Effectiveness of Kaltenborn Posterior Glide and Coracohumeral Ligament Positional Stretching on External Rotation Range of Motion in Patients with Adhesive Capsulitis

Abstract

Background:Adhesive capsulitis is a common and debilitating medical condition which is treated by varioussurgical and non-surgical treatments but there is no significant method universally. Physical therapists usevarious shoulder mobilization techniques to improve the ROM. Radiographic and surgical evidence presentstightened CHL to be a prime contributor to inadequate shoulder external rotation in individuals diagnosedwith adhesive capsulitis.Objective: To determine the combined effectiveness of Kaltenborn posterior glide and coracohumeralligament (CHL) positional stretching on external rotation in patients with adhesive capsulitis.Methods and Measures:A number of 30 subjects, both Male and Female with a primary diagnosis ofshoulder adhesive capsulitis by the physician were recruited. 15 subjects each were randomly assignedto Group-A(Experimental) and Group-B(control). All subjects received 6 therapy sessions consisting ofmoist heat, shoulder pendular and ROM exercises, Kaltenborn posterior glide and Coracohumeral ligamentpositional stretching in Group-A. Moist heat, shoulder pendular and ROM exercises in Group-B. Pre-testand post-test were carried out for both the groups and analysed using paired and independent t tests in anSPSS software.Results: The experimental group(Group-A) mean VAS score had decreased from 6.27 to 3.73, SPADI meanscore decreased from 0.534 to 0.380 and also Goniometer (Shoulder external ROM) showed an improvementfrom 29.2 to 35.33 but when intergroup analysis was done, it resulted in significance only for SPADI wherep < 0.05. Through this measure, we can state that the treatment protocol for group A had a significantimprovement in disability but not much on pain and ROM in patients with adhesive capsulitis.Conclusion: All the interventions has brought about some improvement in each group post-treatment basedon the mean score but its significance vary. So, this study can be concluded that, the treatment protocol,Kaltenborn posterior glide and CHL positional stretching could bring a significant difference with regard todisabilty but not much of difference in pain and ROM in patients with adhesive capsulitis.