EFFECT OF MYOFASICAL RALEASE VERUS SPECIFIC INFERIOR CASPULAR STRTCH IN FROZEN SHOULDER PATIENTS
DOI:
https://doi.org/10.61841/8bvpc764Keywords:
Frozen shoulder, Inferior capsular stretch, Diabetes mellitus, Myofascial RaleaseAbstract
BACKGROUND: The shoulder joint is the most mobile joint in the human body. The joint structure around the shoulder is capsule, disk, ligament, bursae, glenoid labrum, and muscle. The most common structure affected in frozen shoulder is the inferior joint capsule because the inferior capsule is thin and deficient for the passage of the long head of the biceps.
Methods: An experimental study was conducted at Krishna College of Physiotherapy, Karad. 46 participants in the age group of 40-70 years of both genders were selected according to the inclusion criteria. Group A (23 participants) was treated with myofascial release along with exercises, while Group B (23 participants) was treated with specific inferior capsular stretch along with exercises. Then the statistical analysis was done between the two groups to find the result.
Results: Out of 46 selected subjects. Statistical analysis was done using paired and unpaired t-tests. The pre- and post-assessment was done among Group A and Group B. . It was observed that there was statistical significance with 0.5. The mean difference among VAS and variables among Group B was more as compared to Group A. Hence, we had proved that Group B was better than Group A.
Conclusion: Thus, from the conducted study, it concludes that specific inferior capsular stretch had significant improvement clinically and statistically compared to myofascial release on SPADI, VAS, and ROM scores, thus facilitating functional outcomes.
Downloads
References
1. BD Chaurasia's Human Anatomy: Vol. 1: Upper Limb Thorax.
2. J.I. Ason, S.G. Sundaram, and V.M. Subramani, Physiotherapy Intervention for Adhesive Capsulitis of Shoulder. A Systemic Review, International Journal of Physiotherapy Research, 3(6), 2015, 1318-1325
3. Boyle Walker K, Gabard L, Bietsch DL, Masek Vanarsdale E, Robinson BL. Profile of patients with adhesive capsulitis. J Hand Ther 1997; 10:222-228.
4. Sheridan MA, Hannafi Upper extremity: emphasis on frozen shoulder. Orthop Clin North
Am. 2006; 37:531-532.
5. Arkkila PE, Kantola IM, Viikari JS, Ronnemaa T. Shoulder capsulitis in type I and II diabetic
patients: association with diabetic complications and related diseases. Ann Rheum Dis. 1996;
55:907-914.
6. Cyriax J: The Shoulder. Br J Hosp Med. 1975: 185-192.
7. Nevasier JS. Adhesive capsulitis of shoulder. J Bone Joint Surgery. 1945;27:211-222.
8. Kelley M, Mcclure P, Leggin B. Frozen shoulder: Evidence and a proposed model guiding
rehabilitation. J Orthop Sports Phys Ther 2009;39:135-148.
9. Vermeulen HM, Rozing PM, Obermann WR, Cessie S, Vlieland T. Comparison of high-grade and
Low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder:
Randomized clinical trial. PhysTher 2006;86:355-368.
10. Morgan WE, Potthoff S. Managing the frozen shoulderself-care manual for those suffering from
frozen shoulder. Walter Reed National Military Medical Center, p. 4.
11. Celik D. Comparisons of the outcomes of two different exercise programs on frozen shoulder. Acta
Orthop Traumatol . 2010;44:285-292
12. Yang J, Chang C, Chen S, Wang S, Jenq J. Mobilization techniques in subjects with frozen shoulder
syndrome: randomized multiple-treatment trial. Physiotherapy 2007;87:1307-15.
13. Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, Ende CH. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: a multiple-subject case report. PhysTher. 2000;80:1204-13.
14. H.S. Arshad, I.H. Shah, and R.H. Nasir, Comparison of Mulligan Mobilization and End Range of Mobilization Following Maitland Techniques in Patients With Frozen Shoulder in Improving the Range of Motion, International Journal of Science and Research, 4(4), 2015, 2761-2767.
15. B. W. Wyke, “Articular neurology—a review,” Physiotherapy, vol. 58, no. 3, pp. 94–99, 1972.
16. W. H. Akeson, D. Amiel, and S. L. Y. Woo, “Immobility effects on synovial joints the pathomechanics of joint contracture,” Biorheology, vol. 17, no. 1-2, pp. 95–110, 1980
17. Neha B1, Arunmozhi R2, Pooja A3. 1Research Scholar, Department of Physiotherapy, Sardar Bhagwan Singh Post Graduate Institute of Biomedical Sciences and Research, Balawala, Dehradun, Uttarakhand, India
18. Harryman D, Lazarus M. stiff shoulder. .in: Rockwood C, Matsen F, , editors. the shoulder Philadelphia: Saunders Company, 1997, pp. 1064-1112
19. Paul A, Rajkumar JS, Peter S,rt LD (2014): Effectiveness of Sustained Stretching of the Inferior Capsule in the Management of a Frozen Shoulder Published online 2014 Mar 25. doi:10.1007/s11999-014-3581-2 PM CID: PMC4048406
Downloads
Published
Issue
Section
License
Copyright (c) 2020 AUTHOR

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.