The Efficacy of Sleeper’s Stretch and Movement with mobilization on Pain, Range of Motion & Functional Capacity in Patients with Adhesive Capsulitis

Abstract

BACKGROUND: The pathological changes in adhesive capsulitis occurs surrounding the intrinsic structuretightness. Movement with mobilization mostly works on intracapsular & sleeper’s stretch mainly acts oncapsule. There are some studies which supports that M.W.M. is more effective in patients with adhesivecapsulitis. At the same time, some studies have been done which proves sleeper’s stretch to be beneficialin capsular tightness. As a result, present study thought to determine the combined effects of M.W.M.&Sleeper’s Stretch on adhesive capsulitis. OBJECTIVES: To find the effects of M.W.M. on R.O.M., pain andfunctional disability in populations with adhesive capsulitis. To find the effects of M.W.M. and sleeper’sstretch on R.O.M., pain and functional disability in populations with adhesive capsulitis. To compare theeffects of M.W.M. and M.W.M. with sleeper’s stretch on R.O.M., pain and functional disability in populationswith adhesive capsulitis. METHODOLOGY: A Randomized, controlled, single blinded study, 50 patientswith adhesive capsulitis were selected based on the inclusion and exclusion criteria. Pre -assessment of pain,R.O.M. and disability index had been taken. The patients are randomly allocated into two groups. 25 patientsin Group ‘A’ with adhesive capsulitis was treated with M.W.M. alone where as another 25 patients in Group‘B’ with adhesive capsulitis was treated with M.W.M. plus, sleeper’s stretch. Both the groups were giventhe conventional therapy which includes hot packs, pendular exercises, finger ladder exercises and activerange of motion exercises. Post assessment was done. RESULTS: In total, 50 patients were randomized tothe study interventions. The flexion R.O.M. in pre and post mean values of Groups ‘A’ and ‘B’ are 18.41and 29.16, P value is 0.04. The internal rotation R.O.M. in pre and post mean values of Groups ‘A’ and ‘B’are 7.72 and 14.44, P value is 0.09. The external rotation R.O.M. in pre and post mean values of Groups ‘A’and ‘B’ are 13.72 and 16.85, P value is 0.39. In SPADI, Pre & Post mean values of Group ‘A’ & Group ‘B’are 16.83 and 24.41 respectively, P value is 0.28. In NPRS, Pre and post mean values of Groups ‘A’ and ‘B’are 2.72 & 2.88 respectively, P value is 0.02. CONCLUSIONS: Adding sleeper’s stretch with M.W.M. tostandard therapy for adhesive capsulitis may offer significant advantages.