Abstract

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.