COLLATION OF SCAPULAR PROPRIOCEPTIVE NEURO-MUSCULAR FACILITATION AND SCAPULAR MOBILIZATION WITH MOVEMENT IN ADHESIVE CAPSULITIS PATIENTS.
- BPT, SBB College of Physiotherapy, VS Hospital Campus, Ahmedabad.
- MPT (ORTHO), PG Guide of Sports Science, Lecturer at SBB College of of Physiotherapy, VS Hospital Campus, Ahmedabad.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Introduction:Adhesive-Capsulitis is a self-limiting condition of unknown etiology characterized by painful and stiff shoulder range of motion(ROM); with scapular dyskinesis. The treatment of Adhesive-Capsulitis aims at reducing pain and improving ROM and shoulder Function. However, treatment of scapular dyskinesis for the management of Adhesive-Capsulitis are limited to this date. Aim Of Study:To compare the effects of Scapular Proprioceptive Neuromuscular Facilitation(PNF) and Scapular Mobilization With Movement(MWM), on Pain, ROM and Simple Shoulder Functional Activities, in patients having Adhesive-Capsulitis. Method:It is a Comparative Study. 20 subjects having Adhesive-Capsulitis Stage- II/ III with scapular dyskinesis of age group of 40-70 years were included and patients with recent history of trauma, neurological conditions, shoulder fracture-dislocation, tumors and/or altered cognition were excluded. Procedure:10 subjects per Groups, A and B were selected and screened for exclusion criteria. Groups received Scapular PNF and Scapular MWM respectively alongwith hotpack, shoulder-ROM exercise, capsular-stretching for period of 1 week. Outcome Measures:Visual Analogue Scale (VAS), Goniometeric ROM, and Simple Shoulder Function Test on first day before the treatment and on seventh day after the treatment. Results:Statistical analysis was done by using Wilcoxon within the groups and Man-Whitney between the groups. There was statistical significant difference(<0.005) in pain, ROM and functional outcome measure in both the groups. There was no statistical significant difference between the groups. Conclusion:Scapular PNF & Scapular MWM are equally effective in reducing Pain, improving ROM and Simple Shoulder Functional Activities, in patients having Adhesive-Capsulitis.
- Prasanna KJ, Rajeshwari R, Sivakuma VPR. Effectiveness of Scapular Proprioceptive Neuromuscular Facilitation(PNF) Techniques in Adhesive Capsulitis of Shoulder Joint.(J Physiotherapy Res. November 13, 2017, Vol.1 No.2:9).
- Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ 2005; 331:1453-6.
- Vermeulen HM, Rozing PM, Obermann WR, Cessie S, Vlieland T. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: Randomized clinical trial. Phys Ther 2006;86:355-368.
- Kelley M, Mcclure P, Leggin B. Frozen shoulder: Evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 2009;39:135-148.
- Brue S et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc. 2007. 15:1048-1054.
- Cleland J, Durall CJ. Physical therapy for adhesive capsulitis: Systematic review. Physiotherapy 2002;88:450-457.
- Bal A, Eskioglu E, Gulec B, Aydog E, Gurcay E, Cakci A. Effectiveness of corticosteroid injection in adhesive capsulitis. Clinical Rehabilitation 2008; 22:503-512.
- Bussieres AE, Peterson C, Taylor JA. Diagnostic imaging guideline for musculoskeletal complaints in adults - an evidence based approach: Part 2 - upper extremity disorders. J Manipulative Physiol Ther 2008;31:2-32.
- Martin J. Kelley et al. Shoulder pain and mobility deficits.-adhesive capsulitis. J. orthop sports phys. Ther. 2013; 43(5); A1-A31.
- Gaspar PD, Willis FB (2009) Adhesive capsulitis and dynamic splinting: a controlled, cohort study. BMC Musculoskele disord 110: 111.
- Taspinar F, Aksoy CC, Taspinar B, Cimbiz A. (2013) Comparison of patients with different pathologies in terms of shoulder protraction and scapular asymmetry. J Physiother sci 25: 1033-1038.
- Choi SH, Lee BH (2013) clinical useful of shoulder stability exercises for middle aged women. J Physiother Sci 25: 1243-1246.
- Etnyre BR, Abraham LD (1986) H-reflex changes during static stretching and two variations of proprioceptive neuromuscular facilitation techniques. Electroencephalogr Clin Neurophysiol 63: 174-179.
- Alaca N, Atalay A, Guven Z (2015) comparison of the long-term effectiveness of progressive neuromuscular facilitation and continuous passive motion therapies after total knee arthroplasty. J Phys Ther Sci 27: 3377-3380.
- Lee JH, Park SJ, Na SS (2013) The effect of proprioceptive neuromuscular facilitation therapy on pain and function. J Phys Ther Sci 25: 713-712.
- Cengiz A (2007) EMG and peak force responses to PNF stretching and the relationship between stretching-induced force deficits and bilateral deficits. J Phys ther Sci 27: 631-634.
- Adler SS, Beckers D, Buck M (2008) PNF in practice. Germany: springer.
- Park SE, Wang JS (2015) effect of joint mobilization using KEOMT and PNF on a patient with CLBP and a lumbar transitional vertebra: a case study. J phys ther Sci 27: 1629-1632.
- Paine RM, Voight M (1993) the role of the scapula. J orthop sports phys ther 18: 386-391.
- Jaruga M, Manikowski W, Romanowski L, Lubiatowski P, Sp? ?awski R. (2003) Pre-and postoperative principles of rehabilitation in arthroscopic treatment of painfull shoulder. Ortopedia, traumatologia, rehabilitacja. Ortop Traumatol Rehabil. 5: 469-474.
- Mehta Bryna Pankaj, et al. Comparative effect of Gong?s mobilization versus Mulligan?s mobilization on pain and shoulder abduction mobility in frozen shoulder, International J. phys. Ther. 2013; 1(5): 227-37.
- Nilay Comuk Balc, Zeliha Ozlem Yuruk, Aslican Zeybek, Mustafa Agah Tekindal: Acute effect of scapular PNF techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. (J Physical Therapy Sci. 2016 April; 28(4): 1219-1227).
- Cristina Lirio Romero, Maria Torres Lacomba, Gema Bodes Pardo.Mobilization with movement for shoulder dysfunction in older adults: a pilot study.( J Chriopractic Medicine. 2015 Dec; 14(4): 249-258).
- Weon-Sik L, Hyung-Soo S, In-Sup K, et al. :?The effects of scapular pattern and hold-relax technique of PNF on the ROM and VAS in frozen shoulder patients.?J Korean Soc Phys Ther, 2002,?14: 15?26.
- Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996;24(2):57-65.
- McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001;10(3):269-77.
- Lipika Boruah, Abhijit Dutta, Pritam Deka, Jeutishree Roy, TO STUDY THE EFFECT OF SCAPULAR MOBILIZATION VERSUS MOBILIZATION WITH MOVEMENT TO REDUCE PAIN AND IMPROVE GLENO-HUMERAL RANGE OF MOTION IN ADHESIVE CAPSULITIS OF SHOULDER: A COMPARATIVE STUDY, International J of Phys, Volume : 2 Issue :5 Month : October (2015) Page No : 811-818.
- Ajit Dabholkar?,?Tejashree Dabholkar?,?Sujata Yardi, Efficacy of Scapular Movement with Mobilization in Patients with Shoulder Impingement, Indian Journal of Physiotherapy & Occupational Therapy-An International Journal; Vol 7, No 3 (2013): 20-24.
[Dravya M. Mistry, Nipa Shah and Devathi Kothari. (2019); COLLATION OF SCAPULAR PROPRIOCEPTIVE NEURO-MUSCULAR FACILITATION AND SCAPULAR MOBILIZATION WITH MOVEMENT IN ADHESIVE CAPSULITIS PATIENTS. Int. J. of Adv. Res. 7 (Jun). 573-581] (ISSN 2320-5407). www.journalijar.com