Effectiveness of Gong’s mobilization on pain and functional ability in patient with Periarthritis shoulder

Abstract

Periarthritis (PA) shoulder is a self-limiting condition with unknown etiology that is characterized by painful and limited active and passive range of motion (ROM). Mobilization technique have proven effective in reducing pain and improving ROM, thereby increasing functional ability of shoulder. However, there are very few literatures available suggesting the effectiveness of gong’s mobilization in the treatment of PA shoulder, so the present study was done to find out the effectiveness of gong’s mobilization on pain and functional ability in patient with Periarthritis shoulder. Thirty subjects were chosen at random and divided into two groups. Group A (N=15) was treated with gong’s mobilization technique, ultrasound and Codman’s pendulum exercise. Group B (N=15) was treated with ultrasound and Codman’s pendulum exercise. The initial evaluation of pain intensity by NPRS, shoulder ROM by universal goniometry, and functional disability were scored using constant score. The significant improvement in NPRS (t=12.13, p=0.001) and shoulder abduction (t=11.42, p=0.001) and shoulder medial rotation (t=10.98, p=0.001) and shoulder constant score (t=10.44, p=0.001) was observed in patients with Group A. The significant improvement in NPRS (t=11.50, p=0.001) and shoulder abduction (t=16.10, p=0.001) and shoulder medial rotation (t=12.93, p=0.001) and shoulder constant score (t=8.79, p=0.001) was observed in patients with Group B. The study result concludes that in patients with periarthritis shoulder, the Gong’s mobilization technique is effective in decreasing pain, improving ROM (medial rotation and abduction), and functional disability. However, the patients who received the gong’s mobilization technique showed better improvement than the control group.