Comparing the efficacy of movement with mobilization in respect to graded mobilization in adhesive capsulitis of shoulder

Abstract

Adhesive Capsulitis is a clinical syndrome with painful restriction of both active and passive movements. The conSSdition is aggravated by systemic problems like diabetes mellitus, cardiovascular disease and reflex sympathetic dystrophy. Prolonged activity causes small scapular and biceps muscles to waste faster, load on joint increases and degenerative changes sets in. capsule is fibrosed and shoulder movements are decreased. If the movements are continued, then the fibrosis gradually breaks, movement returns but never come back to normal. Thus, we hypothesize that there will be no significant difference between movement with mobilization and graded mobilization on functional performance in adhesive capsulitis. Total 60 subjects were taken for this study as per inclusion & exclusion criteria. Each group consists of 30 subjects. Treatment in both the groups was given for 15 days continuously. Group A received Movement with mobilization technique whereas Group B received graded mobilizations. The outcome measures used were VAS scale for measuring pain, ROM of the shoulder joint movements using goniometer, power of the muscle assessed through MMT, quality of sleep assessed through Pittsburgh sleep quality Index and Shoulder pain and disability index (SPADI). T