Abstract
Objectives:The objective of the study was to identify the effect of Maitland mobilization with hand-eye coordination and hand function exercises in the prognosis of adhesive capsulitis.Methods:This non-randomized control trial was done with 40 patients with adhesive capsulitis referred to the OPD at UCA College of Physiotherapy, Chennai. The study was performed for 8 months duration from August 2018 to March 2019. After providing a sufficient explanation of the procedure, the patients were divided into Group-A and Group-B. Group-A were allocated to Maitland group (n=20) (MG) and Group-B, were assigned to the Maitland, Hand-eye coordination and Hand Function exercises group (n=20) (MHG), respectively. We measured Quality of life using SF36 to know whether these patients had poor QOL compared to normative. Each patient underwent testing before the experiment to evaluate the range of motion of the shoulder (Abduction and External rotation) measured using a 180º goniometer, Functional Disability assessed using SPADI index. Statistical analysis was applied using SPSS version 20.0. Before the study, data normality was tested. A parametric test was used to compare pre-and post-intervention data in each Group-And also compare the MG vs. MHG. An α < 0.05 is the level of significance in all analyses.Results:A total of 40 subjects accounted for the study results. Their quality of life was significantly lower from the normative values. Both groups were homogenous at baseline with no significant difference between the ROM and SPADI scores. Both groups showed a significant improvement in ER, abduction ROM and SPADI scores, however the between group posttest analysis revealed that the Group-B subjects progressed significantly better.Conclusions:The study concluded that the Maitland mobilization and hand-eye coordination and hand function exercises are an effective tool in improving shoulder abduction, external rotation and shoulder functions.
Highlights
Adhesive capsulitis is one of the most prevalent condition causing shoulder pain and disability in the general population.[1]
This study aimed to identify the effect of Maitland mobilization with hand-eye coordination exercises and Hand function training exercises on various outcomes in adhesive capsulitis
The abduction and external ROM along with the SPADI scale were the primary outcome measures and the SF-36 was taken to know whether the quality of life differed for the study subjects compared to the normal
Summary
Adhesive capsulitis is one of the most prevalent condition causing shoulder pain and disability in the general population.[1]. Pain in and around the shoulder, limited range of motion (at first, external rotation and abduction followed by the entire shoulder), altered kinematics of the shoulder (abnormal scapulohumeral rhythm), wasting or muscle weakness, absenteeism at work, and inability to perform leisure activities are all common clinical symptoms.[4]. Altered shoulder kinematics, including limited external rotation of the humerus, restricted posterior tipping and upward rotation of the scapula during arm elevation, and limited range of shoulder motion with muscle weakness are predominant.[5] The exact pathomechanics of adhesive capsulitis is unclear, but perhaps the most generally recognized hypothesis states that inflammation occurs in the shoulder joint capsule and the synovial fluid[6] This inflammation causes reactive fibrosis and creates adhesion of the synovial lining in the joint, restricting joint motion. There is an inflammation of the capsule that causes pain, the fibrosis of the capsule, and adhesions that lead to decreased range of motion.[7]
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