Academic literature on the topic 'Adhesive-Capsulitis Scapular PNF Scapular MWM'

Introduction:Adhesive-Capsulitis is a self-limiting condition of unknown etiology characterized by painful and stiff shoulder range of motion(ROM); with scapular dyskinesis. The treatment of Adhesive-Capsulitis aims at reducing pain and improving ROM and shoulder Function. However, treatment of scapular dyskinesis for the management of Adhesive-Capsulitis are limited to this date. Aim Of Study:To compare the effects of Scapular Proprioceptive Neuromuscular Facilitation(PNF) and Scapular Mobilization With Movement(MWM), on Pain, ROM and Simple Shoulder Functional Activities, in patients having Adhesive-Capsulitis. Method:It is a Comparative Study. 20 subjects having Adhesive-Capsulitis Stage- II/ III with scapular dyskinesis of age group of 40-70 years were included and patients with recent history of trauma, neurological conditions, shoulder fracture-dislocation, tumors and/or altered cognition were excluded. Procedure:10 subjects per Groups, A and B were selected and screened for exclusion criteria. Groups received Scapular PNF and Scapular MWM respectively alongwith hotpack, shoulder-ROM exercise, capsular-stretching for period of 1 week. Outcome Measures:Visual Analogue Scale (VAS), Goniometeric ROM, and Simple Shoulder Function Test on first day before the treatment and on seventh day after the treatment. Results:Statistical analysis was done by using Wilcoxon within the groups and Man-Whitney between the groups. There was statistical significant difference(<0.005) in pain, ROM and functional outcome measure in both the groups. There was no statistical significant difference between the groups. Conclusion:Scapular PNF & Scapular MWM are equally effective in reducing Pain, improving ROM and Simple Shoulder Functional Activities, in patients having Adhesive-Capsulitis.

Purpose of the Study: The study aims to determine the efficacy of PNF and MWM techniques in scapular dyskinesia associated with adhesive capsulitis. Methodology: Fifty subjects both male and female aged between 40 to 50 years with the diagnosis of Adhesive capsulitis were selected directly from Physiotherapy OPD at Mahatma Gandhi Hospital Jaipur. These individuals were randomly assigned into two groups: Group A [Scapular Proprioceptive Neuromuscular Facilitation group (n=25)] and Group B [movement with mobilization group (n=25)]. Group A received Scapular Proprioceptive Neuromuscular Facilitation Technique and Group B received movement with mobilization of Glen humeral Joint with both groups also applied combination therapy (TENS & UST). The participants underwent 24 sessions. The intervention duration of both groups received 10 repetitions for 3 sets and interval period for 1 min for 3 sessions per week over a period of 8th weeks, 40 minutes per session. Data Collection: The therapy progress was evaluated by outcome measures (pain was measured using VAS scale, Scapular asymmetry was measured using LSST and pain & functional ability was measured using SPADI scale), at 0 day, at the end of 3rd week, 6th week and 8th week. Results and Conclusion: Both groups showed statistically significant improvement in pain and function in scapular dyskinesia associated with adhesive capsulitis. Group B, mulligan mobilization with movement technique with combination therapy was more effective in relieving pain and restoring functional mobility among patients with Scapular Dyskinesia.

Purpose of the Study: Adhesive capsulitis, commonly called frozen shoulder, is frequently treated with manual therapy. This pathology cycles through three stages and usually resolves itself; however, many patients will use traditional treatments to expedite their recovery. The researchers theorize that a variety of manual therapy techniques improve the adverse effects of this condition, greater than that of traditional treatments. This literature review aimed to explore various manual therapy techniques that are beneficial in preventing and minimizing lifelong symptoms associated with adhesive capsulitis and analyze which ones are most effective in treating this pathology. Methods: The mechanisms of orthopedic manual therapy for adhesive capsulitis are vast. This literature review examined the following techniques. The first technique reviewed was Mulligan’s mobilization with movement techniques applied to the GH joint in elevation, internal rotation, and flexion compared with passive stretching. Proprioceptive neuromuscular facilitation (PNF) techniques were reviewed, where specific techniques were picked based on the patient’s dysfunctions and compared to traditional manual therapies. In addition, Maitland’s mobilization techniques were reviewed, and patients were given mobilizations to treat pain or restrictions in the tissue. These were compared to Kaltenborn’s mobilization techniques. Next, Maitland’s mobilization techniques were compared with a myofascial release arm-pull technique. Finally, scapular mobilization was compared to posterior capsular stretching in treating adhesive capsulitis. Discussion: The outcomes of this literature review evaluated various manual therapy techniques for treating adhesive capsulitis, aiming to improve shoulder movement and alleviate pain. Researchers expected manual therapy to outperform traditional treatments like medications and surgery by enhancing ROM and reducing pain. Mulligan’s manual therapy demonstrated significant pain reduction and ROM improvement, particularly in flexion, abduction, and rotation. Combining Mulligan’s technique with other modalities yielded superior outcomes compared to passive stretching. Proprioceptive Neuromuscular Facilitation (PNF) techniques showed better pain reduction, ROM enhancement, and coracohumeral thickness reduction than traditional manual therapy. Maitland and Kaltenborn’s techniques significantly improved shoulder rotation and functional movement, especially with soft tissue mobilization. Scapular mobilization techniques increased joint motions, but ROM improvements varied. Manual therapy techniques like Mulligan’s, PNF, Maitland, and scapular mobilization offer promising results in improving the quality of life for adhesive capsulitis patients by enhancing ROM and reducing pain. As more research is done with this pathology, it was found that Mulligan’s, Maitland’s, PNF’s, and soft tissue mobilizations were effective in increasing ROM and decreasing stiffness in patients with this diagnosis. These are all effective forms of manual therapy, specifically when performed by a skilled clinician, further advocating for education on these techniques. Additionally, understanding the mechanisms, effects, and outcomes of different manual therapies for treating adhesive capsulitis can reduce the risk of life-long symptoms and improve quality of life. Results: Various manual therapy methods, such as Mulligan’s mobilization with movement (MWM), Maitland’s mobilization, and PNF have been used to treat adhesive capsulitis. These manual therapy techniques increased joint range of motion (ROM) and reduced the patients’ perceived pain.

Adhesive capsulitis is frequently recognized as ‘Frozen Shoulder’, which is characterized by primarily painful joint range of motions and later progressively restricted range of motion of the glenohumeral joint. Other common names used for adhesive capsulitis includes ‘Periarthritis and Painful stiff shoulder’ and ‘Shoulder arthrofibrosis’. Objective: To compare the effects of scapular proprioceptive neuromuscular facilitation and Myofascial release techniques on pain and function in scapular dyskinesia associated with adhesive capsulitis. Methods: Quasi Experimental study was conducted on 34 patients of Scapular dyskinesia associated with Adhesive Capsulitis. Subjects were allocated to either to PNF technique group and Myofascial release technique groups. Both were treated for 12 sessions in 6 weeks. NPRS and SPADI scale were used to evaluate the treatment effects at baseline, 2 weeks, 4 weeks and 6 weeks. Results: The mean age of Group A was 43.12± 5.25. The mean age of Group B was 43.0±5.95. There was a significant difference between the mean value of baseline, 2 weeks, 4 week and 6-week NPRS score and baseline, 2-week, 4 week and 6-week SPADI score with P value <0.05 in both study groups. There was more significant mean difference of 6.23 between baseline and week 6 NPRS in Group A but there was less significant mean difference of 4.00 between baseline and week 6 NPRS in Group B. There was more significant mean difference of 70.70 between baseline and week 6 SPADI in Group A but there was less significant mean difference of 46.17 between baseline and week 6 SPADI in Group B. Conclusions: The study concluded that PNF technique and Myofascial release techniques were led to significant difference in NPRS and SPADI score, but PNF technique had shown more significant results than myofascial release technique to improve pain and function in scapular dyskinesia associated with Adhesive capsulitis.