Efficacy of sustained passive stretching along with counter traction on the inferior capsule of the shoulder joint in the management of a frozen shoulder

Priyanka, S (2019) Efficacy of sustained passive stretching along with counter traction on the inferior capsule of the shoulder joint in the management of a frozen shoulder. Masters thesis, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.


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INTRODUCTION: Frozen shoulder [also known as adhesive capsulitis] is a painful and disabling disorder characterized by the development of dense adhesions, capsular thickening, diminished glenoid cavity volume and capsular restrictions, especially in the dependent folds of the capsule. The connective tissue surrounding the glenohumeral joint of the shoulder complex becomes inflamed, stiff and greatly restricting motion causing chronic pain. The pain is usually constant and will become worse at night and cold weather. OBJECTIVE OF THE STUDY: To evaluate the effectiveness of conventional physiotherapy with counter traction on pain, shoulder range of motion and shoulder function in a frozen shoulder. MATERIALS AND METHODOLOGY STUDY DESIGN: The study is an Experimental study. STUDY SETTING: The study was conducted at the Department of Sri Ramakrishna Hospital, under the staff supervision. All patients were considered for the study after informed consent was obtained. STUDY DURATION: The study duration was carried out for 6 months. MATERIALS: Universal goniometry, Ultrasound machine, Ultrasound gel and Cotton, Overhead pulley apparatus, Weight – 2 to 3kg, Cuff and bandage – medium size, Moist Hot pack, Stool. TREATMENT DURATION: Both group received treatment for a period of 2 weeks – 5 days in a week for 20 min of one session/day. SAMPLING TECHNIQUE: Convenience sampling. SAMPLE SIZE: This study will involve 20 subjects (Males & Female). SELECTION CRITERIA: The subjects were eligible if they fulfilled the following criteria. Inclusion Criteria: ➢ Unilateral frozen shoulder. ➢ Shoulder pain at night that often disturbed sleep. ➢ Guarded shoulder movements. ➢ Difficulty in reaching behind the back. ➢ Restriction of shoulder movements – flexion or extension or abduction or adduction or internal rotation or external rotation or all. ➢ Reduced arm swing with walking. ➢ Rounded shoulders. ➢ Stooped posture. ➢ Ability to complete questionnaires. Exclusion Criteria: ➢ Recent joint infection or surgery [less than 6 months]. ➢ History of shoulder sub-luxation, dislocation or ligamentous injury. ➢ Shoulder arthroplasty. ➢ Shoulder impingement syndrome. ➢ Trigger point in the upper trapezius. ➢ Recent trauma. ➢ Recurrent shoulder dislocation ➢ Subacute bursitis ➢ Rotator cuff syndrome ➢ Spondylosis with brachial neuralgia ➢ In & out fracture around scapula & shoulder ➢ Cervical neuralgia ➢ Superior labrum anterior to posterior tear ➢ Shoulder impingement syndrome CONCLUSION: The conclusion of this study was that shoulder counter traction along with conventional physiotherapy [experimental group] were beneficial and have shown significant improvement in increasing range of motion, reduction of pain and have enabled improvement in doing functional activity of shoulder. Participants in the control group also experienced an improvement in functional activity of shoulder, but it was not much significant on comparing it with the experimental group. Thus accepting alternative hypothesis and rejecting null hypothesis. The alternative hypothesis says that “There is a significant difference between the conventional physiotherapy [control group] and counter traction along with the conventional physiotherapy [experimental group] on pain, shoulder range of motion and shoulder function in a frozen shoulder”.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271710002
Uncontrolled Keywords: sustained passive stretching, counter traction, inferior capsule, shoulder joint, frozen shoulder, numerical pain rating scale,oxford shoulder scale, range of motion.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Ravindran C
Date Deposited: 22 Sep 2019 15:40
Last Modified: 23 Sep 2019 05:41
URI: http://repository-tnmgrmu.ac.in/id/eprint/11550

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