Effects of passive joint mobilization along with therapeutic exercises in patients with unlilateral adhesive capsulitis of shoulder joint

Introduction: Adhesive capsulitis also referred to as frozen shoulder, involves progressive thickening and shrinkage of the glenohumeral joint capsule. Approximately 2-5% of the world’s population experiences it. Adhesive capsulitis occurs more commonly in women aged 40-60yrs and in sedentary workers than in manual workers. Adhesive capsulitis progresses through the pre-adhesion, acute adhesive, maturation, and chronic stage, and symptoms vary according to the stage. In particular, a prolonged period of limited movement of the affected shoulder can cause weakening of muscle, tendon, ligament contraction. By comparing the effects of exercise and exercise with joint mobilization, implication for efficient intervention in the field of exercise prescription can be presented. Aim: To analyse the effect of passive joint mobilization along with therapeutic exercise in patient with unilateral adhesive capsulitis of shoulder joint. Objective • The purpose of the study is to determine the effectiveness of mobilization technique along with exercise on pain on ROM in patient with Adhesive capsulitis of shoulder joint. • To evaluate the changes in shoulder ROM in patient with AC. • To compare the pain intensity [visual analogue scale]in patient with AC. Design: Quadi-experimental study. Methodology: The comparative study is conducted on 20 patients with Adhesive capsulitis according to inclusion and exclusion criteria. The subacute stage were randomly selected and divided two experimental groups. One group receive therapeutic exercise only and other group receive therapeutic exercise with mobilization alternatively for 4 weeks. The outcome measure depends upon primary and secondary outcome. Outcome Measures • Primary outcomes are shoulder ROM and pain intensity. • Secondary outcome are quality of life and muscle strength. Result and Conclusion: From the statistical analysis done for this study, it could be concluded that, “Passive mobilization with therapeutic exercises is most effective than therapeutic exercises alone in treating patients with unilateral adhesive capsulitis of shoulder.