Effect of Functional Electrical Stimulation with and without Mulligan's Technique in Adhesive Capsulitis FES and Mulligan's Technique in Adhesive Capsulitis
Article Sidebar
Main Article Content
Abstract
Background: Adhesive capsulitis, or frozen shoulder, is characterized by pain and stiffness, significantly impacting daily activities. Functional Electrical Stimulation (FES) and Mulligan's technique are interventions used to improve shoulder mobility and reduce pain.
Objective: To evaluate the effectiveness of FES with and without Mulligan's technique in enhancing shoulder function and reducing pain in patients with adhesive capsulitis.
Methods: A randomized clinical trial was conducted with 28 participants divided into two groups. Group A received conventional physical therapy, including heat therapy, range of motion exercises, strengthening, and manual therapy. Group B received the same therapy combined with FES and Mulligan's technique. Pre- and post-treatment assessments were conducted using the PENN Shoulder Scale and goniometric measurements for flexion, extension, abduction, adduction, and rotation. Data were analyzed using the Wilcoxon signed-rank test and Mann-Whitney U test.
Results: Group B showed a 50% improvement in shoulder flexion (z = -2.946, p = 0.003) and a 60% improvement in shoulder extension (z = -2.980, p = 0.003) compared to Group A.
Conclusion: Combining FES with Mulligan's technique significantly improves shoulder mobility and reduces pain in adhesive capsulitis patients compared to conventional therapy alone.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Leafblad N, Mizels J, Tashjian R, Chalmers P. Adhesive Capsulitis. Physical Medicine and Rehabilitation Clinics. 2023;34(2):453-68.
Neviaser AS, Neviaser RJ. Adhesive Capsulitis of the Shoulder. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2011;19(9):536-42.
Mustafa Z, Zafar MA, Zafar S, Aslam F, Nasir A, Ahmad M, et al. Prevalence of Adhesive Capsulitis in Non-Diabetic Participants Within Age 50-70 Years in Multan. International Journal of Natural Medicine and Health Sciences. 2024;3(2):40-2.
Abudula X, Maimaiti P, Yasheng A, Shu J, Tuerxun A, Abudujilili H, et al. Factors Associated with Frozen Shoulder in Adults: A Retrospective Study. BMC Musculoskeletal Disorders. 2024;25(1):493.
Mertens MG, Meeus M, Girbes EL, Dueñas L, Twickler MT, Verborgt O, et al. Differences in Biomechanical and Metabolic Factors Between Patients with Frozen Shoulder and Asymptomatic Individuals: A Cross-Sectional Study. Musculoskeletal Science and Practice. 2024:102980.
Heo JW, Jo JH, Lee JJ, Kang H, Choi TY, Lee MS, et al. Electroacupuncture for the Treatment of Frozen Shoulder: A Systematic Review and Meta-Analysis. Frontiers in Medicine. 2022;9:928823.
Brindisino F, Girardi G, Crestani M, Fiore A, Giovannico G, Garzonio F, et al. Effectiveness of Electrophysical Agents in Subjects with Frozen Shoulder: A Systematic Review and Meta-Analysis. Disability and Rehabilitation. 2023;1-22.
Talebi GA, Saadat P, Javadian Y, Taghipour M. Comparison of Two Manual Therapy Techniques in Patients with Carpal Tunnel Syndrome: A Randomized Clinical Trial. Caspian Journal of Internal Medicine. 2020;11(2):163.
Plaza-Manzano G, Cancela-Cilleruelo I, Fernández-De-Las-Peñas C, Cleland JA, Arias-Buría JL, Thoomes-de-Graaf M, et al. Effects of Adding a Neurodynamic Mobilization to Motor Control Training in Patients with Lumbar Radiculopathy Due to Disc Herniation: A Randomized Clinical Trial. American Journal of Physical Medicine & Rehabilitation. 2020;99(2):124-32.
Chiradejnant A, Maher CG, Latimer J, Stepkovitch N. Efficacy of “Therapist-Selected” Versus “Randomly Selected” Mobilisation Techniques for the Treatment of Low Back Pain: A Randomised Controlled Trial. Australian Journal of Physiotherapy. 2003;49(4):233-41.
Buchbinder R, Hoving JL, Green S, Hall S, Forbes A, Nash P. Short Course Prednisolone for Adhesive Capsulitis (Frozen Shoulder or Stiff Painful Shoulder): A Randomised, Double Blind, Placebo Controlled Trial. Annals of the Rheumatic Diseases. 2004;63(11):1460-9.
Hargiani FX. A Case Report: Physiotherapy Treatment in Frozen Shoulder Cases to Increase the Scope of Joint Motion and Daily Activity Ability. Indian Journal of Physiotherapy & Occupational Therapy.
Madhumita R, Ramana K, Anitha A, Kamalakannan M. Effect of Mulligan Techniques on Pain Reduction and Improving Functional Activity of Shoulder Among Periarthritis Shoulder Individuals. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.
Nithya N, Prabu SS, Arun B, Abraham MM. Effect of Mulligan’s Mobilization with Movement and Post Isometric Relaxation Technique on Pain, Range of Motion and Functional Outcome in Subjects with Adhesive Capsulitis. Indian Journal of Public Health Research & Development. 2021;12(3):185-91.
Cavalleri E, Servadio A, Berardi A, Tofani M, Galeoto G. The Effectiveness of Physiotherapy in Idiopathic or Primary Frozen Shoulder: A Systematic Review and Meta-Analysis. Muscles, Ligaments and Tendons Journal. 2020;10(1):24-39.
Abd Eltwab MA, Elwishy AAB, Mohamed HH. Effect of Manual Therapy with Task Oriented Training on Hand Function in Stroke Patients: A Randomized Controlled Study.
Di Denpasar I, Than Hreib. Kombinasi Mobilization with Movement dan Hold Relax Exercise Lebih Baik Dibandingkan Kombinasi Mobilization with Movement dan Active Resistance Exercise Dalam Menurunkan Disabilitas Pada Kasus Frozen Shoulder.
Dias D, Neto MG, Sales SdSR, Cavalcante BdS, Torrierri Jr P, Roever L, et al. Effect of Mobilization with Movement on Pain, Disability, and Range of Motion in Patients with Shoulder Pain and Movement Impairment: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2023;12(23):7416.
Storås A, Lillebostad F, Haslerud S, Joensen J, Bjordal JM, Stausholm MB. Efficacy of Mobilisation with Movement in Chronic Shoulder Pain: Protocol for a Systematic Review and Meta-Analysis of Controlled Trials. BMJ Open. 2021;