Abstract
Objective: To determine the effects of Mobilization with movement and Sleeper stretch on Shoulder pain, Disability, Shoulder range of motion and Scapulohumeral rhythm.
Study design: It is a randomized control trial study.
Place and duration of study: A Six-month study was carried out in The Physiotherapy Clinic, Saidpur Road, Rawalpindi.
Material and Methods: 44 patients who had stage 1 and 2 Adhesive capsulitis with idiopathic onset of symptoms were randomly allocated through sealed enveloped method in Group A (Sleeper stretch) and B (mobilization with movement) i.e. 22 patients in each group. The frequency of treatment was 3 sessions per week for a total of 4 weeks. Tools used in the study were Numeric pain rating scale (NPRS), Shoulder pain and disability index (SPADI), Goniometer and Inclinometer.
Results: Between group Analysis showed significant difference in effects of MWM and Sleeper stretch in decreasing pain, improving shoulder disability, shoulder ranges of motion i.e. (adduction, abduction, extension and external rotation) with p value <0.001. Within group Analysis showed that shoulder pain, shoulder disability and some shoulder ranges were significantly improved by MWM, whereas shoulder flexion and internal rotation were improved more in sleeper stretch group. Scapulohumeral rhythm showed no significant improvement with p value > 0.05 in both groups.
Conclusion: The results conclude that Mobilization with movement is productive in improving pain, disability and shoulder ranges except shoulder flexion and internal rotation which improved more in Sleeper stretch. Whereas both interventions had no significant effects on Scapulohumeral rhythm
Keywords: Adhesive capsulitis, NPRS, SPADI, Scapulohumeral rhythm, Sleeper stretch, mobilization with movement.
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