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Efficacy of Posterior Glide Joint Mobilization Over Anterior Glide Joint Mobilization for Improving External Range of Motion with Frozen Shoulder
Subject area: Science,Engineering and Technology · Area of research: Physiotherapy
Abstract
Background: Adhesive capsulitis, commonly known as frozen shoulder, is a debilitating condition characterized by pain and stiffness in the shoulder joint. Manual therapy and physical therapy play a pivotal role in managing this condition. Understanding the biomechanics of joint surfaces is essential in applying effective mobilization techniques. targeting specific joint surfaces, we aim to identify the most effective approach for enhancing external rotation ROM and ultimately improving the functional outcomes in individuals suffering from this challenging condition. Aim:To measure the efficacy of the effects of Posterior glide joint mobilization over anterior glide joint mobilization for improving external rotation ROM of patients with idiopathic adhesive capsulitis of the shoulder with a specific ROM deficit Methodology: For this study only twenty patients (four men and 16 women), between the ages of 37 and 66 years met the inclusion/exclusion criteria. Inclusion criteria: 1) Diagnosis insidious onset in one shoulder, Adhesive capsulitis 2) Age between 24-70 years 3) Normal findings on radiographs within the previous 10 months 4) Affected shoulder has no previous surgery 5) No previous manipulations under anaesthesia of the affected Shoulder 6) Glenohumeral external rotation ROM deficits that could primarily be attributed to glenohumeral capsular restrictions Exclusion Criteria: 1) Significant trauma history. 2) Glenohumeral external rotation ROM that could primarily be attributed to muscle flexibility deficits. 3) Stroke and Parkinson?s patient. Result: From the study, Group 1 showed a statistically significant {p < .001) mean improvement of 31.2?, whereas, Group 2 showed a mean improvement of only 3.0? (p = .68) at the end of the six treatment sessions. Conclusions: Posterior glide mobilizations show better result in increasing the external rotation range of motion as compared with anterior glide mobilizations, over the span of six treatment sessions.
Keywords
Mobilization, Anesthesia, Adhesive Capsulitis, Manual Therapy, Anterior, Posterior
References
[1] Roubal PJ, Dobritt D, Placzek JD. Glenohumeral gliding manipulation followinginterscalene brachial plexus block in patients with adhesive capsulitis. J OrthopSports Phys Ther. 1996;2:66-77.
[2] Godges JJ, Mattson-Bell M, Thorpe D, Shah D. The immediate effects of softtissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. J Orthop Sports Phys Ther.2003;33:713-718.
[3] Harryman DT, Sidles JA, Harris SL, Matsen FA. The role of the rotator intervalcapsule in passive motion and stability of the shoulder. J Bone Joint Surg.1992;74A:53-66.
[4] Carette S, Mofifet H, Tardif J, Bessette L, Morin F, Fremont P, Bykerk V, et al Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder. A placebo-controlledtrial. Arthritis A/rc/yw.2003;48:829-838.
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[6] Segmiiller HE, Taylor DE, Hogan CS, Sales AD, Hayes MG. Arthroscopic treatment of adhesive capsulitis. J Shoulder Elbow 1995;4:403-408
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How to cite this paper
@article{1705325,
author = {Bhupendra Bathri, Shadma Siddiqui, Neelu Pawar, Sonam Sahu},
title = {Efficacy of Posterior Glide Joint Mobilization Over Anterior Glide Joint Mobilization for Improving External Range of Motion with Frozen Shoulder},
journal = {Iconic Research And Engineering Journals},
year = {2023},
volume = {7},
number = {6},
pages = {273-278},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1705325.pdf},
abstract = {Background: Adhesive capsulitis, commonly known as frozen shoulder, is a debilitating condition characterized by pain and stiffness in the shoulder joint. Manual therapy and physical therapy play a pivotal role in managing this condition. Understanding the biomechanics of joint surfaces is essential in applying effective mobilization techniques. targeting specific joint surfaces, we aim to identify the most effective approach for enhancing external rotation ROM and ultimately improving the functional outcomes in individuals suffering from this challenging condition.
Aim:To measure the efficacy of the effects of Posterior glide joint mobilization over anterior glide joint mobilization for improving external rotation ROM of patients with idiopathic adhesive capsulitis of the shoulder with a specific ROM deficit
Methodology:
For this study only twenty patients (four men and 16 women), between the ages of 37 and 66 years met the inclusion/exclusion criteria.
Inclusion criteria:
1) Diagnosis insidious onset in one shoulder, Adhesive capsulitis
2) Age between 24-70 years
3) Normal findings on radiographs within the previous 10 months
4) Affected shoulder has no previous surgery
5) No previous manipulations under anaesthesia of the affected Shoulder
6) Glenohumeral external rotation ROM deficits that could primarily be attributed to glenohumeral capsular restrictions
Exclusion Criteria:
1) Significant trauma history.
2) Glenohumeral external rotation ROM that could primarily be attributed to muscle flexibility deficits.
3) Stroke and Parkinson?s patient.
Result: From the study, Group 1 showed a statistically significant {p < .001) mean improvement of 31.2?, whereas, Group 2 showed a mean improvement of only 3.0? (p = .68) at the end of the six treatment sessions.
Conclusions: Posterior glide mobilizations show better result in increasing the external rotation range of motion as compared with anterior glide mobilizations, over the span of six treatment sessions.},
keywords = {Mobilization, Anesthesia, Adhesive Capsulitis, Manual Therapy, Anterior, Posterior},
month = {December},
}