| CTRI Number |
CTRI/2026/03/106743 [Registered on: 23/03/2026] Trial Registered Prospectively |
| Last Modified On: |
23/03/2026 |
| 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
|
Effectiveness of stretching and strengthening PNF technique on head and neck angle, shoulder movement, disability in patients with rounded shoulders related to frozen shoulder |
|
Scientific Title of Study
|
Effectiveness Of Combination Of Isotonic Technique And Stretching On Craniovertebral Angle, Shoulder Range Of Motion And Functional Disability In Upper Crossed Syndrome Associated With Adhesive Capsulitis: A Randomized Controlled Trail |
| 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 Trupti Rothe |
| Designation |
Post Graduate Student |
| Affiliation |
Rashtrasant Janardhan Swami College Of Physiotherapy |
| Address |
Musculoskeletal Physiotherapy Department, 3rd floor, Rashtrasant Janardhan Swami College of Physiotherapy.
Ahmadnagar
MAHARASHTRA
423601
India |
| Phone |
8329112335 |
| Fax |
|
| Email |
drtruptirothe@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Pankaj Jayswal |
| Designation |
HOD, Musculoskeletal Physiotherapy Department |
| Affiliation |
Rashtrasant Janardhan Swami College Of Physiotherapy |
| Address |
Rashtrasant Janardhan Swami College Of Physiotherapy, Kokamthan, Tal-Kopargaon, Dist- Ahmadnagar
Ahmadnagar
MAHARASHTRA
423601
India |
| Phone |
88666712993 |
| Fax |
|
| Email |
drpankajjayswal@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr Manikandan P |
| Designation |
HOD, Musculoskeletal Physiotherapy Department |
| Affiliation |
Rashtrasant Janardhan Swami College Of Physiotherapy |
| Address |
Department of Musculoskeletal Physiotherapy, Rashtrasant Janardhan Swami College Of Physiotherapy
Ahmadnagar
MAHARASHTRA
423601
India |
| Phone |
6374653504 |
| Fax |
|
| Email |
mani2bpt@gmail.com |
|
|
Source of Monetary or Material Support
|
| Rashtrasant Janardhan Swami College Of Physiotherapy, Kokamthan, Kopargaon |
|
|
Primary Sponsor
|
| Name |
Dr Trupti Rothe |
| Address |
Rashtrasant Janardhan Swami College Of Physiotherapy, Kokamthan, Kopargaon, Dist- Ahmadnagar, 423601 |
| Type of Sponsor |
Other [self ] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Trupti Rothe |
Musculoskeletal Physiotherapy OPD |
1st Floor, room no. 3, Physiotherapy OPD, SJS Hospital, Kokamthan
Ahmadnagar
MAHARASHTRA |
08329112335
drtruptirothe@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| RJS College Of Physiotherapy (MUHS) Institutional Ethical Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
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 |
Control Group |
Participants will receive conventional Adhesive Capsulitis
Physiotherapy protocol.
Moist heat- 10 minutes
Ultrasound: 1MHz, 0.8 intensity, duration- 8 minutes
Passive ROM exercises
Active ROM exercises
Shoulder isometric exercises
Progressive resistance exercises
Mobilization- Antero-posterior glide, Inferior glide-120 glides/ minute.
Pulley exercises
Scapular retraction.
External rotation stretch.
Posterior capsule stretch.
Treatment Duration: 2 weeks |
| Intervention |
Intervention Group |
Participants will be given Combination of Isotonic technique,
Stretching exercises and conventional Adhesive Capsulitis
physiotherapy intervention.
Stretching exercises for Upper trapezius, Levator Scapulae,
Pectoralis major.
Dosage: Hold stretch for 15-30 seconds, 2-3 repetitions on each side. 2,3 times per session, 5 times/ week.
Combination of Isotonic PNF technique for Deep cervical flexor,
Middle trapezius, Lower trapezius, Rhomboids and Serratus
Anterior.
Dosage: 10 second hold, 10 repetitions, 5 times/ week.
Moist heat- 10 minutes Ultrasound: 1MHz, 0.8 intensity, duration- 8 minutes Passive ROM exercises Active ROM exercises Shoulder isometric exercises Progressive resistance exercises Mobilization- Antero-posterior glide, Inferior glide-120 glides/ minute. Pulley exercises Scapular retraction. External rotation stretch. Posterior capsule stretch.
Treatment Duration: 2 weeks |
|
|
Inclusion Criteria
|
| Age From |
40.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Both |
| Details |
Age 40-70 years
Diagnosed case of Adhesive Capsulitis
Craniovertebral Angle less than 50 degrees
Primary & Secondary Adhesive Capsulitis
Adhesive Capsulitis Stage 2 & 3
Males & females |
|
| ExclusionCriteria |
| Details |
Acute post-surgical conditions involving shoulder
Neurological disorders causing muscle weakness
Recurrent subluxation
Scoliosis
Scapular Dyskinesis |
|
|
Method of Generating Random Sequence
|
|
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Craniovertebral Angle.
Shoulder Range Of Motion |
Baseline, end of 2 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Shoulder Pain And Disability Index |
Baseline, end of 2 weeks |
|
|
Target Sample Size
|
Total Sample Size="52"
Sample Size from India="52"
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)
|
03/04/2026 |
| 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="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
|
Upper Crossed Syndrome involves a common pattern of muscle imbalance that is tightness in the chest and neck muscles, and weakness in the upper back and deep neck flexors. This imbalance often leads to poor posture and abnormal shoulder movements, such as limited flexion and abduction. Research by Jaideep et al. found that Upper Crossed Syndrome can worsen existing shoulder problems in people with Adhesive Capsulitis. However, current physiotherapy treatments for Adhesive Capsulitis rarely address UCS, and there’s limited evidence on combining interventions for both conditions. Ignoring UCS in these patients may slow down recovery or reduce the effectiveness of treatment. This study addresses gap by exploring a combined rehabilitation approach. By treating both UCS and Adhesive Capsulitis together, we may offer patients faster recovery, better shoulder function, and improved overall outcomes. The study hypothesises that the Combination of Isotonic Technique and stretching is significantly effective in improving Craniovertebral Angle, Shoulder Range of Motion and Disability in Upper Crossed Syndrome associated with Adhesive Capsulitis. Subjects will be screened as per the inclusion & the exclusion criteria. Subjects will be randomly divided into Control group and Intervention group with 26 participants in each group. The Pre-assessment will be done on basis of Range of motion, Craniovertebral angle, Shoulder pain and disability index. Control group participants receive conventional Adhesive Capsulitis Physiotherapy protocol including Moist heat- 10 minutes, Ultrasound: 1MHz, 0.8 intensity, duration of 8 minutes, Passive ROM exercises ,Active ROM exercises, Shoulder isometric exercises, Progressive resistance exercises, Mobilization with Anteroposterior glide, Inferior glide 120 glides/ minute, Pulley exercises, Scapular retraction, External rotation stretch, Posterior capsule stretch, Treatment Duration of 2 weeks. Intervention Group participants will be given Combination of Isotonic technique, Stretching exercises and conventional Adhesive Capsulitis physiotherapy intervention. Stretching exercises for Upper trapezius, Levator Scapulae, Pectoralis major, Dosage: Hold stretch for 15-30 seconds, 2-3 repetitions on each side. 2,3 times per session, 5 times/ week. Combination of Isotonic PNF technique for Deep cervical flexor, Middle trapezius, Lower trapezius, Rhomboids and Serratus Anterior, Dosage: 10 second hold, 10 repetitions, 5 times/ week. Treatment Duration: 2 weeks. Post intervention assessment will be done using the same outcome measures as that of pre-assessment. Upon complete data recording, the data will be statistically analysed by using the unpaired T – test for comparative analysis for between the two groups, while paired t test will be used to analyse the within group parameters. |