NCT07525297

Mulligan's Mobilization in Rotator Cuff Pathology

Not yet recruiting NA Last updated 13 April 2026

What this trial tests

NA trial testing Mulligan Mobilization with Movement in Rotator Cuff Injuries in 40 participants. Not yet recruiting.

Timeline

20 April 2026

Primary endpoint
20 September 2026

20 October 2026

Quick facts

Lead sponsor	Yuzuncu Yil University
Phase	NA
Status	Not yet recruiting
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	treatment
Enrollment	40
Start date	20 April 2026
Primary completion	20 September 2026
Estimated completion	20 October 2026
Sites	1 location across Turkey (Türkiye)

Drugs / interventions tested

• Mulligan Mobilization with Movement
• Thoracic Spine Mobilization
• Conventional Physiotherapy Program

Conditions studied

• Rotator Cuff Injuries — all drugs for Rotator Cuff Injuries →

Sponsor

Yuzuncu Yil University

Who can join

Adults 18 to 65, any sex, with Rotator Cuff Injuries. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Rotator cuff pathology is defined as the degeneration or tear of one or more of the muscles or tendons of the rotator cuff, namely the supraspinatus, infraspinatus, teres minor, and subscapularis. Shoulder girdle biomechanics are not solely comprised of the glenohumeral joint but are built upon a kinetic chain involving the synchronized movement of the scapula, clavicle, and thoracic spine. In this context, the concept described in the literature as the "Regional Dependence" model argues that functional impairment in a distal segment like the shoulder may stem from or exacerbate limitations in a more proximal region like the thoracic spine. Conventional treatment approaches that focus solely on the shoulder joint may have limited clinical outcomes due to neglecting the fundamental link in the kinetic chain. Maintained natural apophyseal glides (SNAGs), a cornerstone of Mulligan's Concept in spinal rehabilitation, are a dynamic manual therapy technique aimed at correcting microscopic misalignments in facet joints during active movement. The aim of this randomized controlled trial is to investigate the effects of thoracic mobilization added to the Mulligan movement shoulder mobilization technique on pain intensity, range of motion, proprioception, and upper extremity functionality in individuals with rotator cuff pathology, and to evaluate the superiority of this combined approach over shoulder mobilization alone. Assessments will be performed before treatment and at the end of the 3-week intervention. Rest and activity pain intensity will be assessed using the Pain Numerical Rating Scale (PMR), shoulder range of motion using a digital goniometer, thoracic kyphosis degrees using a smartphone with the 'Angle Meter' software installed and calibrated gyroscope and accelerometer sensors, functionality using the Shoulder Pain and Disability Index (SPAI), and proprioception using a laser pointer and target device. The obtained data will be compared using appropriate statistical analysis methods. This study is expected to provide scientific evidence regarding the clinical effectiveness of thoracic mobilization technique added to shoulder mobilization technique applied in conjunction with conventional treatment in individuals with rotator cuff pathology, and to contribute to filling the methodological gap mentioned in the literature.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.