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CTRI Number  CTRI/2025/05/086602 [Registered on: 08/05/2025] Trial Registered Prospectively
Last Modified On: 07/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Comparison of a Manual Therapy Technique for Shoulder Joint and Task-Specific Exercises Based on Daily activities for Improving Shoulder Movement, Reducing Pain, and Overcoming Fear of Movement in People with Frozen Shoulder 
Scientific Title of Study   Effectiveness Of Spencer’s Technique Versus Task Specific Exercise In Improving Range Of Motion, Pain And Fear Of Movement In Individuals With Frozen Shoulder: A Randomized Clinical Trial  
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 Harsha Wadhwani 
Designation  Post-graduate scholar 
Affiliation  MGM School of Physiotherapy 
Address  MGM School of Physiotherapy, MGM campus, N6 Cidco, Central Naka Road, Chi. Sambhajinagar Maharashtra India 431003

Aurangabad
MAHARASHTRA
431003
India 
Phone  9404880712  
Fax    
Email  harsha14wadhwani@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Rinkle Malani 
Designation  Director and Professor 
Affiliation  MGM School of Physiotherapy 
Address  MGM School of Physiotherapy, MGM campus, N6 Cidco, Central Naka Road, Chi. Sambhajinagar Maharashtra India 431003

Aurangabad
MAHARASHTRA
431003
India 
Phone  9370312412  
Fax    
Email  rinkle.malani@mgmsop.edu.in  
 
Details of Contact Person
Public Query  
Name  Dr Rinkle Malani 
Designation  Director and Professor 
Affiliation  MGM School of Physiotherapy 
Address  MGM School of Physiotherapy, MGM campus, N6 Cidco, Central Naka Road, Chi. Sambhajinagar Maharashtra India 431003

Aurangabad
MAHARASHTRA
431003
India 
Phone  9370312412  
Fax    
Email  rinkle.malani@mgmsop.edu.in  
 
Source of Monetary or Material Support  
MGM School of Physiotherapy, Chh. Sambhajinagar Maharashtra India 431003  
 
Primary Sponsor  
Name  MGM School of Physiotherpy 
Address  MGM School of Physiotherapy MGM campus, N6 CIDCO, Chh. Sambhajinagar Maharashtra India 431003 
Type of Sponsor  Private medical college 
 
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 
Dr Harsha Wadhwani  MGM School of Physiotherapy  MGM Medical and Hospital N6 CIDCO, Central Naka Road, Chh. Sambhajinagar Maharashtra India 431003
Aurangabad
MAHARASHTRA 		 9404880712

harsha14wadhwani@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Mahatma Gandhi Missions Ethics Committee for Research on Human Subjects  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M750||Adhesive capsulitis of shoulder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Spencers Technique   This technique consists of 7 different motions of glenohumeral joint, where the therapist applies manual resistance towards the direction of constricted barrier. These 7 steps include: Step 1: Shoulder extension with elbow flexion Step 2: Shoulder flexion with elbow extension Step 3: Circumduction with compression Step 4: Circumduction with distraction Step 5: Shoulder abduction and internal rotation with elbow flexion Step 6: Shoulder adduction and external rotation with elbow flexion Step 7: Stretching tissue and pumping fluids with the arm extended This technique will help to improve ROM for shoulder joint using the Muscle Energy Technique 
Comparator Agent  Task Specific Exercise  The participants are given verbal ques to perform the functional tasks. The participants are required to complete the given tasks in a given amount of time. These tasks are done for 5 sessions per week for 3 weeks. The list of tasks along with dosage are given below: 1. Lifting object from a lower height 10 reps x 3 sets 2. Transferring objects from one side to other 10 reps x 3 sets 3. Switching buttons on and off 10 reps x 3 sets 4. Placing objects on higher shelves 10 reps x 3 sets in flexion 10 reps x 3 sets in abduction 5. Clapping overhead 10 reps x 3 sets 6. Pulling out and pushing in a drawer 10 reps x 3 sets 7. Transferring objects from front to back 10 reps x 3 sets 8. Combing hair 10 reps x 3 sets 9. Reaching for back pocket 10 reps x 3 sets These tasks will help in resuming the activities of daily living.  
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Age of the participants between 40-60 years.
2. Limited and painful passive ROM for shoulder.
3. Pain and stiffness which is gradual on onset and progressive in nature.
4. Patients with 1st and 2nd stages of frozen shoulder.
5. Male and female participants who are willing to participate.
6. Clinically diagnosed cases of frozen shoulder. 
 
ExclusionCriteria 
Details  1. Participants with visual or auditory impairment.
2. Participants with involvement of bilateral shoulders.
3. Participants with prior neck or shoulder surgeries in past 6 months.
4. Participants with previous history of fractures near shoulder or dislocation of shoulder in past 6 months.
5. Participants with any neurological involvement. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Range of Motion (Goniometer)   Baseline and three weeks post treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Numerical Pain Rating Scale (NPRS)  Baseline and three weeks post treatment 
Tampa Scale of Kinesiophobia (TSK)  Baseline and three weeks post treatment 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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   Phase 4 
Date of First Enrollment (India)   30/05/2025 
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="1"
Months="0"
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, or adhesive capsulitis, is a condition characterised by pain, stiffness, and limited range of motion in the shoulder joint, significantly affecting daily activities. This randomized clinical trial aims to compare the effectiveness of Spencer’s Technique—a structured manual therapy involving specific mobilization movements—and Task-Specific Exercises, which are functional movements based on daily tasks, in improving shoulder range of motion, reducing pain, and minimizing fear of movement (kinesiophobia) in individuals with frozen shoulder. Participants will be randomly assigned to either the Spencer’s Technique group or the Task-Specific Exercise group. Both groups will receive interventions over a defined period under professional supervision. Outcome measures will include joint range of motion, pain intensity (measured by a numerical pain rating scale (NPRS)), and fear of movement (assessed using the Tampa Scale for Kinesiophobia). The study seeks to identify which intervention is more effective in restoring function and enhancing the quality of life for individuals with frozen shoulder.
 
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