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A comparative study between the efficacy of Maitland mobilization and Muscle energy techniques in stage II shoulder adhesive capsulitis.
... Sengpya Phukon et al. conducted a study and the results of the study, shows that both Maitland mobilization and METS are effective in improving the ROM and decrease in pain in patient with adhesive capsulitis 28 . ...
Abstract: Background: The term “capsulitis” or “frozen shoulder” refers to a common shoulder
condition characterized by the global restriction in the shoulder range of motion in a capsular pattern.
The capsular pattern in the shoulder is characterized by most limitation of passive lateral rotation and
abduction. Aim: To determine the recent research evidences for the effectiveness of mobilization
along with conventional therapy in frozen shoulder patients. Method: This review includes
randomized controlled trails (RCTs). Searching done by Google Scholar, PubMed and Pedro from
2010 to 2019. We used terms like- frozen shoulder, mobilization, manipulation, exercise, shoulder
pain and physiotherapy management. Result: Present outcomes shows that mobilization along with
conventional therapy is effective technique in reducing pain and increasing Range of motion (ROM)
in frozen shoulder patients without adverse effects. The search resulted in 50 articles but only 05
articles were selected for the study based on criteria. Conclusion: Mobilization program with
conventional therapy designed for frozen shoulder treatment can be more effective in increasing
shoulder ROM and reducing pain.
Keywords: Mobilization, Frozen shoulder, Exercise, Shoulder pain, Glenohumeral Joint.
... [13] Sengpya Phukon 2017 conducted a study and the results of the study, shows that both Maitland mobilization and METS are effective in improving the ROM and decrease in pain in patient with adhesive capsulitis. [33] All about study results strongly support our study that Maitland mobilization and Ultrasound along with stretching, strengthening and ROM exercise improve frozen shoulder condition. ...
ABSTRACT
Objectives: Efficacy of Maitland Mobilization in Frozen shoulder. Design: Randomized Control Trial. Methodology: A total of 40 patients were included as per pre defined inclusion and exclusion criteria and randomly assigned into two groups each having 20 patients. Group A was given Maitland mobilization along with Exercises (stretching, strengthening and ROM exercises) while Group B was given Ultrasound therapy along with Exercises (stretching, strengthening and ROM exercises) for thrice a week for four weeks (12 sessions). The patient’s outcome measures were assessed by visual analog scale, Shoulder pain and disability index (SPADI) and Goniometry for Shoulder Range of Motion. Pre and post treatment values were recorded for comparison of results. Results: Results revealed that means and S.D of both groups were clinically significant but statically the Group of patients treated with Maitland mobilization along with Exercises managed pain (pre=5.27±1.5, post=1.72±0.9), SPADI (pre= 80.27±3.45, post= 35.24±7.27) and range of motion(flexion pre=104.4±36.02, post=151.31±15.83, Abduction pre=92±33.96 ,post=161.5±8.45, lateral rotation =22.31±12.88, post=72.06±6.84 and Medial rotation pre=41.56±9.34, post=66.56±9.25, is better than group of patients treated with Ultrasound therapy along with Exercises in terms of pain (pre=5.35±1.6, post=2.30±0.5), SPADI (pre=81.25±3.21,post=9.12±5.53) and range of motion (flexion pre=99.25±47.13, post=118.38±35.61, Abduction pre=84.56±48.16, post=112.63±37, lateral rotation pre=28±18.83 post=40.94±17.15, Medial rotation pre=41.37±13.80, post=50.81±11.61. Conclusion: The result of study suggests that both Maitland Mobilization and Ultrasound improves the symptoms of frozen shoulder. Better improvement was shown by Maitland’s group than Ultrasound group. Based on these results Maitland mobilization with Exercise’s should be the treatment of choice for frozen shoulder rather than Ultrasound with Exercises.
KEYWORDS: Ultrasound, Shoulder Pain, Maitland’s, Exercise.
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