Shoulder PainNCT07710079
POS Mobilization by 3-DRT Affect Functional Outcome in Layered Syndrome
A study testing Conventional Physical Therapy and POS Mobilization in people with Shoulder Pain and Neck Pain, run by Riphah International University at 1 site in Pakistan.
Trial summary
I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome Read more about this study
- Who is it for?
- Ages 20 to 40 years
- Conditions the study is for
- Shoulder Pain, Neck Pain, Low Back Pain
- What is being tested?
- Conventional Physical Therapy and POS Mobilization
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Dec 2025to 1 May 2026
- 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 20 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- + Craniocervical flexion test
- + Fleshe test (Occiput to wall distance)
- + Thomas test
- + Straight leg raise (SLR)
- +Push Up test
- +Trunk Curl Up test
Who cannot join
- Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region).
- Presence of medical conditions such as cardiac disease, infections, coagulation disorder.
- The participants with any musculoskeletal injuries in the past 6 months
- Cervical dysfunctions affecting upper limbs
- Lumbar Dysfunctions
- Any fracture or other injury
- Any systemic illness
- Any neurological disease
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Posterior Oblique Sling Mobilization by 3-D Release Technique on Pain, Range of Motion and Functional Disability in Layered Syndrome
I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome
Read the detailed description
In previous literature a placebo randomized control trial was conducted. To examine how 3D MFR affects lumbar range of motion and a lumbar lordosis angle in people with asymptomatic hyperlordosis. 30 participants with hyperlordosis who met the inclusion criteria were selected. Using a lottery approach, these individuals were randomly assigned to either the experiemental group or control group, keeping a 1:1 ratio. The experimental group received 3D MFR and the control group received sham 3D MFR for six sessions (3 alternate days for 2 weeks). Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.
- Conditions
- Shoulder Pain, Neck Pain, Low Back Pain
- Being tested
- Conventional Physical Therapy, POS Mobilization
- Keywords
- Disability, Pain, Range of motion
- Medical subject headings
- Shoulder Pain, Neck Pain, Low Back Pain, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional Physical TherapyOther
Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total
POS MobilizationOther
In experimental group, POS mobilization was done along with cervical and lumbar isometrics and stretching.
POS mobilization by 3-D release technique along with Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total
| Study group | Role | What they receive |
|---|---|---|
| POS mobilization | Experimental | Posterior oblique sling mobilization by 3-D release technique along with conventional physiotherapy treatment for Upper cross and lower cross syndrome Receives: Other: POS Mobilization |
| Coventional Physical therapy | Active comparator | Cervical isometrics and stretching, Lumbar isometrics and stretching Receives: Other: Conventional Physical Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Neck disability Index
Changes from the baseline NDI is a 10-item questionnaire created by Vernon and Mior in 1991 to assess how neck pain affects daily activities such as lifting, reading, driving, personal care, sleeping, recreation, and concentration. On a scale of 0 to 5, each item has a score; higher scores correspond to more disability.
Measured: 4rth week
Oswestry Disability Index
Changes from the baseline Oswestry Disability Index (ODI) is regarded as the gold standard for assessing adults with low back pain (LBP) in terms of both disability and quality of life (QOL). The questionnaire is designed to be a self-reported survey, where patients suffering from LBP come across limitations in Activities of Daily Living (ADL's) in several health constructs like personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life, and traveling. The patients indicated the effect of pain on activities. The questions having a score range from 0 to 5, giving a maximum total score of 50. Oswestry Disability Index (ODI).
Measured: 4rth week
Shoulder Pain and Disability Index
Changes from the baseline SPADI is a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consists of 13 items, divided into pain and disability subscales, and is often used in both clinical practice and research.
Measured: 4rth week
Secondary outcomes (9)
Numeric Pain rating sclae (NPRS)
Changes from the baseline NPRS consists of an 11-point scale ranging from 0 to 10, where 0 represents "no pain" and 10 indicates the "worst imaginable pain."
Measured: 4rth week
ROM Cervical Spine (Flexion)
Changes from the baseline ROM range of cervical spine flexion was taken
Measured: 4rth week
ROM Cervical Spine (Extension)
Changes from the baseline ROM range of cervical spine extension was taken
Measured: 4rth
ROM Cervical Spine (Lateral Flexion)
Changes from the baseline ROM range of cervical spine lateral flexion was taken
Measured: 4rth
ROM Lumbar Spine (Flexion)
Changes from the baseline ROM range of lumbar spine flexion was taken
Measured: 4rth
ROM Lumbar Spine (Extension)
Changes from the baseline ROM range of lumbar spine extension was taken
Measured: 4rth
ROM Shoulder joint (Flexion)
Changes from the baseline ROM range of shoulder joint flexion was taken
Measured: 4rth
ROM Shoulder joint (Abduction)
Changes from the baseline ROM range of shoulder joint abduction was taken
Measured: 4rth
ROM Shoulder joint (External Rotation)
Changes from the baseline ROM range of shoulder joint external rotation was taken
Measured: 4rth
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jul 2026
- Study start1 Dec 2025
- Primary completion1 May 2026
- Study completion1 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Shoulder PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Outcomes assessor
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Saba Rafique, Phd*, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07710079
- Sponsor's protocol ID
- REC/RCR&AHS/25/0127
- Status last verified
- Jul 2026
- First submitted
- 17 Jun 2026
- Last updated
- 17 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Welling A, Patil A, Gunjal P, Naik P, Hubli R. Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial. Int J Ther Massage Bodywork. 2024 Jun 13;17(2):20-31. doi: 10.3822/ijtmb.v17i2.957. eCollection 2024 Jun.
PubMed 38873188
Study at a glance
From the registry record, last updated by the sponsor on 17 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Posterior Oblique Sling Mobilization by 3-D Release Technique on Pain, Range of Motion and Functional Disability in Layered Syndrome
- ClinicalTrials.gov ID
- NCT07710079
- Acronym / sponsor ID
- REC/RCR&AHS/25/0127
- Conditions
- Shoulder Pain, Neck Pain, Low Back Pain
- Keywords
- Disability, Pain, Range of motion
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Dec 2025 (actual)
- Primary completion
- 1 May 2026 (actual)
- Study completion
- 1 May 2026 (actual)
- First posted
- 17 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
I aim to study the effects of posterior oblique sling mobilization by 3-D release technique on pain, range of motion and functional disability in layered syndrome
Detailed description
In previous literature a placebo randomized control trial was conducted. To examine how 3D MFR affects lumbar range of motion and a lumbar lordosis angle in people with asymptomatic hyperlordosis. 30 participants with hyperlordosis who met the inclusion criteria were selected. Using a lottery approach, these individuals were randomly assigned to either the experiemental group or control group, keeping a 1:1 ratio. The experimental group received 3D MFR and the control group received sham 3D MFR for six sessions (3 alternate days for 2 weeks). Lumbar range of motion was assessed using modified-modified Schober's test and the lumbar lordosis angle was measured using x-ray and flexicurve.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| POS mobilization | Experimental | Other: POS MobilizationPosterior oblique sling mobilization by 3-D release technique along with conventional physiotherapy treatment for Upper cross and lower cross syndrome |
| Coventional Physical therapy | Active comparator | Other: Conventional Physical TherapyCervical isometrics and stretching, Lumbar isometrics and stretching |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- + Craniocervical flexion test
- + Fleshe test (Occiput to wall distance)
- + Thomas test
- + Straight leg raise (SLR)
- +Push Up test
Key exclusion criteria (8 listed)
- Other conditions involving the shoulder (eg. rheumatoid arthritis, osteoarthritis, damage of the glenohumeral cartilage, Hill-Sachs lesion, osteoporosis, or malignancies in the shoulder region).
- Presence of medical conditions such as cardiac disease, infections, coagulation disorder.
- The participants with any musculoskeletal injuries in the past 6 months
- Cervical dysfunctions affecting upper limbs
- Lumbar Dysfunctions
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Conventional Physical TherapyCervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total | Other | Coventional Physical therapy |
| POS MobilizationIn experimental group, POS mobilization was done along with cervical and lumbar isometrics and stretching. POS mobilization by 3-D release technique along with Cervical isometrics and lumbar isometrics 10 repitionsx 1 set, 3 days/week and targeted sustained muscle stretching (pectoralis, upper trapezius, levator scapulae, iliopsoas, rectus femoris and lumbar erector spinae) for 20-30 seconds 10 repititions x 1 set 3 days/week 12 sessions were given in total | Other | POS mobilization |
Primary outcome
Neck disability Index
Time frame: 4rth week
Changes from the baseline NDI is a 10-item questionnaire created by Vernon and Mior in 1991 to assess how neck pain affects daily activities such as lifting, reading, driving, personal care, sleeping, recreation, and concentration. On a scale of 0 to 5, each item has a score; higher scores correspond to more disability.
Oswestry Disability Index
Time frame: 4rth week
Changes from the baseline Oswestry Disability Index (ODI) is regarded as the gold standard for assessing adults with low back pain (LBP) in terms of both disability and quality of life (QOL). The questionnaire is designed to be a self-reported survey, where patients suffering from LBP come across limitations in Activities of Daily Living (ADL's) in several health constructs like personal care, lifting, walking, sitting, standing, sleeping, sexual life, social life, and traveling. The patients indicated the effect of pain on activities. The questions having a score range from 0 to 5, giving a maximum total score of 50. Oswestry Disability Index (ODI).
Shoulder Pain and Disability Index
Time frame: 4rth week
Changes from the baseline SPADI is a self-administered questionnaire designed to evaluate pain and functional impairment related to shoulder disorders. It consists of 13 items, divided into pain and disability subscales, and is often used in both clinical practice and research.
9 secondary outcomes
Numeric Pain rating sclae (NPRS)
Time frame: 4rth week
ROM Cervical Spine (Flexion)
Time frame: 4rth week
ROM Cervical Spine (Extension)
Time frame: 4rth
ROM Cervical Spine (Lateral Flexion)
Time frame: 4rth
ROM Lumbar Spine (Flexion)
Time frame: 4rth
ROM Lumbar Spine (Extension)
Time frame: 4rth
ROM Shoulder joint (Flexion)
Time frame: 4rth
ROM Shoulder joint (Abduction)
Time frame: 4rth
ROM Shoulder joint (External Rotation)
Time frame: 4rth
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jul 2026.
- Background: PubMed 38873188Welling A, Patil A, Gunjal P, Naik P, Hubli R. Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial. Int J Ther Massage Bodywork. 2024 Jun 13;17(2):20-31. doi: 10.3822/ijtmb.v17i2.957. eCollection 2024 Jun.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Saba Rafique, Phd* principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Physical Therapy and POS Mobilization in people with Shoulder Pain and Neck Pain, 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 6 inclusion and 8 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 17 Jul 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?
Neck disability Index (time frame: 4rth week). The study lists 3 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 NCT07710079, which also lists 1 linked publication.
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 17 Jul 2026.