Original Research Article
Year: 2020 | Month: November | Volume: 10 | Issue: 11 | Pages: 135-144
A Comparative Study on the Effect of Scapular Proprioceptive Neuromuscular Facilitation and Maitland Glenohumeral Mobilization Versus Scapular Mobilization and Maitland Glenohumeral Mobilization in Adhesive Capsulitis
Yashodhara S Joshi1, Shridhar S2, Manju Jayaram3 , Sharath U.R4
1MPT, Kempegowda Institute of Physiotherapy, KIMS & RC, K.R.Road, V.V.Puram, Bangalore- 560004.
2Assistant Professor, Kempegowda Institute of Physiotherapy, KIMS & RC, K.R.Road, V.V.Puram, Bangalore- 560004.
3Associate Professor, Department of Orthopaedics, Kempegowda Institute of Medical Sciences, K.R.Road, V.V.Puram, Bangalore- 560004.
4Assistant Professor, Kempegowda Institute of Physiotherapy, K.R.Road, V.V.Puram, Bangalore- 560004.
Corresponding Author: Yashodhara S Joshi
ABSTRACT
Background and Objective: Adhesive capsulitis is an idiopathic disorder characterized by fibrosis, reduced volume of the glenoid capsule, and progressive pain with loss of range of motion (ROM) in the shoulder joint, which can lead to serious disability. The comparative study was done to determine the effectiveness of scapular Proprioceptive Neuromuscular Facilitation (PNF) and Maitland glenohumeral mobilization versus scapular mobilization and Maitland glenohumeral mobilization in subjects with adhesive capsulitis.
Method: 60 subjects with adhesive capsulitis based on inclusion and exclusion criteria were divided into Group-A and Group-B. Group-A subjects received scapular PNF and Maitland glenohumeral mobilization whereas Group-B subjects received scapular mobilization and Maitland glenohumeral mobilization. The outcome measures used were Visual Analog Scale (VAS), Universal goniometer for ROM, Lateral Scapular Slide Test (LSST), and Shoulder Pain and Disability Index (SPADI) and were measured pre-treatment, and at the 9th session of treatment. The duration of the treatment was for three weeks, thrice a week.
Results: Subjects showed statistically significant differences in the pre and post values of VAS, ROM, LSST, and SPADI in both, Group-A and Group-B (p=<0.05). Post-treatment values of VAS, ROM except for shoulder extension, LSST, and SPADI in Group-A showed more improvement than the post-treatment values of VAS, ROM, LSST, and SPADI in Group-B.
Conclusion: Scapular PNF and Maitland glenohumeral mobilization was more effective in improving pain, flexion, abduction, internal and external rotation ROM, LSST, and SPADI in adhesive capsulitis subjects (p=<0.05).
Key words: adhesive capsulitis, Maitland glenohumeral mobilization, scapular mobilization, scapular PNF, SPADI, LSST.