Effectiveness Of Continous Superficial Heat Therapy Combined with Low Load Long Duration Scapular Exercise for Adhesive Capsulities in Diabteic Patients
Keywords:
Adhesive Capsulitis, Heat therapy, Diabetes, Exercises, Scapular exercisesAbstract
Frozen shoulder, also known as adhesive capsulitis, is a painful condition that limits shoulder movement. It progresses through four stages: acute, freezing, frozen, and thawing, each characterized by increasing stiffness and discomfort. Primary causes include immobilization, trauma,and post-surgical complications. Secondary factors, such as diabetes, can exacerbate the condition by impairing blood circulation and increasing inflammation, which accelerates stiffness. Physiotherapy is essential for recovery, combining heat therapy to ease pain with targeted exercises to improve mobility. With consistent treatment, especially for individuals with diabetes, significant improvement is achievable.
Method: Eighty-seven participants, aged 40 to 60, were divided into two age groups (40-50 and 50-60), with each group further categorized by gender. After obtaining informed consent, participants underwent a medical history review and goniometric assessment to measure shoulder joint range of motion. The study aimed to ensure ethical, reliable, and accurate results.
Results: In a 12-week treatment period, significant pain reduction was observed among participants, with femalesshowing slightly more improvement than males. Visual Analog Scale (VAS) scores indicated agradual decline inpain, withaplateaubetweenweeks3-6.Range ofmotion improvedsteadily,though some plateaus occurred. Overall, both pain relief and mobility showed improvement across genders, highlighting the treatment's effectiveness and offering insights into gender differences in therapy responses.
Conclusion: The study concluded that scapular strengthening exercises combined with continuous superficial heat therapy were both beneficial and effective for managing frozen shoulder. These interventions alleviated pain and significantly improved range of motion, demonstrating their effectiveness in treating the condition.
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