The study was conducted to determine the effects of scapular repeated contractions facilitation versus hold-relax techniques on pain, range of motion and functional disability in patients with adhesive capsulitis
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
66
Repeated contraction facilitation on scapula in two diagonal patterns (D1\&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression. Isotonic contraction of muscles against the resistance throughout the active ROM was performed.3 sets of 10 repetitions were performed with 20 seconds of rest interval.
Hold -Relax on scapula in two diagonal patterns (D1\&D2) were performed .D1 consisted of anterior elevation and posterior depression and D2 consisted of posterior elevation and anterior depression in which restricted muscles were contracted isometrically with 5 sec hold followed by relaxation into new range .3 sets of 10 repetitions were performed with 20 seconds of rest interval.
Rasool Medical Complex Gujrat
Dhok Gujra, Punjab Province, Pakistan
Numeric Pain Rating Scale
Patient level of pain was assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" ,1- 3 indicates mild pain ,4-6 indicates moderate pain and 7-10 indicates "worst pain". NPRS have shown high test-retest reliability (r = 0.96 and 0.95, respectively) MCID value of NPRS is 2-3
Time frame: At base line and end of 4 weeks
Shoulder Pain And Disability Index
SPADI was used to assess functional disability. It has 13 items, with 5 items for pain and 8 items for disability
Time frame: from baseline to end of 4 weeks
ROM shoulder flexion
changes from baseline ROM of shoulder flexion was taken
Time frame: 4th week
ROM shoulder abduction
changes from baseline ROM of shoulder was taken
Time frame: 4th week
ROM shoulder external rotation
changes from baseline ROM of shoulder external rotation was taken
Time frame: 4th week
ROM shoulder internal rotation
changes from baseline ROM of shoulder internal rotation was taken
Time frame: 4th week
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Moist heat pack for 15-20 mins Therapeutic Ultrasound at 1MHz for 8-10 mins in continuous mode with the intensity of 1.5W/cm2 Active Assisted Shoulder for abduction, flexion, internal rotation and external rotation with 3 sets of 15 repetitions 4days/week for 4 weeks Wall slides, Finger ladder exercises, Wand exercises and home exercises were performed.3x15 repetitions with 2 min rest interval for 4 sessions per week for four weeks for each exercise Maitland Glenohumeral Joint Mobilization with 2-3 oscillations per second for 30 seconds for 5 sets 4 times a week in caudal and posteroanterior direction was applied for 4 weeks.