Effects of Gong's Mobilization With and Without Nielasher Technique on in Adhesive Capsulitis

Adhesive Capsulitis causes a progressive tightening of the glenohumeral joint capsule,restricting both active and passive movements and resulting in functional impairments.Joint mobilization is an essential component of physical therapy for managing adhesivecapsulitis. Two new techniques are emerging in the treatment of Adhesive capsulitis; oneof them is called Gong's Mobilization. This technique emphasizes correcting positionalfaults by applying controlled, dynamic movements to the glenohumeral joint. The othertechnique, known as Niel‐Asher technique is a five‐step trigger point therapy whichoffers a unique, non‐invasive holistic approach to address adhesive capsulitis. Thisstudy, will be conducted as a randomized clinical trial at Ghurki Trust Teaching Hospitaland Hope Rehabilitation Center, it aims to evaluate the effects of Gong's mobilizationwith and without Niel‐Asher technique on shoulder pain, ROM and disability in AdhesiveCapsulitis of patients aged 40‐60 years. A non‐probability convenience sampling methodwill recruit 46 participants meeting the inclusion criteria only. Participants will berandomly assigned to Group A (Gong's Mobilization) or Group B (Gong's mobilization andand Niel‐Asher technique) with interventions given for four weeks. Pain severity will bemeasured using the Numeric Pain Rating Scale, Range of Motion will be assessed viagoniometer, and disability will be evaluated using the SPADI. Statistical analysis usingSPSS will compare outcomes between groups at baseline, at two weeks and post‐treatmentafter 4 weeks.