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Spencer's Technique Versus Mulligan's Technique for Stage II Frozen Shoulder
Sponsor: Superior University
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 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.
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
Key Details
Gender
All
Age Range
30 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
72
Start Date
2026-10-01
Completion Date
2027-04-01
Last Updated
2026-09-28
Healthy Volunteers
No
Conditions
Interventions
Spencer's Muscle Energy Technique With Conventional Physiotherapy
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 Physiotherapy
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.
Locations (2)
City Hospital
Multan, Punjab Province, Pakistan
Ibn e Sina Hospital and Research Institute
Multan, Punjab Province, Pakistan