ChildrenNCT07482371
Comparative Effects of Scooping Mobilization and Dynamic Cupping Therapy on Elbow Stiffness
A study testing Scooping mobilization technique and Dynamic cupping therapy in people with Children and Adults, run by Riphah International University at 1 site in Pakistan.
Trial summary
The current study is a randomized clinical trial, data is collected from Alqamar Hospital Shakarghar. The study includes 28 patients equally divided into two groups and randomly allocated. Read more about this study
- Who is it for?
- Ages 6 to 13 years
- What is being tested?
- Scooping mobilization technique and Dynamic cupping therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 sitePakistan
- Study dates
- 22 Oct 2025to 16 Jun 2026
- 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 6 to 13 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Children of age group 6-13
- Children with diagnosis of post-fracture elbow stiffness.
- Minimal immobilized period of 3 weeks
- Children with age group of both genders
Who cannot join
- Infection or tumers
- Neurological impairment
- Children with MSK disorders
- Metabolic bone disease
- Pathological fractures
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
Model town
Lahore, Punjab Province, 54000
Muhammad Asif Javed, MSPT, 923224209422, a.javed@riphah.edu.pk
About this study
Official title: Comparative Effects of Scooping Mobilization and Dynamic Cupping on Elbow Range of Motion and Function in Children With Elbow Stiffness
The current study is a randomized clinical trial, data is collected from Alqamar Hospital Shakarghar. The study includes 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection will be Goniometer and Quick DASH Questionnaire. Data will be analyzed through SPSS version 27.00.
Read the detailed description
Group A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. Patient is positioned supine, lying with the elbow at the side of the table. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks.
Group B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks.
- Being tested
- Scooping mobilization technique, Dynamic cupping therapy
- Keywords
- Scooping mobilization, Dynamic cupping, ROM, Pain, Function
- Medical subject headings
- Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Scooping mobilization techniqueOther
Group A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks.
Dynamic cupping therapyOther
Group B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Scooping mobilization technique | Active comparator | Participants in this group will receive scooping mobilization technique along with with electrotherapy like TNS, theraputic ultrasonic etc for 2 mints per session for 5 days a week total intervention period will be of 4 weeks. Receives: Other: Scooping mobilization technique; Other: Dynamic cupping therapy |
| Dynamic cupping | Active comparator | Participants in this group will receive dynamic cupping technique along with with electrotherapy like TNS, theraputic ultrasonic etc for 10 mints per session for 5 days a week total intervention period will be of 4 weeks. Receives: Other: Scooping mobilization technique; Other: Dynamic cupping therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Range of motion
Goniometer for range of motion of the elbow joint like flexion, extention, pronation and supination will be evaluated pre and post treatment.
Measured: 4 weeks
Secondary outcomes (1)
functional outcomes
Diaginostic tool quick DASH questionnaire is used to evaluate functional outcome to improve quality of life
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Mar 2026
- Study start22 Oct 2025
- Primary completion2 Jun 2026 (estimated)
- Study completion16 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ChildrenStudies 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The current study will be randomized clinical trial, data is collected from Alqamar hospital Shakarghar. The study will include 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy like IRR, therapeutic ultrasonic and TNS for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy like IRR, therapeutic ultrasonic and TNS for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 28 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Adil Munir, MSPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07482371
- Sponsor's protocol ID
- Affifa
- Status last verified
- Mar 2026
- First submitted
- 8 Dec 2025
- Last updated
- 19 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Scooping Mobilization and Dynamic Cupping on Elbow Range of Motion and Function in Children With Elbow Stiffness
- ClinicalTrials.gov ID
- NCT07482371
- Acronym / sponsor ID
- Affifa
- Keywords
- Scooping mobilization, Dynamic cupping, ROM, Pain, Function
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 28 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 22 Oct 2025 (actual)
- Primary completion
- 2 Jun 2026 (estimated)
- Study completion
- 16 Jun 2026 (estimated)
- First posted
- 19 Mar 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.
The current study is a randomized clinical trial, data is collected from Alqamar Hospital Shakarghar. The study includes 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection will be Goniometer and Quick DASH Questionnaire. Data will be analyzed through SPSS version 27.00.
Detailed description
Group A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. Patient is positioned supine, lying with the elbow at the side of the table. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks.
Group B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- The current study will be randomized clinical trial, data is collected from Alqamar hospital Shakarghar. The study will include 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy like IRR, therapeutic ultrasonic and TNS for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy like IRR, therapeutic ultrasonic and TNS for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection
| Arm | Type | Receives |
|---|---|---|
| Scooping mobilization technique | Active comparator | Other: Scooping mobilization technique, Other: Dynamic cupping therapyParticipants in this group will receive scooping mobilization technique along with with electrotherapy like TNS, theraputic ultrasonic etc for 2 mints per session for 5 days a week total intervention period will be of 4 weeks. |
| Dynamic cupping | Active comparator | Other: Scooping mobilization technique, Other: Dynamic cupping therapyParticipants in this group will receive dynamic cupping technique along with with electrotherapy like TNS, theraputic ultrasonic etc for 10 mints per session for 5 days a week total intervention period will be of 4 weeks. |
Who may qualify
- Ages
- 6 to 13 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Children of age group 6-13
- Children with diagnosis of post-fracture elbow stiffness.
- Minimal immobilized period of 3 weeks
- Children with age group of both genders
Key exclusion criteria (5 listed)
- Infection or tumers
- Neurological impairment
- Children with MSK disorders
- Metabolic bone disease
- Pathological fractures
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 |
|---|---|---|
| Scooping mobilization techniqueGroup A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks. | Other | Dynamic cupping, Scooping mobilization technique |
| Dynamic cupping therapyGroup B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks. | Other | Dynamic cupping, Scooping mobilization technique |
Primary outcome
Range of motion
Time frame: 4 weeks
Goniometer for range of motion of the elbow joint like flexion, extention, pronation and supination will be evaluated pre and post treatment.
1 secondary outcome
functional outcomes
Time frame: 4 weeks
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 19 Mar 2026.
- Individual participant dataSharing planned: No
Related trials for Children
Enrolling by invitationPhase 3
An Open-Label Study to Assess the Long-Term Safety of Solriamfetol in Children and Adolescents With ADHD
ADHD
Not yet recruiting
Feasibility of a Robot-Guided Active Play Intervention for Children With Cerebral Palsy
Cerebral Palsy
RecruitingObservational study
Population Pharmacokinetics of Temocillin in Acute Enterobacterial Pyelonephritis in Children
Pyelonephritis
RecruitingObservational study
A Study in Children and, Adults With Congenital Thrombotic Thrombocytopenic Purpura (cTTP) Treated With Adzynma
Thrombotic Thrombocytopenic Purpura (TTP)
RecruitingPhase 1
Cannabidiol (CBD) in Adults With ASD
Autism Spectrum Disorder
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.
Adil Munir, MSPT 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 Scooping mobilization technique and Dynamic cupping therapy in people with Children and Adults, 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 4 inclusion and 5 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 19 Mar 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?
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 Imran Amjad, PhD (9233224390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Range of motion (time frame: 4 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Mar 2026.