THE EFFECT OF COMBINED ULTRASOUND AND SHOULDER MANIPULATION THERAPY ON THE DEGREE OF JOINT SCOPE OF MOTION IN FROZEN SHOULDER PATIENTS AT LAVALETTE HOSPITAL MALANG

Frozen shoulder is a condition in which the connective tissue around the shoulder thickens and tightens leading to loss of mobility. This condition causes a person to have difficulty moving his arms because they are stiff. The main characteristics of frozen shoulder are gradual stiffness in the shoulder joint, severe pain especially at night and limitation of motion in both active and passive capsular patterns. The aim was to determine the effect of a combination of ultrasound and shoulder manipulation therapy on the degree of scope of motion of the shoulder joint in Frozen shoulder patients at Lavalette Hospital Malang. This study used quantitative with a quasi-experimental research design one-group pretest-posttest design. The sample of this study was 17 Frozen shoulder patients at Lavalette Hospital Malang. Test statistical analysis with shapiro-wilk to describe normal p values and then test the hypothesis using t-paired tests with normal distributed data. The results showed the effect of a combination of ultrasound and shoulder manipulation therapy on the degree of scope of motion of the joints of Frozen shoulder patients at Lavalette Hospital Malang, the significant value of the normally distributed wilcoxon test p = 0.00<0.05. The results and discussion of this study can be concluded: 1. There is an effect of a combination of ultrasound and shoulder manipulation therapy on the degree of joint scope of motion in Frozen shoulder patients at Lavalette Hospital Malang 2. There are differences in LGS values of pre-intervention shoulders and post-intervention where the mean (maximum-minimum) pre-intervention values in rotational external motion are 56.88 (45-70) and post-intervention 64.00 (48-73), mean (minimum-maximum) values of preintervention abduction motion are 156.00 (145-170) and post-intervention 170.00 (170-158-170), mean values (maximum-minimum) external motion of pre-intervention rotation 60.00 (45-75) and post-intervention 73.00 (63-79).