Effect of capsular stretch on frozen shoulder

Balu Manohar; Shenbaga sundaram Subramanian; Sivaraman Arul Pragassame; Sugasri Sureshkumar; Vijayamurugan Eswaramoorthi; Syed Abudaheer Kajamohideen; Mahendran Jayaraman; Shadi Abdelbaset Alkhob; Saad Alfawaz; Riziq Allah Gaowgzeh

doi:10.52756/ijerr.2023.v30.003

Balu Manohar Chettinad School of Physiotherapy, Chettinad Hospital and Research Institute (CHRI), Chettinad Academy of Research and Education (CARE), Kelambakkam, Tamil Nadu 603103, India
Shenbaga sundaram Subramanian Chettinad School of Physiotherapy, Chettinad Hospital and Research Institute (CHRI), Chettinad Academy of Research and Education (CARE), Kelambakkam, Tamil Nadu-603103, India https://orcid.org/0000-0002-6150-0928
Sivaraman Arul Pragassame Department of PMR, RMMCH Annamalai University, Chidambaram, India
Sugasri Sureshkumar Department of Physiotherapy in Neurology, Faculty of Physiotherapy, Meenakshi Academy of Higher Education & Research, Chennai, India
Vijayamurugan Eswaramoorthi Faculty of Health Science, School of Rehabilitation Science, Universiti Sultan Zainal Abidin (UniSZA), Gong Badak Campus, Kuala Nerus 21300, Malaysia
Syed Abudaheer Kajamohideen School of Physiotherapy, Faculty of Allied Health Professions, AIMST University, Malaysia
Mahendran Jayaraman School of Physiotherapy, Faculty of Allied Health Professions, AIMST University, Malaysia
Shadi Abdelbaset Alkhob Department of Physical Therapy, Faculty of Applied Medical Science, Jerash University, Jerash, Jordan
Saad Alfawaz Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
Riziq Allah Gaowgzeh Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia https://orcid.org/0000-0003-4199-2600

DOI: https://doi.org/10.52756/ijerr.2023.v30.003

Keywords: Capsular stretching, Frozen shoulder, Pain, External rotation range of motion, Codman’s Pendular exercises, Numerical pain rating scale

Abstract

Frozen shoulder is a chronic disabling disease of the shoulder. The management of the frozen shoulder are numerous, but the studies show their own limitation. Biomechanically, it was noted that the cause of the frozen shoulder is capsular tightness. However, previous studies are not explained this well. So, this study was designed to identify the effect of capsular stretch on a frozen shoulder. Study was conducted at the OPD of physiotherapy, Chettinad Super Specialist Hospital, Chennai. Two hundred and twenty participants were selected for the study. Screening was conducted for these participants, and eighty were recruited for the study. They were all randomly allocated into two groups, with twenty-five (25) in each. Group I, with 25 subjects,, was given capsular stretching for 15 minutes and moist heat therapy for 10 mins. Group II, with 25 subjects, was given general shoulder exercises for 15 minutes and moist heat therapy for 10 mins. All the subjects were taught with Codman’s pendular exercises as a home programme. Study was conducted for eight (8) weeks. The outcomes selected in this study are pain and range of motion (Abduction & External rotation). This was assessed using a Numerical pain rating scale and Goniometer. Collected data were analyzed using SPSS 24.0. The NPR and ROM variables were examined using the unpaired ‘t’-test with the 0.05%. The result of the study shows that the ‘t’ value for the NPR is 20.25 ± 0.15 with p< 0.05%, the Abduction range of motion is 15.6 ± 2.77, and External rotation is 15.04 ± 1.53. This indicates a marked difference obtained among Group I and Group II, as well as a substantial variation between the pre-intervention and post-intervention values. This study concluded that capsular stretching had significantly improved pain and shoulder range of motion more than shoulder exercises.

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Effect of capsular stretch on frozen shoulder

Abstract

References

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