Mobilization With Movement Techniques of Shoulder Girdle in Patients With Chronic Adhesive Capsulitis
Condition: Adhesive Capsulitis of Shoulder
MeSH terms: Bursitis
Study type: Interventional

Summary: 
      Study will be a Randomized clinical trial to check Effects of mobilization with movement
      techniques of shoulder girdle on pain, range of motion and function in patients with chronic
      adhesive capsulitis so that we can devise a treatment protocol Total Thirty subjects will be
      included in this study .Out of total 15 will be randomly allocated via lottery method in
      group 1 and 15 will be allocated in group 2. Group 1 will receive hot packs for 15 minutes
      for warming up, shoulder girdle mobilization with movement techniques along with other
      shoulder girdle joints mobilizations (sternoclavicular, acromioclavicular, cervicothoracic
      and scapulothoracic joints) and conventional physical therapy treatment while group 2 will
      receive only hot pack for 15 minutes and conventional physical therapy management. All
      patients will be treated for 12 sessions, two sessions per week for 6 weeks. Shoulder pain
      and disability index consist of two parts, part one which assesses pain severity and part two
      which assesses functional disability. Study setting will be suraiya majeed trust hospital.
      Assessment will be done at 0 weeks, 3 weeks, and 6 weeks. Data was analysed by using SPSS
      version 26.
    

Detailed description: 
      The term "adhesive capsulitis describes the condition in which there is a restriction of
      active and passive ranges of the shoulder joint due to the thickening of the synovial
      capsule, pain, and stiffness. Our ability to interact with our surroundings is made possible
      by the shoulder's exceptional range of motion (ROM), which makes it a special anatomical
      structure. This study aims to determine the effects of mobilization with movement techniques
      of shoulder girdle on pain, range of motion, and function in patients with chronic adhesive
      capsulitis. Patients of both genders, idiopathic adhesive capsulitis, age group between 25-55
      years, minimum six weeks chronicity of adhesive capsulitis, and patients with positive
      Apley's scratch test for adhesive capsulitis will be included, Patients having bilateral
      adhesive capsulitis, fractures of the Shoulder girdle, Rheumatoid arthritis/ osteoarthritis,
      severe joint pain unrelieved by rest and any bony or soft tissue systemic disease will be
      excluded In the previous literature there is study gap that provides a comprehensive
      treatment strategy for patients having chronic adhesive capsulitis The aim of this study is
      to apply MWM in patients having chronic adhesive capsulitis. A regional interdependence
      approach to shoulder dysfunction will be used in the treatment plan, taking into account the
      fact that glenohumeral function depends on scapular function, which in turn can also be
      affected by upper kinetic chain segments depending upon the patient's presentation, because
      of the close relation of surrounding joints (sternoclavicular, acromioclavicular, and
      scapulothoracic joints) with glenohumeral joint to gain complete effective shoulder ranges.
      That is why there is a great need for this study and in previous studies primarily acute
      patients were included therefore now it is necessary to draw attention to chronicity in
      adhesive capsulitis patients.

      Mobilization with movement at the glenohumeral joint for improving flexion, abduction
      internal and external rotation. 3 sets of painless glides of 10 repetitions were given, with
      1-minute rest between sets. and progression was added

      Both groups received hot packs for 15 minutes for warming up and conventional physical
      therapy treatment
    

Intervention name(s): mobilization with movement; conventional physical therapy
Intervention type(s): Other; Other
Intervention description(s): MWM at glenohumeral joint and then we will add progression by adding glides at sternoclavicular and acromioclavicular joint.5 sets of painless glides of 10 repetitions will be given, with 3-minute rest between sets.; Hot pack for 15 minutes
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Adhesive Capsulitis; Manual therapy; Mobilization therapy