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Adhesive Capsulitis of ShoulderNCT07484386

Combined Effects of Niel Asher Technique and Scapular Clock Exercises in Adhesive Capsulitis

A study testing Niel Asher Technique, Scapular clock exercises and Conventional Physical Therapy in people with Adhesive Capsulitis of Shoulder, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

One of the most common shoulder condition in developed and developing countries is Adhesive Capsulitis, also known as Frozen Shoulder. Adhesive Capsulitis is a major cause of shoulder functional disability in patient as it is characterized by painful, restricted range of motion and capsular stiffness leading to… Read more about this study

Who is it for?
Ages 40 to 55 years
Conditions the study is for
Adhesive Capsulitis of Shoulder
What is being tested?
Niel Asher Technique, Scapular clock exercises and Conventional Physical Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 sitePakistan
Study dates
28 Oct 2024to 1 Feb 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 40 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • • Age Group between 40-55 years
  • Gender: Both Male and Female
  • Pain Persisted for more than 3 months.
  • Primary Adhesive Capsulitis Stage II and III
  • Limited passive range of motion (PROM) with 40% reduction in atleast two of these shoulder movements (flexion, external rotation, internal rotation, and abduction) compared to unaffected side for more than 3 months atleast.
  • Capsular Pattern +ve
  • Impingement Tests (Neers Test, Hawkins Kennedy Test) -ve
  • NPRS score of >3 to ≤8 of having shoulder pain

Who cannot join

  • • Patient with systemic disease (Diabetes Mellitus, Thyroid Disorders, RA, Trauma, rotator cuff tears, malignancy, shoulder ligament injuries).
  • Previous shoulder surgery or Manipulation under anesthesia (MUA)
  • Prior history of shoulder dislocation

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • RC Medical Centre

    Lahore, Punjab Province, 54792

Other trials in Pakistan

About this study

Official title: Combined Effects of Niel Asher Technique and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in Patients With Adhesive Capsulitis

One of the most common shoulder condition in developed and developing countries is Adhesive Capsulitis, also known as Frozen Shoulder. Adhesive Capsulitis is a major cause of shoulder functional disability in patient as it is characterized by painful, restricted range of motion and capsular stiffness leading to difficulty in performing normal ADLs, causing an individual's activity limitations in dressing one's self, performing household chores and participation in the society. This study aims to determine the combined effects of Niel Asher Technique (NAT) and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in patients with Adhesive Capsulitis.

This Randomized Controlled Trial will be conducted was conducted in RC medical Centre Lahore, over a 9-month period. A sample of 34 participants, aged 40-55 years were selected using non-probability convenient sampling. Informed

Read more

Consent was obtained from all participants. Participants were divided into two groups:

Group A received Niel Asher Technique and Scapular Clock Exercises along with conventional physical therapy, while Group B received only conventional physical therapy which included a moist hot pack, Therapeutic ultrasound, Shoulder Active Range of Motion Exercises and Maitland's Mobilization. Treatment duration will be 3 sessions/week for 4 weeks. Outcome measures including Numeric Pain Rating Scale (NPRS), Universal Goniometer and Shoulder Pain and Disability Index (SPADI) Urdu were assessed at baseline and after 4 weeks. Inclusion Criteria includes Stage II and III Adhesive Capsulitis, Positive Capsular pattern with limited both Active and Passive range of motion, shoulder pain with an NPRS score >3 to ≤8. Exclusion Criteria includes patients with any systemic illness, metabolic disorder, prior history of shoulder surgery or shoulder dislocation. Data was analyzed using IBM SPSS version 27.0.

Read the detailed description

One of the most common shoulder condition in developed and developing countries is Adhesive Capsulitis, also known as Frozen Shoulder. Adhesive Capsulitis is a major cause of shoulder functional disability in patient as it is characterized by painful, restricted range of motion and capsular stiffness leading to difficulty in performing normal ADLs, causing an individual's activity limitations in dressing one's self, performing household chores and participation in the society. This study aims to determine the combined effects of Niel Asher Technique (NAT) and Scapular Clock Exercises on Pain, Range of Motion and Functional Disability in patients with Adhesive Capsulitis.

This Randomized Controlled Trial will be conducted was conducted in RC medical Centre Lahore, over a 9-month period. A sample of 34 participants, aged 40-55 years were selected using non-probability convenient sampling. Informed

Consent was obtained from all participants. Participants were divided into two groups:

Group A received Niel Asher Technique and Scapular Clock Exercises along with conventional physical therapy, while Group B received only conventional physical therapy which included a moist hot pack, Therapeutic ultrasound, Shoulder Active Range of Motion Exercises and Maitland's Mobilization. Treatment duration will be 3 sessions/week for 4 weeks. Outcome measures including Numeric Pain Rating Scale (NPRS), Universal Goniometer and Shoulder Pain and Disability Index (SPADI) Urdu were assessed at baseline and after 4 weeks. Inclusion Criteria includes Stage II and III Adhesive Capsulitis, Positive Capsular pattern with limited both Active and Passive range of motion, shoulder pain with an NPRS score >3 to ≤8. Exclusion Criteria includes patients with any systemic illness, metabolic disorder, prior history of shoulder surgery or shoulder dislocation. Data was analyzed using IBM SPSS version 27.0.

Being tested
Niel Asher Technique, Scapular clock exercises, Conventional Physical Therapy
Keywords
Adhesive Capsulitis, Diability, Pain, Range of Motion, SPADI
Medical subject headings
Bursitis, Pain

What participants receive

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

  • Niel Asher TechniqueOther

    For the management of these taut areas in the muscles, many techniques can be beneficial such as Niel Asher Technique, Ischemic pressure on these areas, Dry Needling, blocking the nerve supply of the muscle beneath the shoulder blade. NAT is a treatment that reinforces the natural healing process of the body for treating AC. This Novel technique consists of five-step treatment regimen involving Myofascial release technique + Deep stroking to manipulate the shoulder joint in a planned and precise order. Niel Asher technique is effective for two reasons, the tight structures surrounding shoulder joint are released first and then the stimulation of the neural pathway at the cortex level and spinal level.

  • Scapular clock exercisesOther

    Scapulothoracic hypomobility issues often occur due to adaptive shortening, due to long- protracted immobility caused by adhesive capsulitis. Scapular clock exercises are helpful in improving and restoring normal upward, downward, forward and backward movement of the shoulder blade. The SCE are responsible in maintaining the normal pattern of muscle mobility, ultimately enhancing the joint function. The musculature surrounding the shoulder blade includes SA, PM and TM, LS, and RM, dynamic multi-plane stability is provided by these muscles and helps in restoring shoulder blade mobility. Thus, during rest and movements, the proper functioning of these muscles is crucial to prevent any soft tissue injury \& developing any faulty posture.

  • Conventional Physical TherapyOther

    The control group received conventional physical therapy:

    • Moist Hot Pack for 10 minutes.
    • Therapeutic Ultrasound for 10 minutes.
    • Maitland Mobilization glides passively 2 to 3 per second for 2 to 3 minutes. (Repeated 3 to 5 times) (for 4 weeks; 3 sessions/week).
    • Shoulder Active ROM exercises.
Study groups in NCT07484386
Study groupRoleWhat they receive
Niel Asher Technique and Scapular clock exercisesExperimentalNot described
Receives: Other: Niel Asher Technique; Other: Scapular clock exercises; Other: Conventional Physical Therapy
Conventional Physical TherapyActive comparatorNot described
Receives: Other: Conventional Physical Therapy

What is being measured

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

  1. Numeric Pain Rating Scale

    NPRS is a scale that has eleven points to rate the pain intensity in the individuals by assigning a numeric value from 0 (marked as "no pain") to 10 (marked as "worst possible pain") points. This outcome measure has been widely used in studies and has found to be effective and reliable in the assessment of shoulder pain.

    Measured: From the start upto 4 weeks

  2. Shoulder Pain and Disability Index

    SPADI is a self-report questionnaire that is widely used for assessment of intensity of shoulder pain and its influence on activity of daily living and functional restrictions. It consists of 13 items further sub-divided into pain scale and disability scale that assesses the degree of pain intensity and the problems experiences by the subject in performing everyday tasks such as lifting, reaching activities and sleeping. For each item, the person must assign a score ranging from 0 to 10 points, where a higher score indicates a greater level of pain or disability. The total score of the SPADI is calculated by averaging the results of the two subscales. SPADI has been shown to have good reliability and construct validity for assessing shoulder impairments majorly in patients presenting at the primary care level with shoulder pain

    Measured: From start of study upto 4 weeks

  3. Universal Goniometer

    Health care practitioners often use universal goniometer to assess objective measurements of joint mobility to find out the baseline mobility status and to evaluating efficacy of treatment

    Measured: From start of study upto 4 weeks

Timeline

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

  1. First posted20 Mar 2026
  2. Study start28 Oct 2024
  3. Primary completion1 Dec 2025
  4. Study completion1 Feb 2026

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
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07484386
Sponsor's protocol ID
REC/RCR & AHS/24/0182
Status last verified
Mar 2026
First submitted
16 Mar 2026
Last updated
20 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gulwani AH. A study to find out the effect of scapular stabilization exercises on shoulder ROM and functional outcome in diabetic patients with stage 2 adhesive capsulitis of the shoulder joint: an interventional study. Int J Sci Healthc Res. 2020;5(2):320-33.

  • Malpani K, Mungikar S, Katage G. The effect of Shoulder Proprioceptive Neuromuscular Facilitation with Scapular Stability Exercises on pain, range of motion and function in Adhesive capsulitis-A case study. 2022

  • Saeed M, Hafeez S, Asad F, Haider W, Nawaz S, Kocub S. Comparison of scapular proprioceptive neuromuscular facilitation and myofascial release techniques on pain and function in scapular dyskinesia associated with adhesive capsulitis: Scapular dyskinesia associated with adhesive capsulitis. Pakistan BioMedical Journal. 2022:123-7.

  • Baheti MM, Jayswal P, Baheti B. The effect of scapular stabilization exercises on pain and function in patients with frozen shoulder. 2023.

  • Makwana A, Mishra N. The effect of cyriax soft tissue release and myofascial release on pain pressure threshold, flexibility and muscle length in idiopathic adhesive capsulitis-a comparative study. International Journal of Community Medicine and Public Health. 2023;10(11):4187

  • Raghav D, Krishnapandian PR, Dwivedi A. Comparative Effect of Niel-Asher Technique and Positional Release Technique on Pain, Active ROM and Functional Disability in Adhesive Capsulitis: An Experimental Study. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. 2023;17(4):YC01-YC5

  • Balakrishnan R, Sudhakar S. Effects of scapular clock exercises and scapular proprioceptive neuromuscular facilitation on pain and functional activities in subjects with adhesive capsulitis. 2024.

  • Ragapriyaa R, Kamalakannan M, Anitha A, Ramana K. Effect of Scapular Clock Exercise Versus Scapular PNF Exercise on Pain and ROM for Anterior Capsular Stiffness of Shoulder Joint. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.

Questions about this trial

What is this clinical trial studying?

A study testing Niel Asher Technique, Scapular clock exercises and Conventional Physical Therapy in people with Adhesive Capsulitis of Shoulder, 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 8 inclusion and 3 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 20 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?

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?

Numeric Pain Rating Scale (time frame: From the start upto 4 weeks). 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 NCT07484386, which also lists 8 linked publications.

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 20 Mar 2026.

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