Effect Of End Range Mobilization And Mobilization With Movement In Patients With Adhesive Capsulitis

Research Article
Dhruvika Makwana and Nehal Shah
DOI: 
xxx-xxxxx-xxxx
Subject: 
science
KeyWords: 
Adhesive capsulitis, end range mobilization, mobilization with movement, ROM, VAS
Abstract: 

Introduction: Adhesive capsulitis is a condition of uncertain aetiology characterized by significant restriction of both active and passive shoulder motion that occurs in the absence of another known intrinsic shoulder disorder. Maitland’s concepts involve the application of passive and accessory oscillatory movements to spinal and peripheral joints Principle of mulligan’s mobilization with movement is, the limited painful physiological movement is performed actively while the therapist applies a sustained accessory glide at right angle or parallel to a joint. Both the treatment can be valuable additions to existing treatment. Aims & Objectives: So the present study is performed to compare the effectiveness of end range mobilization and mobilization with movement on pain, range of motion and function in patients with adhesive capsulitis. Materials & Methodology: Pilot study was done for the sample size calculation. 33 participants were randomly divided into 3 groups with incidental sampling with random allocation: group A- end range mobilization and group B- mobilization with movement and group C- control. Ethics approval was taken from the Institutional review board of S.B.B. College of physiotherapy. Participants in each group were treated for a period of 1 week, for 6 days a week, once daily. Subjects in all three groups received hot moist pack and other therapeutic exercises. Outcome measures were VAS, SPADI, ROM; they were taken at baseline and after 1 week of treatment. Results: Results showed a significant improvement in all the outcome measures in all the three groups as compared to baseline. In addition, end range mobilization and mobilization with movement was found to be significantly equally effective than compared to control group for pain, ROM and SPADI. So effect size was calculated which shows that the effect size of group A was significantly more than that of group B & C. Conclusion: End range mobilization was found to be more effective than mobilization with movement in improving pain, range of motion and function than other two groups.