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.
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.
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
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.
- Conditions
- Frozen Shoulder, Adhesive Capsulitis
- 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 group | Role | What they receive |
|---|---|---|
| Group A: Spencer's Technique | Experimental | Participants 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 Technique | Active comparator | Participants 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.
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
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
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.
- First posted28 Sep 2026
- Study start1 Oct 2026 (estimated)
- Primary completion1 Apr 2027 (estimated)
- Study completion1 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Frozen ShoulderStudies 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
- 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)
Sponsor and investigators
- Lead sponsor
- Superior University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Muhammad Naveed Babur, Superior University
- Investigators
- Muhammad Naveed Babur, Principal investigator, Superior University
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