Trial reportPhysiotherapy research international : the journal for researchers and clinicians in physical therapy2026
The Added Value of Neural Mobilization Techniques to Proprioceptive Neuromuscular Facilitation in Patients With Adhesive Capsulitis: Randomized Controlled Trial.
Trial report in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06664437 (Efficacy of Adding Neural Mobilization to Joint Mobilization in Patients With Adhesive Capsulitis), which is not on this map. Not yet cited in PubMed.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy of Adding Neural Mobilization to Joint Mobilization in Patients With Adhesive Capsulitis
Who cites it
0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
Abstract
background and purposeAlthough neural mobilization techniques (NMTs) and proprioceptive neuromuscular facilitation (PNF) are well-known therapeutic techniques among physical therapists, evidence regarding the additional benefit of combining these approaches in the management of adhesive capsulitis (AC) remains limited. This study was established to determine the effectiveness of combined NMTs and PNF techniques on pain intensity, functional disability and passive ROM of the shoulder joint in patients with AC.
methodsFifty-six patients with AC of both genders were randomly assigned to two groups of equal size. The experimental group received combined slider median nerve NMTs, PNF and conventional physical therapy, while the control group received PNF and the same conventional physical therapy, three sessions per week for 6 weeks. Patients were evaluated for pain intensity, functional disability and passive ROM of the shoulder joint at baseline and after the 6th week.
resultsAfter adjusting for baseline values using ANCOVA, the experimental group demonstrated significantly greater improvements across all outcomes. The adjusted between-group differences (95% CI) were: VAS (0-10 scale) - 0.88 (-1.24, -0.52; p < 0.001, η DISCUSSION: The combination of NMTs with PNF and conventional physical therapy resulted in statistically significant short-term improvements in pain, disability, and passive shoulder ROM. However, the between-group difference in pain and disability did not reach the reported MCID limits, and shoulder abduction had the most potential therapeutic value. Consequently, the results indicate that NMTs may provide additional advantages, especially for shoulder mobility, but do not show a clinically significant effect on other outcomes. Larger trials with longer follow-up are necessary to corroborate these findings.
trial registrationNCT06664437.
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