Effectiveness of end range mobilization (ERM) in patients with adhesive capsulitis of shoulder joint

Abstract

Purpose: The purpose of the study was to evaluate the effectiveness of end range mobilization (ERM) with conventional physiotherapy compare to the conventional physiotherapy for adhesive capsulitis of shoulder. Objectives: To compare pain intensity at rest, Abduction, Lateral rotation, Medial rotation, lying in affected side and ROM in Abduction, Lateral rotation, Medial rotation before and after end range mobilization with conventional physiotherapy and conventional physiotherapy alone in patients with adhesive capsulitis. Methodology: Fourteen patients with adhesive capsulitis were randomly selected from outdoor musculo-skeletal unit, CRP. Among them 7 patients with adhesive capsulitis were randomly selected for the end range mobilization with conventional physiotherapy group and 7 patients selected for the conventional physiotherapy group for this randomize control trial. The study was a single blinded study which has been conducted at musculoskeletal department of CRP, savar. Numerical pain rating scale (NPRS) was used to measure pain and Goniometer to measure range of motion (ROM) in different functional position. ROM was analyzed by using Unrelated “t” test and Pain was analyzed by using Mann Whitney „U‟ test. Results: In experimental group, mean difference of reduction of resting pain, Abduction, Lateral rotation, Medial rotation and pain during lying on affected side were 4.57, 4.71, 4.43, 4.57, and 5 which were 2.28, 2.72, 2.44, 2.72, and 2.43 in control group. After analysis the study found that the experimental group showed a significant improvement in case of resting pain (p<.05), pain at Abduction (p<0.05), pain at Lateral rotation (p<0.05), pain at Medial rotation (p<0.05), pain during lying (p<0.05). The study also found significant improvement of ROM in case of Abduction (p<0.05) and Medial rotation (p<0.05). A small but not statistically significant improvement has been found in Lateral rotation of shoulder. Conclusion: This research showed that end range mobilization with conventional physiotherapy was more effective than conventional physiotherapy alone for patients with adhesive capsulitis. Key words: Adhesive Capsulitis, End Range Mobilization, Conventional Physiotherapy