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Frozen ShoulderNCT07844135

Spencer's Technique Versus Mulligan's Technique for Stage II Frozen Shoulder

A study testing Spencer's Muscle Energy Technique With Conventional Physiotherapy and Mulligan's Mobilization With Movement With Conventional Physiotherapy in people with Frozen Shoulder and Adhesive Capsulitis, run by Superior University at 2 sites in Pakistan.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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Trial summary

Stage II frozen shoulder (adhesive capsulitis) is associated with pain, stiffness, restricted shoulder range of motion, and reduced quality of life. This randomized controlled trial will compare Spencer's Muscle Energy Technique with Mulligan's Mobilization with Movement in adults with Stage II idiopathic frozen… Read more about this study

Who is it for?
Ages 30 to 55 years
Conditions the study is for
Frozen Shoulder, Adhesive Capsulitis
What is being tested?
Spencer's Muscle Energy Technique With Conventional Physiotherapy and Mulligan's Mobilization With Movement With Conventional Physiotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
2 sitesPakistan
Study dates
1 Oct 2026to 1 Apr 2027
Phase
Interventional

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 30 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male and female participants aged 30 to 55 years.
  • History of idiopathic Stage II frozen shoulder.
  • Experiencing shoulder pain for at least 3 months.

Who cannot join

  • History of rotator cuff tears, rheumatoid arthritis, gouty arthritis, tumors of the shoulder region, or thoracic outlet syndrome.
  • History of fracture of the upper limb involving the affected shoulder.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Muhammad Naveed Babur contact

+92 333 5118324

Naveedphysio@gmail.com

Pakistan2 sites
  • City Hospital

    Multan, Punjab Province

    Muhammad Naveed Babur, +92 333 5118324, Naveedphysio@gmail.com

    Muhammad Naveed Babur

  • Ibn e Sina Hospital and Research Institute

    Multan, Punjab Province

    Muhammad Naveed Babur, +92 333 5118324, Naveedphysio@gmail.com

    Muhammad Naveed Babur

Other trials in Pakistan

About this study

Official title: Comparative Efficacy of Spencer's Technique Versus Mulligan's Technique on Pain, Range of Motion, and Quality of Life in Patients With Stage II Frozen Shoulder

Stage II frozen shoulder (adhesive capsulitis) is associated with pain, stiffness, restricted shoulder range of motion, and reduced quality of life. This randomized controlled trial will compare Spencer's Muscle Energy Technique with Mulligan's Mobilization with Movement in adults with Stage II idiopathic frozen shoulder. Seventy-two participants will be randomized to two groups of 36. Both groups will receive their allocated manual therapy together with conventional physiotherapy for four weeks, three sessions per week. Outcomes will be assessed at baseline and after the 4-week intervention using the Numeric Pain Rating Scale, goniometric shoulder range of motion, and the SF-36 questionnaire.

Read the detailed description

The study is a two-arm, assessor-blinded randomized controlled trial. Eligible male and female participants aged 30 to 55 years with Stage II idiopathic frozen shoulder and pain for at least three months will be recruited from Ibn e Sina Hospital and Research Institute and City Hospital in Multan, Pakistan. Participants will be selected using non-probability convenience sampling and then randomized by chit-and-lottery method. Group A will receive Spencer's Muscle Energy Technique with conventional physiotherapy. Group B will receive Mulligan's Mobilization with Movement with conventional physiotherapy. The confirmed treatment schedule is three sessions per week for four weeks. Pain, shoulder range of motion, and health-related quality of life will be assessed at baseline and after the intervention.

Being tested
Spencer's Muscle Energy Technique With Conventional Physiotherapy, Mulligan's Mobilization With Movement With Conventional Physiotherapy
Keywords
Stage II frozen shoulder, Spencer's technique, Mulligan technique, Mobilization with Movement, Pain, Shoulder range of motion, Quality of life
Medical subject headings
Bursitis, Pain

What participants receive

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

  • Spencer's Muscle Energy Technique With Conventional PhysiotherapyOther

    Also called Spencer's Technique

    Spencer's technique will use sequential passive shoulder movements including extension, flexion, circumduction with compression, circumduction with distraction, abduction, internal rotation, and external rotation. Conventional physiotherapy will include moist heat, shoulder isometrics, pulley and finger-ladder exercises, pectoral stretching, and Codman's pendulum exercises. Treatment will be provided three sessions per week for four weeks, approximately 30 to 40 minutes per session.

  • Mulligan's Mobilization With Movement With Conventional PhysiotherapyOther

    Also called Mulligan MWM

    Mulligan's Mobilization with Movement will use a passive accessory glide applied in the direction of arm movement within the pain-free range. The protocol describes three sets of 10 repetitions with two minutes of rest between sets. Conventional physiotherapy will include moist heat, shoulder isometrics, pulley and finger-ladder exercises, pectoral stretching, and Codman's pendulum exercises. Treatment will be provided three sessions per week for four weeks, approximately 30 to 40 minutes per session.

Study groups in NCT07844135
Study groupRoleWhat they receive
Group A: Spencer's TechniqueExperimentalParticipants will receive Spencer's Muscle Energy Technique together with conventional physiotherapy three sessions per week for four weeks.
Receives: Other: Spencer's Muscle Energy Technique With Conventional Physiotherapy
Group B: Mulligan's TechniqueActive comparatorParticipants will receive Mulligan's Mobilization with Movement together with conventional physiotherapy three sessions per week for four weeks.
Receives: Other: Mulligan's Mobilization With Movement With Conventional Physiotherapy

What is being measured

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

  1. Pain Intensity Assessed by Numeric Pain Rating Scale (NPRS)

    Pain intensity will be assessed using the 11-point Numeric Pain Rating Scale from 0 (no pain) to 10 (worst imaginable pain).

    Measured: Baseline and immediately after the 4-week intervention

  2. Shoulder Range of Motion Assessed by Goniometer

    Shoulder flexion, abduction, and external rotation will be measured in degrees using a goniometer.

    Measured: Baseline and immediately after the 4-week intervention

  3. Health-Related Quality of Life Assessed by SF-36

    Health-related quality of life will be assessed using the 36-item Short Form Health Survey (SF-36). Domain scores are transformed to a 0 to 100 scale, with higher scores indicating better health status.

    Measured: Baseline and immediately after the 4-week intervention

Timeline

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

  1. First posted28 Sep 2026
  2. Study start1 Oct 2026 (estimated)
  3. Primary completion1 Apr 2027 (estimated)
  4. Study completion1 Apr 2027 (estimated)

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
Model description
Participants will be randomized into two parallel intervention groups of 36 participants each using a chit-and-lottery method.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07844135
Sponsor's protocol ID
SU91-MSRSW-F24-065
Status last verified
Sep 2026
First submitted
22 Sep 2026
Last updated
28 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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