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CTRI Number  CTRI/2025/03/082117 [Registered on: 11/03/2025] Trial Registered Prospectively
Last Modified On: 21/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Manual physiotherapy techniques for shoulder pain among hill driving taxi drivers 
Scientific Title of Study   Comparison of Maitland Manipulation versus Conventional Shoulder Exercises in Middle Aged Hill Station Taxi Drivers having Periarthritis shoulder - an Experimental study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr S Senthil Kumar 
Designation  Associate Professor 
Affiliation  Saveetha college of physiotherapy 
Address  Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences

Chennai
TAMIL NADU
602105
India 
Phone  9840784295  
Fax    
Email  drsenthilmptbds@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Senthil Kumar 
Designation  Associate Professor 
Affiliation  Saveetha college of physiotherapy 
Address  Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences

Chennai
TAMIL NADU
602105
India 
Phone  9840784295  
Fax    
Email  drsenthilmptbds@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr S Senthil Kumar 
Designation  Associate Professor 
Affiliation  Saveetha college of physiotherapy 
Address  Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences

Chennai
TAMIL NADU
602105
India 
Phone  9840784295  
Fax    
Email  drsenthilmptbds@gmail.com  
 
Source of Monetary or Material Support  
Self fund 
 
Primary Sponsor  
Name  Noah Selvaraj 
Address  Santosh College of Physiotherapy, 15B, GST Road, Tirunagar, Madurai.625006, TamilNadu. 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Noah Selvaraj  Santosh College of Physiotherapy  Room no 1, Santosh College of Physiotherapy OPD,15B, GST Road, Tirunagar, Madurai. 625006
Madurai
TAMIL NADU 
9843111114

scpmadurai@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics commitee biomedical research   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Periarthritis shoulder 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Shoulder Exercises  Group B will undergo Conventional Therapy (shoulder exercises): Ultra sound therapy, frequency-1MHz, intensity–0.8W/cm2, for 7min., Cryotherapy for 10 min. Exercises: Codman’s pendulum exercises 10 repetitions each, Capsular Stretches 30 sec hold, 5 repetitions, Shoulder mobility exercises.  
Intervention  Maitland Manipulation  Group A will undergo Maitland Manipulation , using glides involves performing movements where the distal aspect of the limb is free and not fixed to an object, allowing isolated joint movements. And Ultrasound therapy,frequency-1MHz, intensity–0.8W/cm2, for 7min. will be given.  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects diagnosed with periarthritis shoulder and who are willing to participate in the study.
Special test positive subject. (shrug test)
Diabetes mellitus with periarthritis under regular treatment.
Middle Aged Hill Station Taxi drivers

 
 
ExclusionCriteria 
Details  Subjects having any other pathology.
Un cooperative subjects.
Subjects undergone any shoulder surgery
Mal union
Congenital deformities of shoulder
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Shoulder Pain and Disability Index
Range of motion
 
Data collection 3 months
Data analysis and discussion 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Frozen shoulder also termed as periarthritis shoulder or  adhesive capsulitis of shoulder, is one of the common cause of  shoulder pain and stiffness in day to day practice. It is a self-limiting condition resolving over 2-3 years. The various treatment options available include simple physiotherapy, intra articular injections. Manipulation under general anaesthesia and surgical intervention. Professional drivers are at high risk of developing musculoskeletal pain (MSP) due to risk factors such as prolonged sitting, whole body vibration, awkward posture, and repetitive actions. Work-related musculoskeletal disorders (WRMD)  in physiological illness  may develop over a long period due to prolonged mechanical stresses imposed on the musculoskeletal system. Drivers have the highest prevalence of MSDs, in comparison with other jobs.  Drivers are in fixed  postures for long time  therefore they would suffer from musculoskeletal disorders because of the forces on their joints such as lumbar vertebra, knees, neck, shoulders, wrists, elbows, ankles, and almost all the joints of body. Conventional treatment of periarthritis shoulder – Pendulum exercise, active assisted range of motion-limited symptoms free available range, rope and pulley exercises, various types of mobility exercises, pain relieving modalities- ultrasound  cryotherapy , transcutaneous electrical stimulation, high voltage galvanic stimulation , strengthening exercise. The international Maitland Teachers Association (IMTA) defines the Maitland concept as a process of examination, assessment and treatment of neuro  musculoskeletal disorder by manipulative physiotherapy. Maitland mobilization (MM) is a manual technique commonly used in order to decrease pain and stiffness in the shoulder joint.  Maitland’s rhythmic oscillations’ ability to reduce inflammation.  
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