COMPARISON OF EFFECTIVENESS OF MOBILIZATION AND SELF-EXERCISES IN ADHESIVE CAPSULITIS OF SHOULDER

Abstract

OBJECTIVE
To compare the effectiveness of mobilization and self-exercises in
the management of adhesive capsulitis of shoulder
STUDY DESIGN
Randomized Control Trial
SAMPLE SELECTION
30 patients of adhesive capsulitis of shoulder from physiotherapy
department of tertiary care hospitals of Karachi were selected
through simple random sampling technique.
PROCEDURE
Treatment was continued for 5 days per week for the period of 3
weeks followed by assessment. Patients were randomly divided into
two equal groups. Group A was treated with midrange mobilization
while group B performed self-exercises. Both groups received TENS
and hot pack prior to the exercises. Mean ± SD, frequencies and
percentages were used for descriptive analysis. ROM via goniometry
and pain intensity through VAS was analyzed by paired t-test
within the groups and by independent t-test between the groups,
using SPSS. P-value of less than 0.05 was considered significant.
RESULTS
60% were females (n=18) and 40% were males (n=12) with mean
age of 50.17±6.37 years. Significant improvement (p-value <0.05) in
pain and shoulder ROM was observed among patients of Group A
as compared to Group B. Pain intensity was decreased to 1.67 ± 0.62
in group A, whereas ROMs in these patients were also better than
other group.
CONCLUSION
Joint mobilization is more effective than self-exercises in reducing
pain and increasing ROM of patients of adhesive capsulitis of shoulder.