Effect of capsular stretch on frozen shoulder
DOI:
https://doi.org/10.52756/ijerr.2023.v30.003Keywords:
Capsular stretching, Frozen shoulder, Pain, External rotation range of motion, Codman’s Pendular exercises, Numerical pain rating scaleAbstract
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.
References
Brealey, S., Armstrong, A. L., Brooksbank, A., Carr, A. J., Charalambous, C. P., Cooper, C., Corbacho, B., Dias, J., Donnelly, I., Goodchild, L., Hewitt, C., Keding, A., Kottam, L., Lamb, S.E., McDaid, C., Northgraves, M., Richardson, G., Rodgers, S., Shah, S., Sharp, E., Spencer, S., Torgerson, D., Toye, F., & Rangan, A. (2017). United Kingdom Frozen Shoulder Trial (UK FROST), multi-centre, randomised, 12 month, parallel group, superiority study to compare the clinical and cost-effectiveness of Early Structured Physiotherapy versus manipulation under anaesthesia versus arthroscopic capsular release for patients referred to secondary care with a primary frozen shoulder: study protocol for a randomised controlled trial. Trials, 18(1), 614 (pages.1-15). https://doi.org/10.1186/s13063-017-2352-2
Brue, S., Valentin, A., Forssblad, M., Werner, S., Mikkelsen, C., & Cerulli, G. (2007). Idiopathic adhesive capsulitis of the shoulder: a review. Knee Surgery, Sports Traumatology, Arthroscopy, 15(8), 1048-1054. https://doi.org/10.1007/s00167-007-0291-2
Carette, S., Moffet, H., Tardif, J., Bessette, L., Morin, F., Frémont, P., Bykerk, V., Thorne, C., Bell, M., Bensen, W., & Blanchette, C. (2003). Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo‐controlled trial. Arthritis & Rheumatism, 48(3), 829-838. https://doi.org/10.1002/art.10954
Chan, H. B. Y., Pua, P. Y., & How, C. H. (2017). Physical therapy in the management of frozen shoulder. Singapore Medical Journal, 58(12), 685. https://doi.org/10.11622/smedj.2017107
Dundar, U., Toktas, H., Cakir, T., Evcik, D., & Kavuncu, V. (2009). Continuous passive motion provides good pain control in patients with adhesive capsulitis. International Journal of Rehabilitation Research, 32(3), 193-198. https://doi.org/10.1097/MRR.0b013e3283103aac
Gerber, C., Werner, C. M. L., Macy, J. C., Jacob, H. A. C., & Nyffeler, R. W. (2003). Effect of selective capsulorrhaphy on the passive range of motion of the glenohumeral joint. J. Bone Jt. Surg. Am., 85, 48-55. https://doi.org/10.2106/00004623-200301000-00008
Green, S., Buchbinder, R., Hetrick, S. E., & Cochrane Musculoskeletal Group. (1996a). Physiotherapy interventions for shoulder pain. Cochrane database of Systematic Reviews, 2013(3). https://doi.org/10.1002/14651858.CD004258
Green, S., Buchbinder, R., Hetrick, S. E., & Cochrane Musculoskeletal Group. (1996b). Acupuncture for shoulder pain. Cochrane Database of Systematic Reviews, 2010(1).
Griggs, S. M., Ahn, A., & Green, A. (2000). Idiopathic adhesive capsulitis: a prospective functional outcome study of nonoperative treatment. The Journal of Bone & Joint Surgery, 82(10), 1398. https://doi.org/10.2106/00004623-200010000-00005
Hand, C., Clipsham, K., Rees, J. L., & Carr, A. J. (2008). Long-term outcome of frozen shoulder. Journal of Shoulder and Elbow Surgery, 17(2), 231-236. https://doi.org/10.1016/j.jse.2007.05.009
Hsu, J. E., Anakwenze, O. A., Warrender, W. J., & Abboud, J. A. (2011). Current review of adhesive capsulitis. Journal of Shoulder and Elbow Surgery, 20(3), 502-514. https://doi.org/10.1016/j.jse.2010.08.023
Iida, N., Taniguchi, K., Watanabe, K., Miyamoto, H., Taniguchi, T., Teramoto, A., & Katayose, M. (2021). Effective stretching positions for the posterior shoulder capsule as determined by shear wave elastography. Journal of Shoulder and Elbow Surgery, 30(5), 1186-1195. https://doi.org/10.1016/j.jse.2020.08.021
Izumi, T., Aoki, M., Muraki, T., Hidaka, E., & Miyamoto, S. (2008). Stretching positions for the posterior capsule of the glenohumeral joint: strain measurement using cadaver specimens. The American Journal of Sports Medicine, 36(10), 2014-2022. https://doi.org/10.1177/0363546508318196
Jacob, L., Gyasi, R. M., Koyanagi, A., Haro, J. M., Smith, L., & Kostev, K. (2023). Prevalence of and Risk Factors for Adhesive Capsulitis of the Shoulder in Older Adults from Germany. Journal of Clinical Medicine, 12(2), 669. https://doi.org/10.3390/jcm12020669
Jain, T. K., & Sharma, N. K. (2014). The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. Journal of Back and Musculoskeletal Rehabilitation, 27(3), 247-273. https://doi.org/10.3233/BMR-130443
Keramat, K. U., & Babur, M. N. (2020). Pragmatic posterior capsular stretch and its effects on shoulder joint range of motion. BMJ Open Sport & Exercise Medicine, 6(1), e000805. https://doi.org/10.1136/bmjsem-2020-000805
Le, H. V., Lee, S. J., Nazarian, A., & Rodriguez, E. K. (2017). Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder & Elbow, 9(2), 75-84. https://doi.org/10.1177/1758573216676786
Lin, P., Yang, M., & Huang, D. (2022). Effect of proprioceptive neuromuscular facilitation technique on the treatment of frozen shoulder: a pilot randomized controlled trial. BMC Musculoskelet Disord., 23, 367. https://doi.org/10.1186/s12891-022-05327-4
Lukasiewicz, A. C., McClure, P., Michener, L., Pratt, N., & Sennett, B. (1999). Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. Journal of Orthopaedic & Sports Physical Therapy, 29(10), 574-586. https://doi.org/10.2519/jospt.1999.29.10.574
Macías-Hernández, S. I., Morones-Alba, J. D., Miranda-Duarte, A., Coronado-Zarco, R., Soria-Bastida, M. D. L. A., Nava-Bringas, T., Cruz-Medina, E., Olascoaga-Gómez, A., Tallabs-Almazan, L.V., & Palencia, C. (2017). Glenohumeral osteoarthritis: overview, therapy, and rehabilitation. Disability and Rehabilitation, 39(16), 1674-1682. https://doi.org/10.1080/09638288.2016.1207206
Mertens, M. G., Meert, L., Struyf, F., Schwank, A., & Meeus, M. (2022). Exercise therapy is effective for improvement in range of motion, function, and pain in patients with frozen shoulder: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 103(5), 998-1012. https://doi.org/10.1016/j.apmr.2021.07.806
Neviaser, A. S., & Neviaser, R. J. (2011). Adhesive capsulitis of the shoulder. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 19(9), 536-542. https://doi.org/10.5435/00124635-201109000-00004
Noureen, R., Shaikh, H. A., Amir, M., Waheed, N., & Nawaz, S. (2021). Efficacy of Three Directional Capsular Stretching Versus Angular Joint Mobilization in Patients with Frozen Shoulder: A Randomized Controlled Trial. Indian Journal of Physiotherapy & Occupational Therapy, 15(3), 212-217. https://doi.org/10.37506/ijpot.v15i3.16185
Page, P., & Labbe, A. (2010). Adhesive capsulitis: use the evidence to integrate your interventions. North American Journal of Sports Physical Therapy, 5(4).
Paul, A., Rajkumar, J. S., Peter, S., & Lambert, L. (2014). Effectiveness of sustained stretching of the inferior capsule in the management of a frozen shoulder. Clinical Orthopaedics and Related Research®, 472, 2262-2268. https://doi.org/10.1007/s11999-014-3581-2
Phansopkar, P., & Qureshi, M.I. (2022). A Review on Current Notion in Frozen Shoulder: A Mystery Shoulder. Cureus. 14(9), e29362. https://doi.org/10.7759/cureus.29362.
Robinson, C. M., Seah, K. M., Chee, Y. H., Hindle, P., & Murray, I. R. (2012). Frozen shoulder. The Journal of Bone and Joint Surgery, 94(1), 1-9. https://doi.org/10.1302/0301-620X.94B1.27093
Samnani, M. (2004). Passive exercises coupled with therapeutic activities-A comparative study in the management of frozen shoulder. The Indian Journal of Occupational Therapy, 36(2), 37-40.
Satapathy, A., & Mnbsp, S. (2021). A Study to Compare the Effectiveness of Capsular Stretching Versus Scapulothoracic Exercise in Patients with Adhesive Capsulitis of Shoulder. RGUHS Journal of Physiotherapy, 1(2).
Shahjahan, M., Patil, S. (2022). Effect of Gleno-humeralcapsulo-Ligamentous Stretch Maneuvers on Range of motion in Bilateral Frozen Shoulder. Int J Physiother Res., 10(5), 4364-4368. https://doi.org/10.16965/ijpr.2022.156
Uppal, H. S., Evans, J. P., & Smith, C. (2015). Frozen shoulder: a systematic review of therapeutic options. World Journal of Orthopedics, 6(2), 263. https://doi.org/10.5312/wjo.v6.i2.263
van de Laar, S. M., & van der Zwaal, P. (2014). Management of the frozen shoulder. Orthopedic Research and Reviews, 6, 81-90. https://doi.org/10.2147/ORR.S71115
Zuckerman, J. D., & Rokito, A. (2011). Frozen shoulder: a consensus definition. Journal of Shoulder and Elbow Surgery, 20(2), 322-325. https://doi.org/10.1016/j.jse.2010.07.008
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