Integrated Interventions for Adhesive Capsulitis: A Randomized Pilot Study on Thoracic Spine, Shoulder Manipulation, Glenohumeral Mobilization, PNF Technique with Thermotherapy and Home Program
Keywords:
Adhesive Capsulitis, Functional Range of Motion, Glenohumeral Joint mobilization, HVLA thrust, Proprioceptive Neuromuscular Facilitation, Shoulder manipulation, Thoracic manipulation, ThermotherapyAbstract
A common shoulder ailment called adhesive capsulitis (AC) causes a gradual decrease in shoulder joint mobility, which in turn causes functional limits. Many medical professionals suggest that manipulative procedures like High-Velocity Low Amplitude (HVLA) thrusts are effective for treating a range of musculoskeletal disorders. Research on the efficacy of these techniques in conjunction with conventional physiotherapy for the treatment of AC is, however, lacking. Therefore, research on how these treatment tools affect AC patients is necessary to reduce pain and rehabilitate them to their highest level of independence and functional ability. The main objective of the study is to find out if, in the management of AC, integrated interventions reduce VAS, SPADI score, recovery time, and achieve functional range of motion more quickly than traditional physiotherapy. Ten patients each from the experimental and control groups comprised the twenty AC patients. Thoracic spinal and shoulder manipulation was administered to patients in the experimental group once a week for four weeks. Additionally, patients received scapular mobilization, Glenohumeral End Range Mobilization, Contact Relax Proprioceptive Neuromuscular Facilitation Technique, and Thermotherapy (moist heat) five times a week for four weeks (20 sessions). The patients also underwent a home exercise program consisting of Codman pendular exercises, self-stretching exercises, active range of motion exercises, and strengthening exercises (that began after the second week), twice a day for five days a week for four weeks. The traditional therapy was administered to the Control Group without the manipulations. The information was recorded and statistically examined. The data analysis revealed that while both treatment protocols were effective, the experimental group exhibited greater relief from the condition compared to the control group by the fourth week. This suggests that the administered protocol can lead to faster or earlier results in managing adhesive capsulitis. Consequently, it can be inferred that the experimental group protocol represents a superior combination of treatment tools for this condition
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