Comparison of Thera-Band, Co-Contraction and Isometric Exercises in Patients with Chronic Frozen Shoulder

Authors

  • Ayesha Zakir Faculty of Rehabilitation and Allied Health Sciences, Riphah International University Islamabad, Lahore Campus
  • Mehwish Ikram Faculty of Rehabilitation and Allied Health Sciences, Riphah International University Islamabad, Lahore Campus
  • Syed Shakil ur Rehman Faculty of Rehabilitation and Allied Health Sciences, Riphah International University Islamabad, Lahore Campus

Keywords:

Thera-band, Co-contraction, Isometrics, Frozen shoulder, Idiopathic, Adhesive capsulitis

Abstract

BACKGROUND AND AIM: Adhesive capsulitis characterizes progressive increasing pain followed by progressive decreasing ranges of motion at shoulder joint. The objective was to find out the comparison between the effects of Thera-band, co-contraction and isometric exercises in chronic frozen shoulder patients in improving pain, range of motion and function.

METHODOLOGY: Randomized clinical trial conducted at DHQ Hospital, Sheikhupura. 36 patients with age ranged 30-70 years, diagnosed with chronic idiopathic frozen shoulder with limited shoulder ranges were randomly allocated to three groups, Group A,B,C performed Thera-band, co-contraction and isometric exercises respectively. Assessment was done at baseline and after 6-week post-treatment at Numeric Pain Rating Scale, Goniometry for all ranges and Shoulder Pain and Disability Index. SPSS version 25 was used to analyze the results.

RESULTS: One-way ANOVA with multiple comparisons showed that at 6th week, pain  was decreased in Group B and C as compared to Group A (p <0.05), however, there was no significant difference between Group B and C. Group A was significantly better in improving ranges as compared to group B and C.

CONCLUSION: The study concluded that co-contraction and isometric exercises were more effective in reducing pain while the Thera-band exercises showed a significant improvement in ranges.

References

Hammad SM, Arsh A, Iqbal M, Khan W, Shah A. Comparing the effectiveness of kaltenborn mobilization with thermotherapy versus kaltenborn mobilization alone in patients with frozen shoulder [adhesive capsulitis]: A randomized control trial. J Pak Med Assoc. 2019;69:1421-4.

GoPinath Y, SeenivaSan SK, Veeraraghavan SNC, Viswanathan R, Govindaraj MK. Effect of Gong's Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis. J Clin Diagn Res 2018;12(9).

Yang S, Park DH, Ahn SH, Kim J, Lee JW, Han JY, Kim DK, Jeon JY, Choi KH, Kim W. Prevalence and risk factors of adhesive capsulitis of the shoulder after breast cancer treatment. Support Care Cancer 2017;25(4):1317-22.

Sukumar Shanmugam D, Mathias L, Manickaraj N, Kumar KD, Kandakurti PK, Shanmugam S, Mathias L, Nagarajan Manickaraj N, Kumar KUD, Kandakurti PK, Dorairaj SK, Ramprasad Muthukrishnan R, Intramuscular Electrical Stimulation Combined with Therapeutic Exercises in Patients with Shoulder Adhesive Capsulitis: A Randomised Controlled Trial. Int J Surg Protoc 2021;25(1):71.

Itoi E, Arce G, Bain GI, Diercks RL, Guttmann D, Imhoff AB, et al. Shoulder stiffness: current concepts and concerns. Arthroscopy: J Arthrosc Relat Surg 2016;32(7):1402-14.

Wong CK, Strang BL, Schram GA, Mercer EA, Kesting RS, Deo KS. A pragmatic regional interdependence approach to primary frozen shoulder: a retrospective case series. J Man Manip Ther 2018;26(2):109-18.

Duzgun I, Eraslan LS, Yildiz TI, Demirci S. Shoulder Rehabilitation. The Shoulder: The Shoulder. Orthopaedic Study Guide Series. Springer, Cham; 2017. p. 215-55.

Mertens MG, Meert L, Struyf F, Schwank A, Meeus M. Exercise therapy is effective for improvement in range of motion, function and pain in patients with frozen shoulder: a systematic review and meta-analysis. Arch Phys Med Rehabil. In press, 2021.

Sawant AR, Shinde S. Effect of Task-Specific Training in Frozen Shoulder.

Cho C-H, Bae K-C, Kim D-H. Treatment strategy for frozen shoulder. Clin Orthop Surg 2019;11(3):249-57.

Anjum R, Aggarwal J, Gautam R, Pathak S, Sharma A. Evaluating the outcome of two different regimes in adhesive capsulitis: a prospective clinical study. Med Princ Pract 2020;29(3):225-30.

Patil S. Chapter-6 Frozen Shoulder: A Physiotherapeutic Evidence Based Practice. Advances in Academic Research and Development. Dehli, India, 2020:75.

Rawat P, Eapen C, Seema KP. Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: A randomized controlled trial. J Hand Ther. 2017;30(3):235-41. e8.

Nakandala N, Nanayakkara S, Wadugodapitiya S, Gawarammana I. The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review. J Back Musculoskelet Rehabil 2020(Preprint):1-11.

Overbeek CL, Kolk A, de Groot JH, de Witte PB, Gademan MG, Nelissen RG, et al. Middle-aged adults cocontract with arm ADductors during arm ABduction, while young adults do not. Adaptations to preserve pain-free function? J Electromyogr Kinesio 2019;49:102351.

Chan HBY, Pua PY, How CH. Physical therapy in the management of frozen shoulder. Singapore Med J 2017;58(12):685.

Brenner H. A Case Report: Adhesive Capsulitis and Physical Therapy Intervention. 2019.

Alarab A, Shameh R, Shaheen H, Ahmad MS. Shock wave therapy and ultrasound therapy plus excercises for frozen shoulder joint clients. Adv Nursing Patient Care Int J 2018;1(2):1-7.

Anthonia EU, Ozoemene EV, Paulinus IC, Anthoninus EO, Eneje EL, Nkemdilim OC, et al. Response Of Frozen Shoulder To Six Weeks Of Short Wave Diathermy And Supervised Active Exercises: A Case Report.

Adamov E, Ilizarov S. Adhesive Capsulitis. Musculoskeletal Sports and Spine Disorders: Springer; 2017. p. 59-64.

Rajalaxmi V, Vasanthi S, Sathya S, Kirupa K, Mary SD, Aravind V, et al. Efficacy of Dynamic VS Closed Kinematic Exercise Combined with Stretching in Adhesive Capsulitis-a double blinded randomized controlled trial. Bangladesh J Med Sci 2021;20(2):368-73.

Harishkumar S, Kiruthika S, Arunachalam R, Kumerasan A. Motion in patients with adhesive capsulitis.Int J Pharma Bio Sci 2017;8(4):214-227.

Comel JC, Nery RM, Garcia EL, da Silva Bueno C, de Oliveira Silveira E, Zarantonello MM, et al. A comparative study on the recruitment of shoulder stabilizing muscles and types of exercises. J Exerc Rehabil 2018;14(2):219.

Kotagiri S, Mathur N, Balakavi G, Songa AK. The Effectiveness of Muscle Energy Technique and Mobilization to Improve the Shoulder Range of Motion in Frozen Shoulder. 2019.

Jung J, Chung Y. Effects of combining both mobilization and hold-relax technique on the function of post-surgical patients with shoulder adhesive capsulitis. Phys Ther Rehabil Sci 2020;9(2):90-7.

Hara K, Matsuse H, Hashida R, Iwanaga S, Bekki M, Hara M, et al. The effect of rotator cuff physical exercise combined with electrically stimulated antagonist on shoulder rotator cuff strength. J Orthop Sci, in press, 2021.

Published

2022-01-14

How to Cite

Zakir, A., Ikram, M., & ur Rehman, S. S. (2022). Comparison of Thera-Band, Co-Contraction and Isometric Exercises in Patients with Chronic Frozen Shoulder. Pakistan Journal of Rehabilitation, 11(1), 145–154. Retrieved from http://ojs.zu.edu.pk/ojs/index.php/pjr/article/view/1383

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.