Acomparism between myofascial release (MFR) technique along with conventional physiotherapy and only conventional physiotherapy on patients with adhesive capsulitis at shoulder

Abstract

Background: Adhesive Capsulitis of shoulder is characterized by an insidious and progressive pain and loss of active and passive mobility in the glenohumeral joint due to capsular contracture and scapula-thoracic muscle tightness. With respect to Physical therapy, a variety of interventions, different type of mobilization techniques and exercise are used to reduce pain, increase range of motion (ROM) and functions in Adhesive. But no published studies talk about the combined effect of Myofascial release technique (MFR) with conventional physiotherapy in Adhesive Capsulitis of shoulder. Aim: The aim of this study was to compare the effectiveness of Myofascial release technique (MFR) along with conventional physiotherapy and only conventional physiotherapy on subjects with adhesive capsulitis of shoulder. Materials and Methods: This study includes 30 subjects randomly distributed into two groups (control group receive conventional physiotherapy and experimental group receive MFR technique along with conventional physiotherapy) including 15subjects in each group. The mean age in the control group was56.33 years and in experimental group was 54.64 years. Both male and female were included in the groups. Subject‟s ROM and pain assessment was made before the execution of treatment. ROM was done with the help of Universal Goniometer and the pain level measurement was done by Numeric Pain Rating Scale (NPRS) and functional disability by Shoulder Pain and Disability Index (SPADI). After completing of all the treatment sessions to both the groups again pain, ix ROM and functions were measured for outcome progression. Each group was treated for 12 sessions of 3 days in a week for 4 weeks. Results: Subjects in the both groups overall improved. Greater changes were found within the groups statistically significant (p<0.05) pre-test and post-test score of pain, function and range of motion (ROM). That was the mean of difference of pain intensity 2.40 (with sd 1.29) and functional disability 29.66 (20.04) in experimental group and pain intensity 2.26 (.79) and functional disability 27.86 (20.02) in control group. In active range of motion of shoulder (AROM) joints flexion 27.66 (with sd 19.35), abduction 38.66 (33.61), medial rotation 21.66 (17.28) and lateral rotation 25.66 (18.11) in experimental and active flexion 18.00 (11.46), abduction 22.66 (16.56), medial rotation 19.00 (13.25) and lateral rotation 18.33 (12.91)in control group. Similarly found passive flexion 25.33 (17.97), abduction 29.00 (26.06), medial rotation 23.66 (17.67) and lateral rotation 25.66 (18.50) in experimental and passive flexion 14.00 (9.29), abduction 20.66 (17.91), medial rotation 14.00 (12.70) and lateral rotation 17.66 (11.62) in control group. Insignificant differences were found for each of the variables between groups comparison. Conclusion: The results of this study suggest that either Myofascial release technique (MFR) along with conventional physiotherapy or only conventional physiotherapy are equally effective interventions for patients with shoulder adhesive capsulitis.