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CTRI Number  CTRI/2026/01/100401 [Registered on: 06/01/2026] Trial Registered Prospectively
Last Modified On: 06/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Study Comparing Online Physiotherapy and Hands-on Physiotherapy for Shoulder Pain 
Scientific Title of Study   Comparative Effect Of Telerehabilitation and Manual Physical Therapy in the Management of Shoulder Impingement Syndrome 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Adnan Wasi 
Designation  Post Graduate Researcher 
Affiliation  Amity institute of Health and Allied Sciences 
Address  Department of Physiotherapy Amity institute of Health Allied and Sciences Amity University sector 125 Noida, Uttar Pradesh, India

Gautam Buddha Nagar
UTTAR PRADESH
201313
India 
Phone  8750007176  
Fax    
Email  optimalmovement.w.adnan@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Rabab Kaur PT 
Designation  Assistant Professor 
Affiliation  Amity institute of Health and Allied Sciences 
Address  F-3 Block, Ground Floor, Department of Physiotherapy Amity institute of Health Allied and Sciences Amity University sector 125 Noida, Uttar Pradesh, India

Gautam Buddha Nagar
UTTAR PRADESH
201313
India 
Phone  9654478155  
Fax    
Email  rkaur4@amity.edu  
 
Details of Contact Person
Public Query  
Name  Dr Rabab Kaur PT 
Designation  Assistant Professor 
Affiliation  Amity institute of Health and Allied Sciences 
Address  F-3 Block, Ground Floor, Department of Physiotherapy Amity institute of Health Allied and Sciences Amity University sector 125 Noida, Uttar Pradesh, India

Gautam Buddha Nagar
UTTAR PRADESH
201313
India 
Phone  9654478155  
Fax    
Email  rkaur4@amity.edu  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  self primary investigator Adnan Wasi 
Address  Department of Physiotherapy, Amity institute of Health Allied Sciences,f3 block,room no.101, Amity University sector 125 Noida Uttar Pradesh India 201313 
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 
Dr Hooriya Afsar PT  Balance & Move Physiotherapy Clinic  Shop no. 2, House No. 96-B, Street 8, Zakir Nagar, Jamia Nagar, New Delhi - 25
South
DELHI 		 8707705900

hoorafsar22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional NTCC Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Manual hands on physical therapy program  Participants in this group will receive conventional face to face physiotherapy at the clinic. Treatment will include manual therapy techniques, supervised therapeutic exercises, shoulder mobility exercises, stretching, and strengthening of rotator cuff and scapular stabilizer muscles. Sessions will be conducted three times per week for six weeks with each session lasting approximately forty five to sixty minutes. Treatment will be progressed based on patient tolerance and clinical response. 
Intervention  Telerehabilitation based physiotherapy program  Participants in this group will receive supervised physiotherapy through online video sessions. The program will include shoulder mobility exercises, stretching, strengthening of rotator cuff and scapular stabilizer muscles, and functional exercises. Sessions will be conducted three times per week for six weeks with each session lasting approximately forty five to sixty minutes. Exercise prescription and progression will be individualized based on patient assessment and symptom response. Participants will be monitored regularly for adherence and safety. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Both male and female participants aged twenty to fifty years clinically diagnosed with shoulder impingement syndrome by an orthopedic surgeon or based on positive clinical tests such as Neer and Hawkins Kennedy. Participants with shoulder pain duration more than four weeks and pain score greater than four on numeric pain rating scale. Participants willing to actively participate and comply with the intervention protocol. 
 
ExclusionCriteria 
Details  Participants currently taking non steroidal anti inflammatory drugs or with a positive drop arm test indicating full thickness rotator cuff tear. Participants with neurological or psychological conditions affecting posture motor control or ability to follow instructions. Participants with a history of shoulder surgery trauma or dislocation involving the affected shoulder within the past one year. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pain intensity measured using Numeric Pain Rating Scale and shoulder function measured using Shoulder Pain and Disability Index  Every 2 weeks, Pain intensity measured using Numeric Pain Rating Scale and shoulder function measured using Shoulder Pain and Disability Index  
 
Secondary Outcome  
Outcome  TimePoints 
Patient satisfaction measured using Likert scale  Post intervention at 6 weeks 
Adherence to intervention measured by number of sessions attended  Throughout intervention period 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   17/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  17/01/2026 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="15" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   This study aims to compare the effectiveness of telerehabilitation and manual physical therapy in the management of shoulder impingement syndrome. Shoulder impingement syndrome is a common musculoskeletal condition causing pain and limitation of shoulder movements, affecting daily activities and quality of life. Participants diagnosed with shoulder impingement syndrome will be randomly allocated into two groups. One group will receive telerehabilitation based physiotherapy consisting of supervised exercise sessions delivered through online video communication. The other group will receive conventional manual physical therapy including hands on techniques and supervised exercises at the clinic. Both groups will undergo treatment for a specified duration. Outcome measures such as pain intensity, shoulder range of motion, functional disability, and quality of life will be assessed before and after the intervention. The study will help determine whether telerehabilitation is as effective as manual physical therapy in managing shoulder impingement syndrome. 
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