN POST OPERATIVE SHOULDER STIFFNESS. Cuestiones de Fisioterapia. 2025;54(4):938-52.

  • Summaya Maham M, Rubab N, Nayab A, Rahat F, Maria U, Arooj, et al. Effects of Gong's Mobilization vs Reverse Distraction Technique in Diabetic Patients with Adhesive Capsulitis. Journal of Health, Wellness and Community Research. 2025;3(9):e614.

  • Jahangir S, Naz H, Abid F, Shahid H, Mehmood M, Tariq M, et al. Effects Of Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder Randomized Control Study: Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder. Pakistan BioMedical Journal. 2022;5(7):70-3.

  • Amjad F, Asghar H. Comparative effects of gong's mobilization and mobilization with movement in patients with adhesive capsulitis: a randomized clinical trial. Sci Rep. 2025 Feb 4;15(1):4272. doi: 10.1038/s41598-025-88422-5.

    PubMed 39905175

Questions about this trial

What is this clinical trial studying?

A study testing Gong mobilization, Thoracic manipulation and Conventional therapy in people with Adhesive Capsulitis, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Numeric Pain Rating Scale (NPRS) (time frame: From enrollment to the end of treatment at 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07440680, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.

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