Effects of Pectoralis Minor Exercises on Shoulder Pain, Scapular Dyskinesis and Thoracic Expansion in Adhesive Capsulitis Patients
NCT07283016 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2025-12-15
Summary
The goal of the current study is to evaluate the effects of pectoralis minor stretching and strengthening with mobility and stability exercises in patients aged 40-70 years with adhesive capsulitis. The main questions it aims to answer are:
Does the combination of pectoralis minor stretching and strengthening with mobility and stability exercises significantly reduce shoulder pain compared to mobility and stability exercises only? Does the combination of pectoralis minor stretching and strengthening with mobility and stability exercises improve scapular dyskinesis (scapular movement patterns) and thoracic expansion more effectively than mobility and stability exercises? Participants will be assigned to either an experimental group receiving pectoralis minor stretching and strengthening exercises with mobility and stability exercises or a control group receiving mobility and stability exercises only, and will complete standardized assessments of shoulder pain, scapular dyskinesis (scapular movement patterns) and thoracic expansion before and after the intervention.
Conditions
- Adhesive Capsulitis
Interventions
- OTHER
-
Pectoralis Minor Stretching and Strengthening with Mobility and Stability exercises
Participants in this group will follow a 6 week program targeting the Pectoralis Minor exercises in addition to mobility and stability exercises as explained in the control group used for adhesive capsulitis management. Pectoralis minor exercises include pectoralis minor stretching and strengthening. Pectoralis minor stretching exercises are unilateral corner and foam roller stretches (4 repetitions × 30 seconds hold, with a 30-second rest, performed 4 days a week for 6 weeks) to improve chest mobility. Pectoralis minor strengthening exercises are scapular push-ups (protraction-focused), scapular protraction with resistance bands, and wall slides with scapular protraction (3 sets × 10 repetitions, performed 4 days a week for 6 weeks) to boost muscle strength and support proper scapular movement. These interventions aim to reduce shoulder pain, improve scapular function, and enhance chest compliance in patients with adhesive capsulitis.
- OTHER
-
Mobility and Stability exercises
Participants in the control group will receive a standardized physical therapy protocol commonly used for adhesive capsulitis management over a period of 6 weeks. This will include mobility and stability exercises. Mobility Exercises are passive range-of-motion exercises combined with joint mobilization techniques such as pendulum exercises, wall crawls, and towel stretches (3 sets of 10 repetitions of each exercise, performed 4 days a week for 6 weeks). Stability Exercises are isometric rotator cuff exercises performed (3 sets of 10 repetitions of each exercise, performed 4 days a week for 6 weeks). This basic treatment approach aims to reduce pain, improve joint mobility, and support gradual recovery in adhesive capsulitis without specifically targeting the pectoralis minor.
Sponsors & Collaborators
-
Lahore University of Biological and Applied Sciences
lead OTHER
Principal Investigators
-
MUHAMMAD TARIQ RAFIQ · Lahore University of Biological & Applied Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-31
- Primary Completion
- 2026-02-28
- Completion
- 2026-03-31
More Related Trials
-
The Effects of Manual Therapy and Scapular Exercise for the Pectoralis Minor in Individuals With Shoulder Pain
NCT05104060 ·Status: COMPLETED ·Phase: NA
-
Mobilization With Movement Techniques of Shoulder Girdle in Patients With Chronic Adhesive Capsulitis
NCT05810766 ·Status: COMPLETED ·Phase: NA
-
Effects of Gong's Mobilization With and Without Scapular High Lift on Shoulder Range of Motion and Functional Recovery in Adhesive Capsulitis.
NCT07322198 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Exercise Training Sequence for Subacromial Impingement Syndrome
NCT02478567 ·Status: COMPLETED ·Phase: NA
-
Effects of Exercise on Adhesive Capsulitis
NCT07158255 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Pragmatic Set of Interventions Versus Scapular Strengthening Exercises on Scapular Dyskinesia in Adhesive Capsulitis
NCT06110000 ·Status: RECRUITING ·Phase: NA
-
Effects of Scapular Mobilization on Shoulder Proprioception and Pain in Patients With Adhesive Capsulitis
NCT06387537 ·Status: RECRUITING ·Phase: NA
-
Latissimus Dorsi Strengthening Exercises in Rotator Cuff Tendinopathy
NCT07053566 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Effect of Integrated Neuromuscular Inhibition Technique on Scapular Dyskinesia Type 2
NCT07232316 ·Status: COMPLETED ·Phase: NA
-
Effects of a Pectoralis Minor Muscle Stretching Protocol
NCT01956240 ·Status: COMPLETED ·Phase: PHASE4
-
Self-Management for Persistent Subacromial Pain
NCT04190836 ·Status: COMPLETED ·Phase: PHASE1
-
The Acute Effects of Different Stretching Methods in Individuals With Subacromial Impingement Syndrome
NCT03246867 ·Status: COMPLETED ·Phase: NA
-
Does Mechanical Correction Reduce Muscle Stiffness in People With Rounded Shoulder?
NCT04032886 ·Status: COMPLETED ·Phase: NA
-
Effects of Scapular Strength Exercise for Patients With Lateral Epicondylalgia
NCT05373056 ·Status: UNKNOWN ·Phase: NA
-
Scapulothoracic Joint Mobilization With or Without Acromioclavicular Joint Mobilization in Sub-acromial Pain Syndrome
NCT07331597 ·Status: COMPLETED ·Phase: NA
-
The Immediate Effects of Soft Tissue Mobilization on Posterior Shoulder Tightness in Overhead Athletes With Subacromial Pain Syndrome
NCT07005856 ·Status: COMPLETED ·Phase: NA
-
ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL
NCT06723730 ·Status: RECRUITING ·Phase: NA
-
Formal Physical Therapy (PT) vs. Home PT for Adhesive Capsulitis
NCT03049787 ·Status: WITHDRAWN ·Phase: NA
-
EFFICACY OF ADDING TRUNK INTEGRATED KINETIC CHAIN EXERCISES TO CONVENTIONAL EXERCISE THERAPY PROGRAM IN SUBACROMIAL IMPINGEMENT SYNDROME
NCT06926465 ·Status: COMPLETED ·Phase: NA
-
Comparison Of Spencer Technique And Isotonic Exercise In Patients With Adhesive Capsulitis
NCT06757933 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Radial Extracorporeal Shockwave Therapy Combined With Evidence-Based Physical Therapy for Adhesive Capsulitis
NCT05771220 ·Status: COMPLETED ·Phase: NA
-
Scapular Mobilization With Arm Movement in Patients With Adhesive Capsulitis.
NCT06618443 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Effect of Humeral Head Depressor Strengthening in Individuals With Subacromial Impingement Syndrome
NCT07228455 ·Status: COMPLETED ·Phase: NA
-
Additional Effects of Thoracic Spine Mobilization Combined With Glenohumeral Joint Mobilization on Pain, Range of Motion, and Functional Disability in Adhesive Capsulitis
NCT07328295 ·Status: RECRUITING ·Phase: NA
-
Efficacy Of Muscle Energy Technique On Shoulder Adhesive Capsulitis Post Mastectomy
NCT05274698 ·Status: UNKNOWN ·Phase: NA