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Comparison of Stretch Glides on External Rotation Range of Motion in patients with Primary Adhesive Capsulitis


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1 Shree K K Sheth Physiotherapy College, Rajkot, India
     

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Back ground: Adhesive capsulitis, most commonly referred to as frozen shoulder (FS), is an idiopathic disease with 2 principal characteristics: pain and contracture, affecting the external rotation most. In contrast to traditional mobilization technique andrea et al found posterior glide more effective in improving external rotation ROM and pain.

Objective: To find out the effective stretch glide for external rotation ROM and pain in patients with primary adhesive capsulitis.

Methods: 30 subjects were divided into two groups called Anterior stretch glide (ASG) and Posterior stretch glide (PSG). Each group received ultrasound, same exercise protocol along with their designated glides for 2 weeks. Outcome measures were External Rotation ROM and VAS. Data was analyzed by using the SPSS software. Wilcoxon signed rank and rank sum tests were used to measure the differences in VAS and Paired and unpaired t tests were used for ROM evaluation.

Findings: There was a significant difference in External Rotation ROM and VAS in both the groups after the intervention, even there is a significant difference between the groups.

Conclusion: anterior stretch glide is very effective in reducing pain or unpleasantness intensity and increasing external rotation range of motion at shoulder in patients with primary adhesive capsulitis.


Keywords

Primary Adhesive Capsulitis, Stretch Glides, External Rotation
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  • Zuckerman, J. D., and Cuomo, F.: Frozen shoulder. In The Shoulder: A Balance of Mobility and Stability, pp. 253-267. Edited by F. A. Matsen, III, F. H. Fu, and R. J. Hawkins. Rosemont, Illinois, American Academy of Orthopaedic Surgeons, 1993.
  • Roy, S., and Oldham, R.: Management of painful shoulder. Lancet, 1: 1322-1324, 1976.
  • Ekelund, A. L., and Rydell, N.: Combination treatment for adhesive capsulitis of the shoulder. Clin. Orthop., 282: 105-109, 1992.
  • Neviaser, R. J., and Neviaser, T. J.: The frozen shoulder. Diagnosis and management. Clin. Orthop., 223: 59-64, 1987.
  • Ozaki, J.; Nakagawa, Y.; Sakurai, G.; and Tamai, S.: Recalcitrant chronic adhesive capsulitis of the shoulder. Role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J. Bone and Joint Surg., 71-A: 1511-1515, Dec. 1989.
  • Matsen, F. A., III; Lippitt, S. B.; Sidles, J. A.; and Harryman, D. T., II: Evaluating the shoulder. In Practical Evaluation and Management of the Shoulder, pp. 1-17. Philadelphia, W. B. Saunders, 1994.
  • Novotny JE, Nicholoas CE. Normal kinematics of uncontrained glenohumeral joint under coupled moments loads. J shoulder elbow surg. 1998;629- 39.
  • Wamer et al. Adhesive capsulitis of shoulder. J bone joint surgery AM. 1996; 78:1808-16
  • Jurgel J, Rannama L, et al. Shoulder functions in Subjects with frozen shoulder before and after 4 week rehabilitation. Medicina 2005;41:30-38
  • Curl LA, Warren RF. Glenohumeral joint stability. Selective cutting studies on static capsular restraings
  • Roubal PJ et al. Glenohumeral gliding manipulation following interscalene brachial plexus block in Subjects with adhesive capsulitis.
  • Andrea J, Joseph J et al. The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in Subjects with adhesive capsulitis. JOSPT 2007;37;3.
  • Donatelli RA, Wooden MJ. Orthopaedics physical thera. 2nd edi. :Churchill Liningstone; 1994
  • Harryman DT et al. translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone joint Surg Am. 1990;72:1334-43
  • Hjelm, Draper C et al. anterior inferior capsular length sufficiency in the painful shoulder. J ortho Sport Phys Ther. 1996;23:216-22
  • Price DD, Mc Grath PA et al. the validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17: 45-56
  • Reed B, Ashikaga T. The effects of heating with ultrasound on knee joint displacement. J Ortho Sports ther. 1997;26:131-7
  • Kaltenborn FM. Manual Therapy of the Extremity joints. Oslo, Norway: Olaf Norlis, Bokhandel;1973.
  • Gann N. Ultrasound: current concepts. Clin Manage1991;11:64–9.
  • Obermann et al. Comparison of High-Grade and Low-Grade Mobilization Techniques in the Management of Adhesive Capsulitisof the Shoulder: RandomizedControlled Trial. Phys thera. 2006; 86:355-368.

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  • Comparison of Stretch Glides on External Rotation Range of Motion in patients with Primary Adhesive Capsulitis

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Authors

Paras Joshi
Shree K K Sheth Physiotherapy College, Rajkot, India
Bhavesh Jagad
Shree K K Sheth Physiotherapy College, Rajkot, India

Abstract


Back ground: Adhesive capsulitis, most commonly referred to as frozen shoulder (FS), is an idiopathic disease with 2 principal characteristics: pain and contracture, affecting the external rotation most. In contrast to traditional mobilization technique andrea et al found posterior glide more effective in improving external rotation ROM and pain.

Objective: To find out the effective stretch glide for external rotation ROM and pain in patients with primary adhesive capsulitis.

Methods: 30 subjects were divided into two groups called Anterior stretch glide (ASG) and Posterior stretch glide (PSG). Each group received ultrasound, same exercise protocol along with their designated glides for 2 weeks. Outcome measures were External Rotation ROM and VAS. Data was analyzed by using the SPSS software. Wilcoxon signed rank and rank sum tests were used to measure the differences in VAS and Paired and unpaired t tests were used for ROM evaluation.

Findings: There was a significant difference in External Rotation ROM and VAS in both the groups after the intervention, even there is a significant difference between the groups.

Conclusion: anterior stretch glide is very effective in reducing pain or unpleasantness intensity and increasing external rotation range of motion at shoulder in patients with primary adhesive capsulitis.


Keywords


Primary Adhesive Capsulitis, Stretch Glides, External Rotation

References