Effectiveness of scapular stretching versus high grade Mobilization for the patient with adhesive capsulitis.

Abstract

Purpose: The purpose of the study was to explore the effectiveness of Scapular stretching with conventional physiotherapy versus High grade mobilization with conventional physiotherapy for the patient with Adhesive capsulitis. Objectives: To compare pain intensity at Abduction, Lateral rotation, Medial rotation, Rest, lying in affected side, Different functional position of shoulder and ROM in Flexion, Abduction, Lateral rotation, Medial rotation before and after Scapular stretching with conventional physiotherapy and High grade mobilization with conventional physiotherapy for the Patients with adhesive capsulitis. Methodology: Fourty two patients with adhesive Capsulitis were randomly selected from outdoor musculo-skeletal unit, CRP and then 21 patients with Adhesive Capsulitis were randomly assigned to Scapular stretching with conventional physiotherapy group and 21 patients to the High grade mobilization with conventional physiotherapy group for this randomize control trial study. As The study was a single blinded study which has been conducted at musculoskeletal department of CRP, Savar. Numeric Pain Rating Scale was used to measure pain intensity in different functional position and Goniometer to measure ROM. Wilcoxon test and paired ‘t’ test is done to find out effectiveness in within group and Man Whitney U test and Unpaired ‘t’ test is done to compere the effectiveness in between two groups. Results: In this study in Wilcoxon statistics Scapular stretching found very effective to decrease pain in NPRS in Scapular stretching group and High grade mobilization also found effective to decrease pain in NPRS in High grade mobilization group following the significance level (P=<0.05). But in the Man Whitney U statistics Scapular stretching found more effective (as most of the calculated U value were less than the table U value) iv than High grade mobilization to decrease pain in NPRS following the significance level (P=<0.05). To determination the range of motion (ROM) in Paired ‘t’ statistics Scapular stretching and High grade mobilization found effective to increase ROM in separate groups where the significance level was (P=<0.05). But in comparism between two groups Unpaired ‘t’ statistics found High grade mobilization more effective (as all of the variables are not significant) than Scapular stretching to increase ROM in the shoulder joint following the significance level (P=<0.05). Conclusion: This experimental study shows that each group are separately effective to decrease pain and increase ROM but in comparism Scapular stretching found more effective than High grade mobilization to reduce pain on the other hand High grade mobilization is found more effective than Scapular stretching to increase ROM for the patient with Adhesive Capsulitis. Key words: Adhesive Capsulitis, Scapular stretching, High grade mobilization Conventional physiotherapy.