Effects of posterior capsule stretch on adhesive capsulitis.

  • Madiha Maryam CDA Hospital Islamabad.
  • Muhammad Kashif Riphah College of Rehabilitation Sciences, Faisalabad.
  • Abdul Ghafoor Sajjad Riphah College of Rehabilitation Sciences, Islamabad.
  • Razia Rizwan Independent Medical College Faisalabad.
  • Sehrish Ali ISI Special Education School, Hamza Camp Rawalpindi.
  • Rizwan Ahmad Independent Medical College Faisalabad.
Keywords: Adhesive Capsulitis, Analgesia, Frozen Shoulders, Mobilization, Posterior Capsular Stretch

Abstract

To compare the effect of posterior capsular stretch on pain, ROM and functional disability in Adhesive Capsulitis. Study Design: Experimental, Randomized Control Trail. Setting: Department of Physiotherapy, Capital Development Authority Hospital Islamabad. Period: October 2015 to March 2016. Materials and Methods: Forty female patients having aged between 40 to 70 years with freezing and frozen stage of adhesive capsulitis were screened out. Adhesive capsulitis secondary to cervical Spondylosis, osteoporosis, direct trauma and any inflammation were excluded from the study. Subjects were randomly placed into two groups lottery method, the experimental group having 19 subjects received posterior capsular stretch along with conventional manual therapy and electrotherapy  whereas the control group had 21 subjects and they were given manual therapy and electrotherapy alone. The Numeric Pain Rating Scale, Shoulder Pain and Disability Index, and Range of Motion of shoulder joint were used as outcome measures. All the patients were assessed at baseline before intervention and at the completion of 6 weeks of treatment. Data was analyzed using SPSS version 20. Results: Abduction, Internal Rotation and disability show significant result. The abduction mean value of Group A was 115.00±22.023and of the Group B was 81.74±20.653 with p value was P<05. The internal rotation mean value of Group A was 70.71±12.776 and for the Group B was 60.32±8.699 and having p value P<05. The SPADI mean value of Group A was 51.76±22.043 and for the Group B was 24.24±7.287 having p value P<05. The NPRS and external rotation showed non-significant difference. Conclusion: It is concluded that posterior capsular stretch along with mobilization is more effective in treating ROM and functional disability.

Author Biographies

Madiha Maryam, CDA Hospital Islamabad.

DPT, M.Phil.

Physical Therapist

 

Muhammad Kashif, Riphah College of Rehabilitation Sciences, Faisalabad.

DPT, M.Phil, PhD Scholar

Assistant Professor/ PRINCIPLE

 

Abdul Ghafoor Sajjad, Riphah College of Rehabilitation Sciences, Islamabad.

DPT, M.Phil.

Associate Professor/HOD

 

Razia Rizwan, Independent Medical College Faisalabad.

MBBS, M.Phil, Ph.D (Scholar)

Associate Professor

Department of Physiology.

 

Sehrish Ali, ISI Special Education School, Hamza Camp Rawalpindi.

DPT, M.Phil.

Physical Therapist

 

Rizwan Ahmad, Independent Medical College Faisalabad.

MBBS, M.Phil.

Assistant Professor

Department of Biochemistry

 

Published
2019-08-10