A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Anil, Mehta Amita
- Restoration of Normal Length of Upper Trapezius and Levator Scapulae in Subjects with Adhesive Capsulitis
Authors
1 Mumbai Cricket Association, Cricket Centre, Wankhede Stadium, 'D' Road, Churchgate, Mumbai, IN
2 P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, IN
3 P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical College and KEM hospital, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 141-147Abstract
Study Design: Prospective clinical trial of subjects with Adhesive CapsulitisObjective: To find the effect of restoration of length of the shortened upper trapezius and levator scapula muscle with muscle energy technique and sustained passive stretching techniques along with Maitland joint mobilization for glenohumeral joint as compared to Maitland joint mobilization alone on range of motion and scapular position at rest in subjects with unilateral adhesive capsulitis.
Background: The glenohumeral hypomobility in adhesive capsulitis causes excessive scapular motion to compensate for the reduced gleno-humeral motion. The resulting tightness of upper trapezius and levator scapula causes an altered scapular position at rest. Restoring normal length of upper trapezius and levator scapulae will help to restore an optimal length-tension relationship and scapular position resulting in better improvement of glenohumeral range of motion.
Methods and measures: 60 male subjects with unilateral adhesive capsulitis were divided into group I and group II of 30 each. Baseline outcome measures assessed were shoulder ROM of flexion, abduction and external rotation and resting position of the scapula using the Lennie test. Group I received Muscle Energy Technique (MET) for upper trapezius and levator scapula along with Maitland joint mobilization for the glenohumeral joint. Group II received Maitland mobilization for the gleno-humeral joint. Outcomes were reassessed at 6 weeks.
Results: The results showed statistically significant improvement ROM in both groups with improvement being more in group I as compared to group II. However scapular position showed statistically significantly improvement only in group I with no improvement in group II.
Conclusion: Adding muscle energy techniques to the treatment of adhesive capsulitis gives better outcomes compared to treating with joint mobilization alone.
Keywords
Adhesive Capsulitis, Muscle Energy Techniques, Upper Trapezius, Levator Scapula, Joint Mobilization
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- Correlation of Neurodynamics Response of Posterior Tibial Nerve (PTN) with Ankle Foot Mechanics in Young Adults
Authors
1 Sports Medicine, Dr. L. H. Hiranandani Hospital, Powai., Mumbai, IN
2 P.T School and Centre, Seth Dhurmal Bajaj Orthopaedic Centre, Seth G.S.Medical college and KEM Hospital, Parel, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 153-159Abstract
125 asymptomatic healthy volunteers between the age of 18 - 25 yrs were assessed for neurodynamic response for right & left posterior tibial nerve. 107 subjects who showed normal neurogenic response were included in the study and hip flexion angle was noted as outcome measure. Outcome measures used for assessing ankle-foot mechanics were dorsiflexion, eversion range of motion, weight bearing, and non-weight bearing angle of calcaneum and degree of flat foot assessed with feiss line. The data obtained was analyzed statistically to find out correlation between neurodynamic response of posterior tibial nerve with above mentioned outcome measures of ankle - foot using Karl-Pearson's correlation test. Neurodynamic response of posterior tibial nerve showed negative correlation with weight bearing angle of calcaneum and no correlation with dorsiflexion, eversion and non-weight bearing angle of calcaneum.Keywords
Neurodynamics, Ankle Foot MechanicsReferences
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