Elhafez Technique Combined With Dynamic Scapulohumeral Mobilization in Shoulder Adhesive Capsulitis

Elhafez Technique Combined With Dynamic Scapulohumeral Mobilization in Patients With Shoulder Adhesive Capsulitis

Status

Suspended

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06916780

Acronym

Adhes Capsul

Enrollment

Registered

2025-04-08

Start date

2025-04-09

Completion date

2026-07-01

Last updated

2026-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adhesive Capsulitis of the Shoulder

Keywords

Elhafez technique, Adhesive capsulitis, Dynamic scapulohumeral mobilization

Brief summary

Elhafez Technique Combined with Dynamic Scapulohumeral Mobilization in Adhesive Capsulitis

Detailed description

Elhafez Technique is an emerging rehabilitation approach that integrates axillary ultrasound, axillary laser therapy, and post-isometric facilitation (PIF) to target capsular stiffness, inflammation, and neuromuscular dysfunction. These techniques aim to enhance tissue healing, improve joint mobility, and reduce pain. When combined with Dynamic Scapulohumeral Mobilization (DSM), which focuses on restoring scapular control and shoulder joint biomechanics, this comprehensive approach may offer superior outcomes compared to conventional treatments. This study aims to evaluate the biomechanical and functional effects of combining Elhafez Technique with DSM in patients with shoulder adhesive capsulitis. By assessing pain levels, ROM, and functional recovery, this research seeks to determine whether this combined intervention provides faster and more effective relief for patients suffering from this condition.

Interventions

OTHERLaser and ultrasound

Laser and ultrasound will be applied in group A as traditional method. On the other hand they will applied axillary in experimental groups

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender

ALL

Age

30 Years to 60 Years

Healthy volunteers

Inclusion criteria

1. Adults aged 30-60 years diagnosed with Stage 2 (Frozen) or Stage 3 (Thawing) Shoulder Adhesive Capsulitis based on American Shoulder and Elbow Surgeons (ASES) guidelines. 2. Pain score ≥4/10 on the Visual Analog Scale (VAS) for at least 3 months. 3. Restricted external rotation of ≥25% compared to the unaffected shoulder. 4. No prior shoulder injections, surgery, or physiotherapy within the last 3 months.

Exclusion criteria

1. History of shoulder fractures, rotator cuff tears, or labral injuries. 2. Systemic inflammatory conditions (e.g., Rheumatoid Arthritis, Uncontrolled Diabetes). 3. Neurological disorders affecting the shoulder (e.g., Stroke, Parkinson's Disease). 4. Current participation in another physiotherapy intervent

Design outcomes

Primary

Measure	Time frame	Description
Range of motion	From enrollment to the end of treatment at 6 weeks	Flexion, abduction and external rotation of the shoulder jooint

Secondary

Measure	Time frame	Description
Functional activities	From enrollment to the end of treatment at 6 weeks	DASH will be used

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 19, 2026