Efficacy of Maitland Mobilization Along with Strengthening Exercises Compared with PNF Technique in Treatment of Adhesive Capsulitis
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Abstract
BACKGROUND: Adhesive capsulitis commonly known as frozen shoulder, is the disease of shoulder in which the shoulder becomes inflamed, stiff, and have restricted ROM. It is more common in females than in males. The common age of its onset is mid-fifties.
OBJECTIVE: The aim of the study was to compare the effects of Maitland mobilization along with strengthening exercises and PNF technique and to evaluate the more effective protocol for the treatment of adhesive capsulitis.
METHODOLOGY: This study was a randomized clinical trial with a sample size of 32 members, conducted at Al-Rae Trust Hospital Gujranwala. Participants were randomly assigned into Group 1(Maitland mobilization along with strengthening Exercises) and Group 2 (PNF technique). Each group consisted of 16 participants. The duration of each intervention was 3 sessions per week for 1 month. The participants were assessed by SPADI scale, Numeric pain rating scale, and Goniometer at baseline, after the 2nd and 4th week of treatment.
RESULTS: One way ANOVA and Repeated measures ANOVA were applied to infer results with a 95% confidence level, the level of significance of 0.05 was considered statistically significant. The mean age of subjects was recorded as 51.25±4.938. Out of 32 patients, 11 patients (34.48%) were Males, and 21 patients (65.63%) were Females. For Numeric Pain Rating Scale and SPADI, results demonstrate that significant differences is present in between both groups having significant value of p<0.05.
CONCLUSIONS: The study concluded that Maitland mobilization along with strengthening exercises showed more significant results reduction in pain, stiffness, and increased ROM for patients with adhesive capsulitis.
KEYWORDS: Arthritis, Physical conditioning, Adhesive capsulitis, Physical Therapy, Activities of daily living
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References
Tasto JP, Elias DW. Adhesive capsulitis. Sports medicine and arthroscopy review. 2007;15(4):216-21.
Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2011;19(9):536-42.
Chang L-R, Anand P, Varacallo M. Anatomy, shoulder and upper limb, glenohumeral joint. StatPearls [Internet]: StatPearls Publishing; 2023.
Chan HBY, Pua PY, How CH. Physical therapy in the management of frozen shoulder. Singapore medical journal. 2017;58(12):685.
Erickson BJ, Shishani Y, Bishop ME, Romeo AA, Gobezie R. Adhesive capsulitis: demographics and predictive factors for success following steroid injections and surgical intervention. Arthroscopy, Sports Medicine, and Rehabilitation. 2019;1(1):e35-e40.
Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder & elbow. 2017;9(2):75-84.
Bhatikar K, Bhodaji S. Effect of Maitland Mobilization on Radiotherapy Induced Frozen Shoulder: A Case Report. Int J Phys Med Rehabil. 2018;6(458):2.
Al Shehri A, Almureef SS, Khan S, Shamsi S. Efficacy of maitland mobilization in frozen shoulder. Europ J Biomed Pharma Sci. 2018;5(12):22-7.
Do Moon G, Lim JY, Da YK, Kim TH. Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders. Journal of physical therapy science. 2015;27(5):1391-5.
Gautam R, Dhamija JK, Puri A. COM PARISON OF M AITLAND AND M ULLIGAN M OBILIZATION IN IM PROVING NECK PAIN, ROM AND DISABILITY. Int J Physiother Res. 2014;2(3):482-87.
Hindle K, Whitcomb T, Briggs W, Hong J. Proprioceptive neuromuscular facilitation (PNF): Its mechanisms and effects on range of motion and muscular function. Journal of human kinetics. 2012;31(2012):105-13.
Darda PP, Jethwani D, Qureshi MdI, Dadgal R. Combined Effect of Proprioceptive Neuromuscular Facilitation And Electrical Muscle Stimulation In Hemiplegic Stroke Patients To Enhance Upper Extremity Function: A Research Protocol. Indian Journal of Forensic Medicine & Toxicology. 2021;15(2).
Kang T-W, Kim T-Y. A Case report of PNF strategy applied ICF tool on upper extremity function for patient adhesive capsulitis. Journal of the Korean Society of Physical Medicine. 2017;12(4):19-28.
Rao RV, Balthillaya G, Prabhu A, Kamath A. Immediate effects of Maitland mobilization versus Mulligan Mobilization with Movement in Osteoarthritis knee-A Randomized Crossover trial. Journal of bodywork and movement therapies. 2018;22(3):572-9.
Joshi YS, Shridhar S, Jayaram M, Sharath U. A Comparative Study on the Effect of Scapular Proprioceptive Neuromuscular Facilitation and Maitland Glenohumeral Mobilization Versus Scapular Mobilization and Maitland Glenohumeral Mobilization in Adhesive Capsulitis. International Journal of Health Sciences and Research Nov. 2020;10(11):135-43.
Khan MU, Nizami GN, Farhad A. COMPARISON OF EFFECTIVENESS OF MOBILIZATION AND SELF-EXERCISES IN ADHESIVE CAPSULITIS OF SHOULDER. Pakistan Journal of Rehabilitation. 2018;7(1):35-41.
Lin P, Yang M, Huang D, Lin H, Wang J, Zhong C, et al. Effect of proprioceptive neuromuscular facilitation technique on the treatment of frozen shoulder: a pilot randomized controlled trial. BMC musculoskeletal disorders. 2022;23(1):367.
Student P, Mahendran P, Principal M. Combined effects of joint mobilization with proprioceptive neuromuscular facilitation in Subjects with adhesive capsulitis of shoulder. Journal of Chalmeda Anand Rao Institute of Medical Sciences Vol. 2013;6(1):6.
mandaliya DR. 2022 [Available from: https://samarpanphysioclinic.com/exercise-for-frozen-shoulder/.
Sathe S, Khurana SK, Damke U, Agrawal PV. To compare the effects of maitland mobilization with conventional physiotherapy in adhesive capsulitis. International Journal of Current Research and Review. 2020.