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IJPR.2018.145

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Type of Article:  Original Research

Volume 6; Issue 4 (August 2018)

Page No.: 2784-2790

DOI: https://dx.doi.org/10.16965/ijpr.2018.145

PASSIVE STRETCHING EXERCISES VERSUS MULLIGAN MOBILIZATION WITH MOVEMENT FOR PAIN, RANGE OF MOTION & FUNCTION IN PATIENTS OF ADHESIVE CAPSULITIS : A COMPARATIVE STUDY

Ankita Mehta *1, Nilima Bedekar 2.

Sancheti Institute College Of  Physiotherapy, 11/12 Thube Park, Shivajinagar, Pune – 411005, Maharashtra, India.

Address for Correspondence: Dr. Ankita Mehta,  Sancheti Institute College Of  Physiotherapy, 11/12 Thube Park, Shivajinagar, Pune – 411005, Maharashtra, India. E-Mail: ankitamehta1592@gmail.com

ABSTRACT

Background:  Adhesive Capsulitis also named as Periarthritis or Frozen Shoulder is commonly seen in patients of 40 to 60 years of age with a higher incidence in Females. Restricted  Gleno-humeral (GH) Joint mobility can be due to  micro trauma , osteoarthritis, from prolonged  immobilization or from unknown cause (Idiopathic Frozen Shoulder).

These lead to various Functional Limitations /Disabilities like – Inability to reach over head activities, behind the head, out to the side and behind the back , thus limiting the Activities of Daily Living .

Purpose of the Study: There is a need to compare the efficacy of two treatment techniques in improving the ROM and functional status of the patients with Adhesive Capsulitis.

Methodology: 60 patients ,both male and female, of the age group 40-60 years, diagnosed with Adhesive Capsulitis were  distributed by Stratified Random Allocation of the Diabetic Patients in 2 groups for a 6 days intervention period. Patients having any recent trauma, injuries, dislocation of shoulder in past 1yr were excluded from the study. The SPADI and ROM were assessed on the first and last day of the intervention. Group A was given Passive Stretching and conventional exercises whereas Group B was given MWM in addition to the conventional exercises.

Results: Marked improvement was seen in both the groups after the completion of the 6 days intervention period as compared with the baseline. The improvement in outcome measures , namely the Pain & Disability Score and Range of Motion, were significantly greater in the group who were given Passive Stretching Exercises , p  value being 0.00 for Pain, 0.01 for Disability Score and 0.04 for the Total SPADI Score i.e <0.05 indicating its significance .

Conclusions:  Both groups showed a marked reduction in Pain, Level of Disability, and in improving the ROM of the Shoulder Joint and thereby the overall  Function  level of the patients having Adhesive Capsulitis. But in the comparative study of the two groups Passive Stretching showed more significant results.

Key words:  Adhesive Capsulitis, Frozen Shoulder, Passive Stretching, Mulligan Mobilization Technique, Shoulder Pain and Disability Index, Range of Motion.

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Cite this article: Ankita Mehta, Nilima Bedekar. PASSIVE STRETCHING EXERCISES VERSUS MULLIGAN MOBILIZATION WITH MOVEMENT FOR PAIN, RANGE OF MOTION & FUNCTION IN PATIENTS OF ADHESIVE CAPSULITIS : A COMPARATIVE STUDY. Int J Physiother Res 2018;6(3):2784-2790. DOI: 10.16965/ijpr.2018.145
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