{"id":579,"date":"2018-08-11T18:05:28","date_gmt":"2018-08-11T18:05:28","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=579"},"modified":"2018-08-11T18:05:28","modified_gmt":"2018-08-11T18:05:28","slug":"ijpr-2018-145","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2018-145","title":{"rendered":"IJPR.2018.145"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.6.4\/IJPR.2018.145.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol6_4.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 4 (August 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a02784-2790<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2018.145<\/h3>\n<h3 style=\"text-align: justify;\">PASSIVE STRETCHING EXERCISES VERSUS MULLIGAN MOBILIZATION WITH MOVEMENT FOR PAIN, RANGE OF MOTION &amp; FUNCTION IN PATIENTS OF ADHESIVE CAPSULITIS : A COMPARATIVE STUDY<\/h3>\n<p style=\"text-align: justify;\"><strong>Ankita Mehta *<sup>1<\/sup>, Nilima Bedekar <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\">Sancheti Institute College Of\u00a0 Physiotherapy, 11\/12 Thube Park, Shivajinagar, Pune \u2013 411005, Maharashtra, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence:<\/strong> Dr. Ankita Mehta, \u00a0Sancheti Institute College Of\u00a0 Physiotherapy, 11\/12 Thube Park, Shivajinagar, Pune \u2013 411005, Maharashtra, India.\u00a0<strong>E-Mail:<\/strong> ankitamehta1592@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong>\u00a0 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\u00a0 Gleno-humeral (GH) Joint mobility can be due to \u00a0micro trauma , osteoarthritis, from prolonged\u00a0 immobilization or from unknown cause (Idiopathic Frozen Shoulder).<\/p>\n<p style=\"text-align: justify;\">These lead to various Functional Limitations \/Disabilities like &#8211; Inability to reach over head activities, behind the head, out to the side and behind the back , thus limiting the Activities of Daily Living .<\/p>\n<p style=\"text-align: justify;\"><strong>Purpose of the Study: <\/strong>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.<\/p>\n<p style=\"text-align: justify;\"><strong>Methodology: <\/strong>60 patients ,both male and female, of the age group 40-60 years, diagnosed with Adhesive Capsulitis were\u00a0 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>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 &amp; Disability Score and Range of Motion, were significantly greater in the group who were given Passive Stretching Exercises , p\u00a0 value being 0.00 for Pain, 0.01 for Disability Score and 0.04 for the Total SPADI Score i.e &lt;0.05 indicating its significance .<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusions: <\/strong>\u00a0Both groups showed a marked reduction in Pain, Level of Disability, and in improving the ROM of the Shoulder Joint and thereby the overall\u00a0 Function\u00a0 level of the patients having Adhesive Capsulitis. But in the comparative study of the two groups Passive Stretching showed more significant results.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong><strong>: <\/strong>\u00a0Adhesive Capsulitis, Frozen Shoulder, Passive Stretching, Mulligan Mobilization Technique, Shoulder Pain and Disability Index, Range of Motion.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Grubbs, N. Frozen shoulder syndrome \u2013 a review of literature. J Orthop Sports Phys Ther, 1993, Sept: 18(3):479-487.Review.Pubmed PMID: 8298629<\/li>\n<li style=\"text-align: justify;\">Lori B , Siegel MD,Normans J,Cohen MD, Eric P ,Gall MD\u2013 Adhesive Capsulitis a sticky issues three stages of frozen shoulder. April 1 , 1999, 59(7):1843-1850<\/li>\n<li style=\"text-align: justify;\">Ibrahim MI, Johnson AJ, Pivec R, Issa K, Naziri Q, Kapadia BH, Mont MA.Treatment of adhesive capsulitis of the shoulder with a static progressive stretch device: a prospective, randomized study. J Long Term Eff Med Implants.2012;22(4):281-91. Pub Med PMID: 23662659.<\/li>\n<li style=\"text-align: justify;\">Griggs SM, Ahn A, Green A. Idiopathic adhesive capsulitis: a prospective functional outcome study of non-operative treatment. JBJS. 2000 Oct 1;82(10):1398-1420<\/li>\n<li style=\"text-align: justify;\">Marshall PW, Cashman A, Cheema BS. A randomized controlled trial for the effect of passive stretching on measures of hamstring extensibility, passive stiffness, strength, and stretch tolerance. Journal of Science and Medicine in Sport. 2011 Nov 1;14(6):535-40.<\/li>\n<li style=\"text-align: justify;\">Doner G, Guven Z, Atalay A, Celiker R. Evalution of Mulligan&#8217;s technique for adhesive capsulitis of the shoulder. J Rehabil Med. 2013 Jan;45(1):87-91. doi:10.2340\/16501977-1064. PubMed PMID: 23037929.<\/li>\n<li style=\"text-align: justify;\">Reddy BC, Metgud S. A randomized controlled trial to investigate the effect of mulligan\u2019s mwm and conventional therapy in stage ii adhesive capsulitis. Indian journal of physical therapy. 2015 Jun 30;3(1).<\/li>\n<li style=\"text-align: justify;\">Goyal M, Bhattacharjee S, Goyal K. Combined effect of end range mobilization (ERM) and mobilization with movement (MWM) techniques on range of motion and disability in frozen shoulder patients: A randomized clinical trial. Journal of Exercise Science and Physiotherapy. 2013 Dec;9(2):74.<\/li>\n<li style=\"text-align: justify;\">Williams JW Jr, Holleman DR Jr, Simel DL. Measuring shoulder function with the Shoulder Pain and Disability Index. J Rheumatol. 1995 Apr;22(4):727-32. PubMed PMID: 7791172.<\/li>\n<li style=\"text-align: justify;\">Dogru H, Basaran S, Sarpel T. Effectiveness of therapeutic ultrasound in adhesive capsulitis. Joint Bone Spine. 2008 Jul;75(4):445-50. doi:10.1016\/j.jbspin.2007.07.016. Epub 2008 May PubMed PMID: 18455944<\/li>\n<li style=\"text-align: justify;\">Kisner C,Colby LA,Therapeutic Exercise:Foundations and Technniques,6<sup>th<\/sup> edition 2012 by F.A Davis Company,2012,Pg78,488-489.<\/li>\n<li style=\"text-align: justify;\">Codman, EA: The Shoulder.Thomas Todd, Boston, 1934. (Cited by Kisner C and Colby L. A.)<\/li>\n<li style=\"text-align: justify;\">Brian R.Mulligan, Manual Therapy, 5<sup>th<\/sup> edition, Hutchson Bowman and Stewart, Wellington,NZ (116-120).<\/li>\n<li style=\"text-align: justify;\">Brotzman SB, Manske RC. Clinical Orthopaedic Rehabilitation E-Book: An Evidence-Based Approach-Expert Consult. 3<sup>rd<\/sup> Elsevier Health Sciences; 2011 May 6.(Pg 82-210)<\/li>\n<li style=\"text-align: justify;\">Gravice G , Nicholson ,MS ,The Effects of Passive Joint Mobilization on Pain and Hypomobility Associated with Adhesive Capsulitis of the Shoulder. Journal of Orthopaedic &amp; Sports Physical Therapy<em>, <\/em>1985<em>,\u00a0<\/em>Volume:\u00a06\u00a0Issue:\u00a04\u00a0Pages:\u00a0238-246\u00a0doi:10.2519\/jospt.1985.6.4.238.<\/li>\n<li style=\"text-align: justify;\">Donatelli RA,Irwin JP, Johanson MA, Gonzales-King BZ:Differential Soft Tissue Diagnosis.In Donatelli RA(ed) Physical Therapy Of the Shoulder,ed 4.Churchill Livingston, St .Louis,2004,P 89.<\/li>\n<li style=\"text-align: justify;\">Nevaiser TJ:Adhesive Capsulitis.Orthop Clin North AM 18:439,1987.<\/li>\n<li style=\"text-align: justify;\">Cyriax,J: Textbook of Orthopaedic Medicine, 8 Edition ,Diagnosis of soft tissue lesions.Bailliere Tindall, Firs Indian Edition,1992 P129-134.<\/li>\n<li style=\"text-align: justify;\">Binder AL, Bulgen DY,Hazleman BL,Roberts S.Frozen Shoulder:a long-term prospective study.Ann Rheum Dis 1984 Jun; 43(3): 361-4<\/li>\n<li style=\"text-align: justify;\">Albert W Pearsall IV, MD; Chief Editor: Mary Ann E Keenan, MD. Adhesive Capsulitis. Found at: <a href=\"http:\/\/emedicine.medscape.com\/article\/1261598-overview\">http:\/\/emedicine.medscape.com\/article\/1261598-overview<\/a><\/li>\n<li style=\"text-align: justify;\">Cailliet, R :Shoulder Pain,ed 3. FA Davis,Philadelphia,1991,P76-84.<\/li>\n<li style=\"text-align: justify;\">Bulgen DY,Binder AL,Hazleman BL,Dutton J,Roberts S.Ann Rheum Dis. 1984 Jun; 43(3): 353-60<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Ankita Mehta, Nilima Bedekar. PASSIVE STRETCHING EXERCISES VERSUS MULLIGAN MOBILIZATION WITH MOVEMENT FOR PAIN, RANGE OF MOTION &amp; FUNCTION IN PATIENTS OF ADHESIVE CAPSULITIS : A COMPARATIVE STUDY. Int J Physiother\u00a0Res 2018;6(3):2784-2790. DOI: 10.16965\/ijpr.2018.145 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 4 (August 2018) Page No.:\u00a02784-2790 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2018.145 PASSIVE STRETCHING EXERCISES VERSUS MULLIGAN MOBILIZATION WITH MOVEMENT FOR PAIN, RANGE OF MOTION &amp; FUNCTION IN PATIENTS OF ADHESIVE CAPSULITIS : A COMPARATIVE STUDY Ankita Mehta *1, Nilima Bedekar 2. Sancheti Institute College Of\u00a0 Physiotherapy, 11\/12 Thube Park, Shivajinagar, Pune \u2013 411005,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2018-145\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-579","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/579"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=579"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/579\/revisions"}],"predecessor-version":[{"id":580,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/579\/revisions\/580"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}