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CTRI Number  CTRI/2025/12/099375 [Registered on: 18/12/2025] Trial Registered Prospectively
Last Modified On: 17/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of pain neuroscience and conventional physiotherapy intervention in participants with adhesive capsulitis with main outcome of pain and range of motion of shoulder joint 
Scientific Title of Study   Combined effect of Pain Neuroscience Education and conventional Physiotherapy in improving pain, range of motion, and Cytokine response in individuals with adhesive capsulitis – A pilot randomized controlled 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  Kshama Susheel Shetty 
Designation  Physiotherapist 
Affiliation  Alvas College of Physiotherapy and Research Centre 
Address  Alvas College of Physiotherapy and Research Center. Department of Musculoskeletal Sciences Alvas Health Center Moodabidri-574227 Karnataka

Dakshina Kannada
KARNATAKA
574227
India 
Phone  9591593863  
Fax    
Email  poonjakshama@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Kshama Susheel Shetty 
Designation  Guide(Physiotherapist) 
Affiliation  Alvas College of Physiotherapy and Research Centre 
Address  Alvas College of Physiotherapy and Research Center. Department of Musculoskeletal Sciences Alvas Health Center Moodabidri-574227 Karnataka

Dakshina Kannada
KARNATAKA
574227
India 
Phone  9591593863  
Fax    
Email  poonjakshama@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kshama Susheel Shetty 
Designation  Physiotherapist 
Affiliation  Alvas College of Physiotherapy and Research Centre 
Address  Alvas College of Physiotherapy and Research Center. Department of Musculoskeletal Sciences Alvas Health Center Moodabidri-574227 Karnataka


KARNATAKA
574227
India 
Phone  9591593863  
Fax    
Email  poonjakshama@gmail.com  
 
Source of Monetary or Material Support  
Alvas College of Physiotherapy and Research Centre Musculoskeletal Sciences Department Alvas Health Sciences Moodabidri-574227 Karnataka 
 
Primary Sponsor  
Name  Alvas College of Physiotherapy and Research Centre 
Address  Departmnent of Musculoskeletal Sciences Alvas  
Type of Sponsor  Other [Institution ] 
 
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 Kshama Susheel Shetty  Alvas College of Physiotherapy and Research Centre  Department of Musculoskeletal Sciences Alvas Health Sciences Moodabidri-574227 Karnataka
Dakshina Kannada
KARNATAKA 
9591593863

poonjakshama@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Alvas College of Physiotherapy and Research Centre - Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Physiotherapy  Includes Maitland or Mulligan’s mobilization with movement techniques for shoulder, capsular stretches and scapular stabilization exercises.  
Intervention  Pain Neuroscience Education  The intervention was provided for 60 min/session, 1 session/week for 8 weeks. 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Both genders aged from 40 to 55 years,
diagnosed with idiopathic adhesive
capsulitis by the orthopaedic physician,

with no history of co-morbid conditions or
recent musculoskeletal injuries or
neurological disorders. 
 
ExclusionCriteria 
Details  Individuals with a history of recent
hospitalizations, complaining of pain in the
upper limb (other than shoulder) or spine,
adhesive capsulitis secondary to systemic
conditions. Congenital deformities, poor
cognition, hearing or visual deficits, and
unwilling to provide consent. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pain and shoulder range of motion
 
Baseline and 8 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="24" 
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)   31/01/2026 
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="3"
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   Objective- The objectives of this study is to analyse the effect of pain neuroscience education and conventional physiotherapy in pain , range of motion and inflammatory cytokine response individuals with adhesive capsulitis 
Study duration -8 weeks

Procedure-
Pain Neuroscience interventioncombined with conventional physiotherapy.
Pain Neuroscience education was administered by a physiotherapist trained in pain neuroscience education strategies and having more than 10 years of experience in treating chronic pain conditions. The intervention was provided for 60mim/session, 1 session / week for 8 weeks.

Conventional Physiotherapy-
Includes Maitland or Mulligan’s mobilization with movement technique for shoulder , capsular strtchs and scapular stabilization exercises.

Implication-
The study results could help to identify integrating pain neuroscience education in conventional adhesive capsulitis rehabilitation can improve pain, shoulder range of motion and inflammatory cytokine levels.
New Insight regarding the inflammatory cytokine response to conventional physiotherapy rehabilitation and pain neuroscience education could be revealed.





 
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