EFFECTS OF SUSTAINED INFERIOR CAPSULAR STRETCHING IN THE TREATMENT OF ADHESIVE CAPSULITIS
Prof. Tushar J. Palekar, Soumik Basu, Divya Gohil* and Gaurang Baxi
ABSTRACT
Inroduction: Adhesive Capsulitis typically is referred to as the
spontaneous onset of gradually progressive shoulder pain and severe
limitation of movement. Features of this pathologic condition include
microscopic evidence of chronic capsular inflammation with fibrosis
and perivascular infiltration. Although several researchers found no
evidence of inflammation, they concurred that fibrosis exists in the
capsule, characterized by adhesions of synovial folds; obliteration of
the joint cavity; and a thickened, contracted capsule that eventually
becomes fixed to the bone. Aim: To compare the effectiveness of
sustained inferior capsular stretching versus passive joint mobilization
in the treatment of Adhesive Capsulitis. Objectives: 1)To compare effectiveness of sustained
inferior capsular stretching versus passive joint mobilization in treatment of Adhesive
Capsulitis 2)To compare the efficacy of sustained inferior capsular stretching and passive
joint mobilization for the improvement in Range Of Motion(ROM) 3)To assess & compare
pain reduction with both techniques. Method: 30 subjects of grade II Adhesive Capsulitis
were randomly allocated to equal groups A and B of 15 each to receive sustained inferior
capsular stretching and passive joint mobilization respectively. The outcome measures used
were goniometer measurements and NPRS on day 1 and day 14 of treatment. Results and
Conclusion: The study concluded that Sustained inferior capsular stretching is more effective
than passive joint mobilization in treatment of Adhesive Capsulitis. In 14 So it can be further
used as an alternative to joint mobilization.
Keywords: Sustained Inferior Capsular Stretching, Adhesive Capsulitis, Passive Joint Mobilization. NPRS, Goniometer.
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