Efficacy of Scapulo Thoracic Mobilization Exercise Program on Patients With Frozen Shoulder to Improve Functional Activity: An Experimental study

27101101, (2012) Efficacy of Scapulo Thoracic Mobilization Exercise Program on Patients With Frozen Shoulder to Improve Functional Activity: An Experimental study. 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 disease of unknown etiology, which is characterized by pain and decreased active and passive range of motion. The clinical findings, course and prognosis of this disease are well-known. OBJECTIVES: 1. To find out the efficacy of Scapula Thoracic mobilization Exercise Program [STEP] to improve functional activity in frozen shoulder patients. 2. To find out the level of pain intensity using Visual Analogue Scale [VAS]. 3. To find out the level of functional activity using DASH SCALE. 4. To investigate whether a scapula Thoracic mobilization Exercise Program [STEP] supplemented with conservative exercise could improve functional activity compared with conservative treatment alone in frozen shoulder patients. MATERIALS AND METHODOLOGY: MATERIALS USED: Couch, Goniometer, Swiss ball, Non slippery wall, Marine Wheel, Finger Ladder, T- Bar, Over head pulley and rope, Theraband, Orthopaedic evaluation form. METHODOLOGY: PARAMETERS: - Pain was measured by Visual Analogue Sale. - Range of motion measured by standard goniometer. - Functional activity measured by DASH Scale (Disabilities of the Arm, Shoulder and Hand). Study Design: A Pre test and post test experimental design. 30 patients where randomly allocated into two groups. GROUP I (Experimental Group) - 15 patients: Scapulo Thoracic mobilization Exercises Program (STEP), Therapeutic Exercises and Ultrasound therapy. GROUP II (Control group) - 15 Patients: Therapeutic Exercises and Ultrasound therapy alone. STUDY SETTING: This is proposed to be carried out in the department of physiotherapy, Sri Ramakrishna hospital, Coimbatore. STUDY DURATION: This study is proposed to be carried out for a period of 6 month. TREATMENT DURATION: Subjects in each group will receive 6 sessions of treatment, once daily for a period of 8 weeks. One session is: 30 minutes for Group I, 15 minutes for Group II. SAMPLING: Convenient randomized sampling technique. INCLUSION CRITERIA: • ROM in external rotation, abduction and flexion less than 50% in comparison to the other shoulder. • Age group between 40-65 years. • Both sex were taken for study. • Shoulder pain with minimum two months duration with no major shoulder trauma. • Marked loss of active and passive motion. • Unilateral Frozen Shoulder. EXCLUSION CRITERIA: • Medical conditions such as cardiac conditions, infections and coagulation disorders. • Polyarthritis, neurological disease and cervical neuropathy. • Osteo arthritis of shoulder, acromio clavicular joint. • Frozen shoulder secondary to fracture, trauma, rotator cuff tear. • Fracture and dislocation in and around shoulder joint. • Disorders of cervical spine, elbow, wrist and hand. • Bicipital tendinitis, Rotator cuff tendinitis. • Shoulder dislocation. DISCUSSION: In this study 30 patients were assigned for treatment with the combined standard deviation value ‘s’. Here 30 patients were assigned for treatment the results were compared in independent ‘t’ test with the combined standard deviation value ‘s’ obtained from the values of group I and group II. The obtained independent‘t’ value is compared with 28 degrees of freedom of one tailed table value. In it calculated ‘t’ value so the alternate hypothesis was accepted. From statistical analysis the calculated ‘t’ value of Shoulder Flexion (3.16), Extension (3.30), Abduction (3.26), Internal rotation (3.99), External rotation (4.57) and VAS scale (3.43), DASH scale (4.90) is greater than the table tabulated ‘t’ value 2.763 at 28 degrees of freedom at 5% level of significance. So the null hypothesis was rejected and alternate hypothesis is accepted. 30 Patients were assigned for treatment. They grouped in to two and each group contains 15 patients. Group I received scapula thoracic mobilization exercises program, therapeutic exercises and ultrasound therapy. Group II received therapeutic exercises and ultrasound therapy. CONCLUSION: The Aim of this study was to compare the efficacy of treatment used in this group I and II, Scapulo Thoracic mobilization Exercise Program (STEP) with therapeutic exercises, ultrasound (US) and therapeutic exercises with ultrasound therapy in patient with Frozen Shoulder. Efficacy of the study was assessed by reduction of Pain and improvement in Joint range Of Motion (ROM) and Disability Arm, Shoulder, Hand (DASH) functional activity scale. Analysis of the data showed that there was significant improvement in group I who were treated with Scapulo Thoracic mobilization Exercise program (STEP) with therapeutic exercises and Ultrasound therapy than in group II who were treated with therapeutic exercises with Ultrasound therapy. Hence we conclude that there is significant reduction in pain, improvement in joint Range of Motion, and Functional activity in patient treated with Scapulo Thoracic mobilization Exercise program (STEP) and Therapeutic exercises, ultrasound therapy in patient with Frozen Shoulder of the Shoulder Joint. Hence can reject null hypothesis and accept the alternate hypothesis. The alternate hypothesis could be stated as “There is a significant difference in improving functional activity after applying Scapula Thoracic mobilization Exercises Program (STEP) in patient with frozen shoulder”.

Item Type: Thesis (Masters)
Additional Information: Reg.No. 27101101
Uncontrolled Keywords: Scapulo Thoracic Mobilization Exercise Program, Frozen Shoulder, Improve Functional Activity, Experimental study.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Subramani R
Date Deposited: 08 Nov 2020 02:42
Last Modified: 08 Nov 2020 02:42
URI: http://repository-tnmgrmu.ac.in/id/eprint/13177

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