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- Title
The Efficacy of Sleeper's Stretch and Movement with mobilization on Pain, Range of Motion & Functional Capacity in Patients with Adhesive Capsulitis.
- Authors
Chidambaram, R.; Muruganandam, P.; Bhandure, Kanchan S.
- Abstract
BACKGROUND: The pathological changes in adhesive capsulitis occurs surrounding the intrinsic structure tightness. Movement with mobilization mostly works on intracapsular & sleeper's stretch mainly acts on capsule. There are some studies which supports that M.W.M. is more effective in patients with adhesive capsulitis. At the same time, some studies have been done which proves sleeper's stretch to be beneficial in 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 and functional disability in populations with adhesive capsulitis. To find the effects of M.W.M. and sleeper's stretch on R.O.M., pain and functional disability in populations with adhesive capsulitis. To compare the effects of M.W.M. and M.W.M. with sleeper's stretch on R.O.M., pain and functional disability in populations with adhesive capsulitis. METHODOLOGY: A Randomized, controlled, single blinded study, 50 patients with 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 patients in 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 given the conventional therapy which includes hot packs, pendular exercises, finger ladder exercises and active range of motion exercises. Post assessment was done. RESULTS: In total, 50 patients were randomized to the study interventions. The flexion R.O.M. in pre and post mean values of Groups 'A' and 'B' are 18.41 and 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. to standard therapy for adhesive capsulitis may offer significant advantages.
- Subjects
TREATMENT of bursitis; STRETCH (Physiology); PAIN; RANGE of motion of joints; PAIN measurement; MEASUREMENT of angles (Geometry); FUNCTIONAL assessment; RANDOMIZED controlled trials; PRE-tests &; post-tests; T-test (Statistics); MANIPULATION therapy; BLIND experiment; ROTATIONAL motion; STATISTICAL sampling; EXERCISE therapy; PATIENT positioning
- Publication
Indian Journal of Physiotherapy & Occupational Therapy, 2020, Vol 14, Issue 4, p149
- ISSN
0973-5674
- Publication type
Article
- DOI
10.37506/ijpot.v14i4.11317