Shoulder FrozenNCT06763679
Compare the Effect of Spencer Technique With and Without AC Mobilization for FS Pathients
A study testing mobilization and traditional physical therapy in people with Shoulder Frozen, run by Riphah International University at 1 site in Pakistan.
Trial summary
The propose of the study will help the clinicians provide an evidence-based approach for the application of Spencer technique and acromioclavicular mobilization, an application of these techniques on pain, range of motion and functional disability of patients of frozen shoulder. Read more about this study
- Who is it for?
- Ages 50 to 60 years
- Conditions the study is for
- Shoulder Frozen
- What is being tested?
- mobilization and traditional physical therapy
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 5 Aug 2024to 13 Jan 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 50 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male and female both are included
- Age of 50-60 years
- Unilateral frozen shoulder stage 2 with pain lasting for more than 1 month
- Capsular pattern of motion restriction (lateral rotation, abduction, medial rotation)
- More than 50% loss of passive movement of shoulder
Who cannot join
- Rotator cuff tear
- Dislocation of shoulder
- Shoulder subluxation
- Upper limb fracture
- History of shoulder surgery
- All other co-morbidities are excluded
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Bajwa hospital
Lahore, Punjab Province, 54000
Dr. Sajawal Bashir, MS NMPT, 032447773256, sajawalbashir.3@gmail.com
Rimsha Asif, MS-OMPT
About this study
Official title: Comparative Effects of Spencer Technique With and Without Acromioclavicular Mobilization on Pain, Range of Motion and Functional Disability Among Patients of Frozen Shoulder
The propose of the study will help the clinicians provide an evidence-based approach for the application of Spencer technique and acromioclavicular mobilization, an application of these techniques on pain, range of motion and functional disability of patients of frozen shoulder. So, that it can be determined which treatment is superior in terms of achieving better results in the management regime.
Read the detailed description
A case report to determine an Integrated Physical Therapy Using Spencer Technique in the Rehabilitation of a Patient With a Frozen Shoulder (FS). In this case report, the 57 years old male occupation of shopkeeper came with the complaint of right frozen shoulder. The treatment of Spencer's Technique with stathe study in 2023 about Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain. In this case report, after sustaining a grade I posteriorly directed sternoclavicular sprain in a car accident, the patient, a 34-year-old woman, had five sessions of acromioclavicular joint mobilizations and rehabilitative exercise for her shoulder complex over a period of six weeks. The result was that a combination of acromioclavicular joint mobilizations and therapeutic exercise was suitable conservative management for grade I sternoclavicular sprainndard management was given for 3 weeks. The SPADI questionnaire was used. It was concluded that the Spencer Technique had a significant effect on reducing pain, increase shoulder range of motion and improve functional disability.
in 2023 about Prevelence of musculoskeletal disorders in medical laboratory technicians. The 22 years old patient came with complaint of pain in right shoulder during overhead sports activities. The test for impingement like empty can test, Neer's impingement test, Hawkins Kenneddy test was positive. The patient treated with Spencer technique. It was concluded that the Spencer Technique was effective for shoulder impingement syndrome to increase range of motion.
An experimental study in 2023 about comparative effect of gong's mobilization and Spencer technique to manage frozen shoulder. In this study, there were 30 subjects which diagnosed with unilateral frozen shoulder were randomized into 2 groups by simple random method. The group 1 received Spencer technique with ultrasound and Codman's pendulum exercise and group 2 received gong's mobilization with ultrasound and Codman's pendulum exercise. The conclusion was that gong's mobilization was more effective than Spencer technique with ultrasound and Codman's pendulum exercises in treating frozen shoulder patients.
A quasi experimental study about the immediate effect of acromioclavicular joint mobilization on shoulder range of motion. In this study, 30 healthy participants were taken with a complaint of decrease range of motion. The participants received acromioclavicular joint mobilization The result was that acromioclavicular joint mobilization increase the shoulder range of motion.
A randomized controlled trial in 2022 about Spencer muscle energy technique versus conventional treatment in frozen shoulder. In this study, the 60 participants with idiopathic frozen shoulder were examined and only 40 were received the treatment and randomly divided into 2 groups. The first group took the treatment of spencer muscle energy technique and second group received conventional treatment. This study concluded that spencer muscle energy technique was more beneficial for reducing pain in shoulder as well as conventional treatment improve range of motion.
A randomized clinical trial was conducted about Effectiveness of acromioclavicular joint mobilization and physical therapy vs physical therapy alone in patients with frozen shoulder in 2021. In this study, there were two groups: an experimental group and control group. The experimental group got acromioclavicular joint mobilization and physical therapy but control group contain only physical therapy. The result was that acromioclavicular joint mobilization with physical therapy treatment was more effective to increase range of motion, decrease pain and disability.
In 2020, a single blind randomized control trial was conducted about comparison of spencer muscle energy technique and passive stretching in adhesive Capsulitis. There were 60 patients participated in this study. All patients are randomly divided into two groups: group 1 received spencer muscle energy technique and group 2 received passive stretching. The study was concluded that the spencer technique used in group 1 was more effectual than passive stretching used in group 2.
Comparing Spencer technique with and without Acromioclavicular mobilization in patients with frozen shoulder lies in the integration of specific techniques, the focus on a distinct patient population, and the comprehensive assessment of pain, range of motion, and functional disability. The study has the potential to advance our understanding of effective interventions for frozen shoulder and inform evidence-based practices in rehabilitation and physiotherapy.
- Conditions
- Shoulder Frozen
- Being tested
- mobilization, traditional physical therapy
- Keywords
- Spencer Technique, Acromioclavicular joint, Mobilization, Frozen Shoulder
- Medical subject headings
- Bursitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mobilizationOther
Acromioclavicular joint mobilization:
- The patient is placed in the supine position and the upper limb is placed in a physiological position with the patient's arm clinging to the body and the hand on the abdomen, which causes the capsule to stretch less and the technique to be less painful.
- The therapist placed the tips of his both thumbs on the anterior surface of the clavicle adjacent to the ACJ and spread his other fingers out for stability and his forearm was situated in line with the posterior movement at the ACJ.
- ACJ mobilization was performed in up to 30-minute individual sessions by a single trained therapist.
- The treatment techniques were anterior to posterior passive accessory glides of the distal end of the clavicle categorized from Grade III
- Grade III is used at a large amplitude from the middle of the joint ROM to the start of the constraint. Grade III will apply for stimulating a stretching to relieve joint stiffness in a shorter tissue
traditional physical therapyOther
Spencer technique:
- The patient was resting on their side, with the affected shoulder raised.
- In 7 separate movements, the therapist used the proximal hand to stabilize the shoulder girdle, while the distal hand applied force to the restrictive barrier of the shoulder.
- Shoulder extension, circumduction with compression, shoulder flexion, circumduction with distraction, abduction, adduction with internal rotation, and glenohumeral pump were the exercises performed.
- The patients were advised to employ their muscle energy technique against the small resistance provided by the therapist for 3-5 seconds throughout each movement.
- Over the course 5 days a week, the exercise was repeated 3-5 times per session, with rest breaks.
| Study group | Role | What they receive |
|---|---|---|
| mobilization | Experimental | Spencer Technique with Acromioclavicular mobilization Receives: Other: mobilization |
| Traditional physical therapy | Active comparator | Spencer technique Receives: Other: traditional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Shoulder pain and disability index
SPADI is one of the most often used PROMs to evaluate pain and impairment in individuals with frozen shoulder. When used to measure shoulder problems, SPADI has demonstrated exceptional construct validity and reliability, primarily in patients who come with shoulder discomfort at the primary care level. The SPADI was created to assess the extent of shoulder pain and discomfort during everyday activities by the patients themselves. There are 13 components total, with 5 related to pain and 8 related to disability, components were rated using a visual analog scale. The responses are added up and converted into a composite score of 100, where 100 represents the highest level of shoulder discomfort and disability and zero represents the lowest level.
Measured: 6th week
Secondary outcomes (2)
universal goniometer
The measurement of joint range of motion (ROM) is an essential procedure used in physical therapy, known as goniometry(22).
Goniometry, the measurement of joint angles, traditionally performed with a universal goniometer (UG), is a commonly utilized assessment tool in monitoring problems of the musculoskeletal system, as well as the progression of rehabilitation interventions.
Measured: 6th week
numeric pain rating scale
Numeric Pain Rating Scale (NRS-11), which is an eleven-point scale in which the end points are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10). NPRS-11 pain severity score of "4" is frequently given special significance in this regard, suggesting it as a potential threshold value for pain severity in clinical practice
Measured: 6th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2025
- Study start5 Aug 2024
- Primary completion13 Jan 2025 (estimated)
- Study completion13 Jan 2025 (estimated)
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 FrozenStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Dr. Humera mubashar, MSOMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06763679
- Sponsor's protocol ID
- REC/RCR &AHS/24/0126
- Status last verified
- Jan 2025
- First submitted
- 1 Jan 2025
- Last updated
- 8 Jan 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Phansopkar P, Qureshi MI. An Integrated Physical Therapy Using Spencer's Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report. Cureus. 2023 Jun 30;15(6):e41233. doi: 10.7759/cureus.41233. eCollection 2023 Jun.
PubMed 37529524
Study at a glance
From the registry record, last updated by the sponsor on 8 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Spencer Technique With and Without Acromioclavicular Mobilization on Pain, Range of Motion and Functional Disability Among Patients of Frozen Shoulder
- ClinicalTrials.gov ID
- NCT06763679
- Acronym / sponsor ID
- REC/RCR &AHS/24/0126
- Conditions
- Shoulder Frozen
- Keywords
- Spencer Technique, Acromioclavicular joint, Mobilization, Frozen Shoulder
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 5 Aug 2024 (actual)
- Primary completion
- 13 Jan 2025 (estimated)
- Study completion
- 13 Jan 2025 (estimated)
- First posted
- 8 Jan 2025 (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.
The propose of the study will help the clinicians provide an evidence-based approach for the application of Spencer technique and acromioclavicular mobilization, an application of these techniques on pain, range of motion and functional disability of patients of frozen shoulder. So, that it can be determined which treatment is superior in terms of achieving better results in the management regime.
Detailed description
A case report to determine an Integrated Physical Therapy Using Spencer Technique in the Rehabilitation of a Patient With a Frozen Shoulder (FS). In this case report, the 57 years old male occupation of shopkeeper came with the complaint of right frozen shoulder. The treatment of Spencer's Technique with stathe study in 2023 about Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain. In this case report, after sustaining a grade I posteriorly directed sternoclavicular sprain in a car accident, the patient, a 34-year-old woman, had five sessions of acromioclavicular joint mobilizations and rehabilitative exercise for her shoulder complex over a period of six weeks. The result was that a combination of acromioclavicular joint mobilizations and therapeutic exercise was suitable conservative management for grade I sternoclavicular sprainndard management was given for 3 weeks. The SPADI questionnaire was used. It was concluded that the Spencer Technique had a significant effect on reducing pain, increase shoulder range of motion and improve functional disability.
in 2023 about Prevelence of musculoskeletal disorders in medical laboratory technicians. The 22 years old patient came with complaint of pain in right shoulder during overhead sports activities. The test for impingement like empty can test, Neer's impingement test, Hawkins Kenneddy test was positive. The patient treated with Spencer technique. It was concluded that the Spencer Technique was effective for shoulder impingement syndrome to increase range of motion.
An experimental study in 2023 about comparative effect of gong's mobilization and Spencer technique to manage frozen shoulder. In this study, there were 30 subjects which diagnosed with unilateral frozen shoulder were randomized into 2 groups by simple random method. The group 1 received Spencer technique with ultrasound and Codman's pendulum exercise and group 2 received gong's mobilization with ultrasound and Codman's pendulum exercise. The conclusion was that gong's mobilization was more effective than Spencer technique with ultrasound and Codman's pendulum exercises in treating frozen shoulder patients.
A quasi experimental study about the immediate effect of acromioclavicular joint mobilization on shoulder range of motion. In this study, 30 healthy participants were taken with a complaint of decrease range of motion. The participants received acromioclavicular joint mobilization The result was that acromioclavicular joint mobilization increase the shoulder range of motion.
A randomized controlled trial in 2022 about Spencer muscle energy technique versus conventional treatment in frozen shoulder. In this study, the 60 participants with idiopathic frozen shoulder were examined and only 40 were received the treatment and randomly divided into 2 groups. The first group took the treatment of spencer muscle energy technique and second group received conventional treatment. This study concluded that spencer muscle energy technique was more beneficial for reducing pain in shoulder as well as conventional treatment improve range of motion.
A randomized clinical trial was conducted about Effectiveness of acromioclavicular joint mobilization and physical therapy vs physical therapy alone in patients with frozen shoulder in 2021. In this study, there were two groups: an experimental group and control group. The experimental group got acromioclavicular joint mobilization and physical therapy but control group contain only physical therapy. The result was that acromioclavicular joint mobilization with physical therapy treatment was more effective to increase range of motion, decrease pain and disability.
In 2020, a single blind randomized control trial was conducted about comparison of spencer muscle energy technique and passive stretching in adhesive Capsulitis. There were 60 patients participated in this study. All patients are randomly divided into two groups: group 1 received spencer muscle energy technique and group 2 received passive stretching. The study was concluded that the spencer technique used in group 1 was more effectual than passive stretching used in group 2.
Comparing Spencer technique with and without Acromioclavicular mobilization in patients with frozen shoulder lies in the integration of specific techniques, the focus on a distinct patient population, and the comprehensive assessment of pain, range of motion, and functional disability. The study has the potential to advance our understanding of effective interventions for frozen shoulder and inform evidence-based practices in rehabilitation and physiotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| mobilization | Experimental | Other: mobilizationSpencer Technique with Acromioclavicular mobilization |
| Traditional physical therapy | Active comparator | Other: traditional physical therapySpencer technique |
Who may qualify
- Ages
- 50 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Male and female both are included
- Age of 50-60 years
- Unilateral frozen shoulder stage 2 with pain lasting for more than 1 month
- Capsular pattern of motion restriction (lateral rotation, abduction, medial rotation)
- More than 50% loss of passive movement of shoulder
Key exclusion criteria (6 listed)
- Rotator cuff tear
- Dislocation of shoulder
- Shoulder subluxation
- Upper limb fracture
- History of shoulder surgery
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 |
|---|---|---|
| mobilizationAcromioclavicular joint mobilization: * The patient is placed in the supine position and the upper limb is placed in a physiological position with the patient's arm clinging to the body and the hand on the abdomen, which causes the capsule to stretch less and the technique to be less painful. * The therapist placed the tips of his both thumbs on the anterior surface of the clavicle adjacent to the ACJ and spread his other fingers out for stability and his forearm was situated in line with the posterior movement at the ACJ. * ACJ mobilization was performed in up to 30-minute individual sessions by a single trained therapist. * The treatment techniques were anterior to posterior passive accessory glides of the distal end of the clavicle categorized from Grade III * Grade III is used at a large amplitude from the middle of the joint ROM to the start of the constraint. Grade III will apply for stimulating a stretching to relieve joint stiffness in a shorter tissue | Other | mobilization |
| traditional physical therapySpencer technique: * The patient was resting on their side, with the affected shoulder raised. * In 7 separate movements, the therapist used the proximal hand to stabilize the shoulder girdle, while the distal hand applied force to the restrictive barrier of the shoulder. * Shoulder extension, circumduction with compression, shoulder flexion, circumduction with distraction, abduction, adduction with internal rotation, and glenohumeral pump were the exercises performed. * The patients were advised to employ their muscle energy technique against the small resistance provided by the therapist for 3-5 seconds throughout each movement. * Over the course 5 days a week, the exercise was repeated 3-5 times per session, with rest breaks. | Other | Traditional physical therapy |
Primary outcome
Shoulder pain and disability index
Time frame: 6th week
SPADI is one of the most often used PROMs to evaluate pain and impairment in individuals with frozen shoulder. When used to measure shoulder problems, SPADI has demonstrated exceptional construct validity and reliability, primarily in patients who come with shoulder discomfort at the primary care level. The SPADI was created to assess the extent of shoulder pain and discomfort during everyday activities by the patients themselves. There are 13 components total, with 5 related to pain and 8 related to disability, components were rated using a visual analog scale. The responses are added up and converted into a composite score of 100, where 100 represents the highest level of shoulder discomfort and disability and zero represents the lowest level.
2 secondary outcomes
universal goniometer
Time frame: 6th week
numeric pain rating scale
Time frame: 6th week
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jan 2025.
- Background: PubMed 37529524Phansopkar P, Qureshi MI. An Integrated Physical Therapy Using Spencer's Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report. Cureus. 2023 Jun 30;15(6):e41233. doi: 10.7759/cureus.41233. eCollection 2023 Jun.
- Individual participant dataSharing planned: No
Related trials for Shoulder Frozen
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Effects of Injection Combined With Spencer Technique on Painful Frozen Shoulder
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Effect of Hormone Replacement Therapy on Physiotherapy Outcomes in Postmenopausal Women With Frozen Shoulder
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Effects of Posterior Capsular Stretching With and Without Dynamic Neuromuscular Stabilization Exercises in Frozen Shoulder
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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.
Dr. Humera mubashar, MSOMPT 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 mobilization and traditional physical therapy in people with Shoulder Frozen, 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 5 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 8 Jan 2025. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Dr. Yasir Awan, masters (0344 3436602, yasirawan379@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Shoulder pain and disability index (time frame: 6th week). 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 NCT06763679, 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 8 Jan 2025.