EFFECTIVENESS OF AXIAL RELEASE AND SUSTAINED MOBILIZATION ON SHOULDER ELEVATION IN INDIVIDUALS WITH ADHESIVE CAPSULITIS – A PROSPECTIVE AND COMPARATIVE STUDY

SUNIL G HARSULKAR; KARISHMA KAPUR; SACHIN SHETTI; SURYAVANSHI TEJAS V

doi:10.22159/ajpcr.2023v16i9.48072

Authors

SUNIL G HARSULKAR Department of Musculoskeletal Physiotherapy, School of Physiotherapy, Sangli, Maharashtra, India
KARISHMA KAPUR Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, Aurangabad, Maharashtra, India
SACHIN SHETTI Department of Musculoskeletal Sciences, Dr APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences deemed to be University, Ahmed Nagar, Maharashtra, India
SURYAVANSHI TEJAS V Department of Musculoskeletal Sciences, Dr APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences deemed to be University, Ahmed Nagar, Maharashtra, India

DOI:

https://doi.org/10.22159/ajpcr.2023v16i9.48072

Keywords:

Adhesive Capsulitis, Axial Release, Sustained Mobilization

Abstract

Objective: The aim of the study was to investigate the comparative effectiveness of axial release and sustained mobilization on shoulder elevation in individuals with adhesive capsulitis.

Methods: The present study recruited total 30 participants diagnosed as adhesive capsulitis as per the inclusion and exclusion criteria. They were allocated into Group A and Group B according to convenient sampling. Participants in Group A were treated with conventional physiotherapy, axial release, and sustained mobilization technique and Group B received Maitland mobilization with conventional physiotherapy. The interventions were given for 4 weeks, 3 sessions/week for 30 min. The outcome measures used in the study were numerical pain rating scale, shoulder pain and disability index, and universal goniometer which was assessed before the intervention immediately after the first session and at 2nd week and on completion of 4th week.

Results: When the data statically analyzed intragroup group comparisons found to be significantly reduced in terms of pain and shoulder pain and disability index and improvement in Shoulder range of motion (p<0.05). Intergroup comparisons also showed significant difference in both the groups, but the results were more significant in Group A (p<0.05).

Conclusion: Both interventions in the form of articular and soft-tissue mobilization should be incorporated in the management of adhesive capsulitis.

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References

Sinha U, Sarkar B, Kumar P. Effectiveness of scapular mobilization versus myofascial release of subscapularis on pain, ROM and function in subjects with chronic frozen shoulder: A comparative study. Int J Health Sci Res 2019;9:149-56.

Shah N, Lewis M. Shoulder adhesive capsulitis: Systematic review of randomised trials using multiple corticosteroid injections. Br J Gen Pract 2007;57:662-7. PMID 17688763

Kelley MJ, Mcclure PW, Leggin BG. Frozen Shoulder: Evidence and a proposed model guiding rehabilitation. J Orthop Sports Phys Ther 2009;39:135-48. doi: 10.2519/jospt.2009.2916, PMID 19194024

Swami T, Singh LN, Shibu B, Kanti RK, Singh AJ, Chabungbam M, et al. Prevalence of adhesive capsulitis of shoulder in Manipur population: A hospital based study. Int J Sci Res 2018;7:69-71.

Balci N, Balci MK, Tüzüner S. Shoulder adhesive capsulitis and shoulder range of motion in Type II diabetes mellitus: Association with diabetic complications. J Diabetes Complications 1999;13:135-40. doi: 10.1016/s1056-8727(99)00037-9, PMID 10509873

Levangie P, Norkin CC. Joint Structure and Function. 4th ed. Philadelphia, PA: F A Davis Company; 2006.

Ovesen J, Nielsen S. Stability of the shoulder joint. Cadaver study of stabilizing structures. Acta Orthop Scand 1985;56:149-51. doi: 10.3109/17453678508994342, PMID 4013704

Vermeulen HM, Rozing PM, Obermann WR, Le Cessie S, Vlieland TP. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: Randomized controlled trial. Phys Ther 2006;86:355-68. doi: 10.1093/ptj/86.3.355, PMID 16506872

Biradi MK, Lal RK, Sanjay P, Ahmed Z. Effects of anterior versus posterior end range mobilizations on shoulder rotations range of motion in adhesive capsulitis stage II. Indian J Physiother Occup Therapy 2020;14:91-6.

Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: A systematic review. Arch Phys Med Rehabil 2016;97:815-25. doi: 10.1016/j.apmr.2015.07.025, PMID 26284892

Riley SP, Tafuto V, Cote M, Brismée JM, Wright A, Cook C. Reliability and relationship of the fear-avoidance beliefs questionnaire with the shoulder pain and disability index and numeric pain rating scale in patients with shoulder pain. Physiother Theor Pract 2019;35:464-70. doi: 10.1080/09593985.2018.1453004, PMID 29558227

Sudarshan KC, Sharma S, Ginn KA, Reed D. Measurement properties of translated versions of shoulder pain and disability index: Asystematic review. Clin Rehabil 2021;35:410-22.

Pérez-de la Cruz S, de León ÓA, Mallada NP, Rodríguez AV. Validity and intra-examiner reliability of the Hawk goniometer versus the universal goniometer for the measurement of range of motion of the glenohumeral joint. Med Eng Phys 2021;89:7-11. doi: 10.1016/j. medengphy.2021.01.005, PMID 33608127

Hengeveld JB. Maitland’s Peripheral Manipulation. 4th ed. Netherlands: Elsevier; 2005.

Yang JL, Chang CW, Chen SY, Wang SF, Lin JJ. Mobilization techniques in subjects with frozen shoulder syndrome: Randomized multiple-treatment trial. Phys Ther 2007;87:1307-15. doi: 10.2522/ ptj.20060295, PMID 17684085

Yang JL, Jan MH, Chang CW, Lin JJ. Effectiveness of the end-range mobilization and scapular mobilization approach in a subgroup of subjects with frozen shoulder syndrome: A randomized control trial. Man Ther 2012;17:47-52. doi: 10.1016/j.math.2011.08.006, PMID 21944980

Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, van Den Ende CH. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: A multiple-subject case report. Phys Ther 2000;80:1204-13. doi: 10.1093/ptj/80.12.1204, PMID 11087307