Effectiveness of End Range Mobilization and Reverse Distraction Technique in Adhesive Capsulitis: A Comparative Study

Background: Adhesive capsulitis is a very common musculoskeletal disorder with spontaneous onset characterized by pain and restricted active and passive range of motion. The common mobilization technique used in treating adhesive capsulitis is end range mobilization and there is only one study which explored individual effect of reverse distraction technique. But no studies have compared these two techniques and its effects in subjects with adhesive capsulitis. Objective: This study aims to evaluate the effectiveness of end range mobilization and reverse distraction techniques in treating adhesive capsulitis (frozen shoulder). Methods: A total of 60 subjects diagnosed with adhesive capsulitis were randomly assigned into two groups: Group A (n=30), receiving end range mobilization with conventional therapy and Group B (n=30), treated with reverse distraction technique with conventional therapy. Pre and post-intervention assessments included passive range of motion in shoulder flexion, abduction, internal rotation and external rotation and The Shoulder Pain and Disability Index score at baseline and end of 4 weeks. Results: Significant improvements were observed in both groups post-intervention. Group B demonstrated higher passive range of motion and gains and improved function in shoulder. Conclusion: Both techniques are effective in managing adhesive capsulitis, but reverse distraction technique may offer better results for improving shoulder mobility and function.