Effects of Sleeper Stretch and Mobilizations With Movement in Patients With Adhesive Capsulitis
Condition: Adhesive Capsulitis
MeSH terms: Bursitis
Study type: Interventional

Summary: 
      Adhesive capsulitis is a condition characterized by progressive declination range of motion
      at the glenohumeral joint due to tightness of capsule. The joint capsule and its surrounding
      connective tissue becomes stiffed, inflamed and shortened which in return causes decrease in
      range of motion that progress to chronic pain and stiffness. Adhesive capsulitis is a
      self-limiting disorder that resolves within 1-3 years.
    

Detailed description: 
      Idiopathic (primary) adhesive capsulitis occurs spontaneously without a specific
      precipitating event. Primary adhesive capsulitis results from a chronic inflammatory response
      with fibro elastic proliferation, which may actually be an abnormal response from the immune
      system. Secondary adhesive capsulitis occurs after a shoulder injury or surgery or may be
      associated with another condition such as diabetes, rotator cuff injury, cerebrovascular
      accident or cardiovascular disease, which may prolong recovery and limit outcomes The
      prevalence of adhesive capsulitis is estimated at 2% to 5% of the general population. Frozen
      shoulder mainly affects individuals of 40-65 years of age with a female predominance.
      Adhesive Capsulitis follows a capsular pattern where external rotation is greatly restricted
      followed by abduction and internal rotation. Adhesive capsulitis is classically characterized
      by three stages. The length of each stage is variable, but typically the first stage
      (freezing) lasts for 3 to 6 months, the second stage (frozen) from 3 to 18 months and the
      final stage (thawing) from 3 to 6 months Currently various techniques are used, such as the
      application of moist heat, strengthening exercises, stretching and manual exercises for the
      treatment of Adhesive Capsulitis .Manual therapy techniques such as high and low grade
      glenohumeral mobilizations ,Proprioceptive neuromuscular facilitation techniques, Muscle
      energy Techniques, Mobilization with movement, and Sleeper stretch all have been proved
      effective for the treatment of adhesive capsulitis through different researches. Conservative
      treatment includes various exercises method and physical therapy modalities such as a heat
      therapy, transcutaneous electrical nerve stimulation (TENS), Ultrasound (US), Acupuncture and
      (Light Amplification by Stimulated Emission of Radiation) LASER
    

Intervention name(s): mobilization with movement and conventional therapy; sleeper stretch along with conventional therapy
Intervention type(s): Other; Other
Intervention description(s): Mobilization with movement for Flexion, Abduction, Internal rotation, external rotation; it will be performed with the patient in side lying on the affected side to stabilize the scapula against the table and both the shoulder and elbow flexed to 90°.In this position, passive Internal Rotation is applied to the affected shoulder by the therapist or patients opposite hand.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: pain; sleeper stretch; mobilization with movement; range of motion