Vol. 7 (06) pp. 573-581 DOI: 10.21474/IJAR01/9256

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.
64 Downloads 291 Views
Crossref

Abstract

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.

Keywords

How to Cite This Article

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., International Journal of Advanced Research (IJAR), 7 (06), 573-581, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/9256

Corresponding Author

Dr. Dravya M. Mistry

Article Analytics

References

  1. 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).
  2. Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ 2005; 331:1453-6.
  3. 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.
  4. Kelley M, Mcclure P, Leggin B. Frozen shoulder: Evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 2009;39:135-148.
  5. Brue S et al. Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surg Sports Traumatol Arthrosc. 2007. 15:1048-1054.
  6. Cleland J, Durall CJ. Physical therapy for adhesive capsulitis: Systematic review. Physiotherapy 2002;88:450-457.
  7. 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.
  8. 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.
  9. Martin J. Kelley et al. Shoulder pain and mobility deficits.-adhesive capsulitis. J. orthop sports phys. Ther. 2013; 43(5); A1-A31.
  10. Gaspar PD, Willis FB (2009) Adhesive capsulitis and dynamic splinting: a controlled, cohort study. BMC Musculoskele disord 110: 111.
  11. 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.
  12. Choi SH, Lee BH (2013) clinical useful of shoulder stability exercises for middle aged women. J Physiother Sci 25: 1243-1246.
  13. 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.
  14. 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.
  15. 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.
  16. 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.
  17. Adler SS, Beckers D, Buck M (2008) PNF in practice. Germany: springer.
  18. 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.
  19. Paine RM, Voight M (1993) the role of the scapula. J orthop sports phys ther 18: 386-391.
  20. 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.
  21. 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.
  22. 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).
  23. 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).
  24. 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.
  25. 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.
  26. 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.
  27. 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.
  28. 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.