Type of Article:  Original Research

Volume 10; Issue 5 (October 2022)

Page No.: 4364-4368

DOI: https://dx.doi.org/10.16965/ijpr.2022.156

Effect of Gleno-humeral-capsulo-Ligamentous Stretch Maneuvers on Range of motion in Bilateral Frozen Shoulder

Mariya Shahjahan *1, Smita Patil 2.

*1 Intern, Department of physiotherapy, Krishna Institute of Medical Sciences “Deemed to be” University, Karad, Maharashtra, India.

2 Head of Sports department, Department of physiotherapy, Krishna Institute of Medical Sciences “Deemed to be” University,Karad, Maharashtra, India.

Address of correspondence: MariyaShahjahan, Department of Physiotherapy, Krishna Institute of Medical sciences deemed to be University, Karad, Maharashtra, India. Pin code – 415539. Phone number – 8412971130 E-Mail: drmariyashahjahan@gmail.com


Mariya shahjahan: 0000-0003-0823-6686

Smita patil: 0000-0002-4434-9381


Background: Painful restriction of shoulder movement, without an underlying cause, which results in complete loss of motion of the glenohumeral joint is called Frozen Shoulder. The process is started with an inflammation of the lining of the joint within the shoulder. Gradually this area thickens and results in the shoulder becoming stiffer and more painful. It  is seen commonly at the age of 40-65 years and more often in women. Overall, this condition affects work, leisure, and quality of life. Frozen shoulder often progresses in three stages: the freezing, frozen and thawing phases. Risk factors for frozen shoulder are diabetes, thyroid, history of shoulder trauma, cervical radiculopathy, post-operative immobilization, and shoulder surgery. Cyriax described the typical capsular patterns of the gle­no humeral joint in the frozen shoulder with abduction more limited than external rotation, and external rota­tion more limited than internalrotation. This study aims to establish the effect of gleno humeral capsulo ligamentous stretch maneuvers on bilateral frozen shoulder.

Methods: A total of 40 subjects diagnosed with bilateral frozen shoulder were selected for the study. Subjects received low load prolonged stretching, mobilization and shoulder range of motion exercises. Each session was conducted for 30 minutes duration, 5 days per week for 4 weeks. Outcome measures used were Numerical pain rating scale (NPRS), Goniometer and Shoulder Pain and Disability Index (SPADI).

Results: The results of the study demonstrate that there was a significant effect of gleno humeral capsulo ligamentous stretch on numerical pain rating scale (p<0.0001), range of motion (Shoulder flexion, abduction, internal rotation and external rotation (p<0.0001), Shoulder pain and disability index (p<0.0001) during the pre and post intervention assessment.

Conclusion: It is concluded that that the use of low load prolonged stretch and mobilization was very effective in reducing pain and improving range of  motion. Shoulder range of motion exercises was effective in improving strength and flexibility of shoulder musculature.

Keywords: Low load prolonged stretch, mobilization, numerical pain rating scale, Shoulder pain and  disability index, Bilateral frozen shoulder.


[1]. SamikshaSathe, SukhnaKaurKhurana, UmanjaliDamke, Prerna V. Agrawal. To Compare the Effects of Maitland Mobilization with Conventional Physiotherapy in Adhesive Capsulitis. International Journal of Current Research and Review, 2020;12(14).
[2]. İremDüzgün,GülBaltacı, ÖzgürAhmetAtay, Manual therapy is an effective treatment for frozen shoulder in diabetics: An observational study. Joint Diseases and Related Surgery, 2012;23(2):94-99.
[3]. Gary lentell, Thomas Hetherington leff Eagan, Mark Morgan.The Use of Thermal Agents to Influence the Effectiveness of a Low-Load Prolonged Stretch. Journal of Orthopaedic& Sports Physical Therapy 1992;16(5).
[4]. Antony Paul, Joshua Samuel Rajkumar,Smita Peter, Litson Lambert. Effectiveness of Sustained Stretching of the Inferior Capsule in the Management of a Frozen Shoulder. The Association of Bone and Joint Surgeons 2014;472:2262–2268.
[5]. Shahbaz Nawaz Ansari, I. Lourdhuraj, Shikhsha Shah, Nikita Patel. Effect of Ultrasound Therapy with End range mobilization over Cryotherapy with Capsular stretching on pain in Frozen Shoulder – A Comparative Study. International Journal of Current Research and Review, 2012;04(24).
[6]. DeryaÇelik and Ebru Kaya Mutlu. Effectiveness of joint mobilization combined withmanual stretching exercises in frozen shoulder: Arandomized, controlled pilot study. Clinical Rehabilitation, 2015.
[7]. Hui Bin Yvonne Chan, Pek Ying Pua, Choon.How Physical therapy in the management of frozen shoulder. Singapore Med J 2017;58(12):685-689.

Cite this article: Mariya Shahjahan, Smita Patil.  Effect of Gleno-humeral-capsulo-Ligamentous Stretch Maneuvers on Range of motion in Bilateral Frozen Shoulder. Int J Physiother Res 2022;10(5):4364-4368. DOI: 10.16965/ijpr.2022.156