ISSN: 2161-1149 (Printed)
Rasheed Masih Muhammad khan
Accepted Abstracts: Rheumatology & Orthopedics
Background: Adhesive capsulitis is a condition of uncertain etiology characterized by a progressive loss of both active and passive shoulder motion. Clinical features include pain, a limitation of Range of Motion (ROM) and muscle weakness from disuse. In many physical therapy programs, for patients with adhesive capsulitis of the shoulder, mobilization techniques are an important part of the intervention. This includes techniques given by Maitland done in different joint positions like mid-range and endrange which are effective in improving the mobility and functional ability of the patient when compared to conventional physical therapy. Objectives: The purpose of this study was to compare the effectiveness of mid-range mobilization (MRM) with that of end-range mobilization (ERM) in subjects with adhesive capsulitis of the shoulder. Methodology: 30 subjects were included in the study. They were equally divided into two groups. One group received MRM technique and the other received ERM technique. The duration of treatment was one month (6 days per week) in both groups. Subjects were assesses on the first day and the last day of the treatment session. Primary outcomes include active and passive ROM and shoulder Rating Questionnaire (SRQ). Results: Overall, subjects in both groups improved over one month. Statistically significant change in scores for SRQ,(p<0.001) as well as active abduction ROM, passive abduction, active flexion, passive flexion, active external rotation, passive external rotation, active internal rotation ROM, and passive internal rotation ROM were found in the ERM group. Conclusion: It is indicated that there is a significant difference between MRM technique and ERM technique in improving the mobility and functional ability in subjects with adhesive capsulitis of the shoulder.ERM was more effective than MRM in increasing mobility and functional ability of the shoulder.