Effectiveness of scapular stretching and strengthening exercises for adhesive capsulitis patients attendant at CRP

Abstract

Purpose: The purpose of the study was to explore the effectiveness of Scapular stretching and strengthening exercises with conventional physiotherapy compare to only 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 Scapular stretching and strengthening exercises 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 and then 7 patients with Adhesive Capsulitis were randomly assigned to Scapular stretching and strengthening exercises with conventional physiotherapy group and 7 patients to the only conventional physiotherapy group for this randomize control trial study. AsThe study was a single blinded study which has been conducted at musculoskeletal department of CRP, savar. Visual Analogue Scale was used to measure pain intensity in different functional position and Goniometer to measure ROM. Unrelated "t" test was used to compare the result in ROM analysis and Pain was analyzed by Calculating mean difference between two groups. Results:In Experimental group, Mean difference of reduction of resting pain was 4.57 which were 2.29 times more than Mean difference in control group. Also there was significant improvement of pain in Abduction, Lateral rotation; medial rotation and pain during lying in affected side, as the mean difference were consecutively 2.28, 2.14, 2.00, and 2.57 times more than control group. The study also found significant Improvement of ROM In case of Abduction (p<.05). A small but not statistically significant improvement has been found in Medial rotation and lateral rotation of Shoulder. Conclusion: This experimental study shows that Scapular stretching and strengthening exercises with conventional physiotherapy is more effective than conventional physiotherapy alone for patients with Adhesive Capsulitis.