The Effects of Anterior Versus Inferior Glide in Improving Functional Activity of the Shoulder in Patients with Adhesive Capsulitis

Preeti, H (2019) The Effects of Anterior Versus Inferior Glide in Improving Functional Activity of the Shoulder in Patients with Adhesive Capsulitis. Masters thesis, PPG College of Physiotherapy, Coimbatore.

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Abstract

BACKGROUND: Adhesive Capsulitis is a term used to describe an insidious onset of pain and movement restriction in the glenohumeral joint. The shoulder is a complex anatomical structure that allows movement in many planes and crucial for activities of daily living. Decreased shoulder mobility is a serious clinical finding. The various syonymous for Adhesive Capsulitis are Adhesive capsulitis, pericapsulitis, scapula-humeral periarthritis, and humeroscapular fibrocitis, and periarthritis, stiff and painful shoulder. The term Adhesive Capsulitis was coined by Codmann in 1934. Nevaiser in 1945 coined the term adhesive capsulitis. Duplay in 1872 was first credited with describing the painful stiff shoulder referring to the condition as humero-scapular periarthritis secondary to sub acromial bursitis. AIM OF THE STUDY: The aim of the study is to find out the effects of anterior versus inferior glide in improving functional activity of the shoulder in patients with Adhesive Capsulitis. OBJECTIVES: 1. To study the effectiveness of anterior glide in improving external rotation range of motion in Adhesive Capsulitis. 2. To study the effectiveness of inferior glide in improving external rotation range of motion in Adhesive Capsulitis. 3. To compare the effectiveness of anterior glide and inferior glide in improving external rotation range of motion in Adhesive Capsulitis population. MATERIALS AND METHODLOGY: STUDY DESIGN: Experimental study design. STUDY POPULATION: Patients with Adhesive Capsulitis. SAMPLE SIZES: Sample size is 30 subjects: Group A-15 patients, Group B-15 patients. SAMPLING TECHNIQUE: Selected subjects were randomly allocated in to two groups by using lot method. STUDY SETTINGS: Ashwin Hospital, Coimbatore. STUDY DURATION: The study duration was about 6 Months. SELECTION CRITERIA: INCLUSION CRITERIA: 1. Diagnosed primary idiopathic adhesive capsulitis/frozen shoulder. 2. Age: 40-60 years. 3. Patients having painful stiff shoulder at least for 3 months. 4. Unilateral condition. 5. Both male and female patients, Both left and right handed peoples. EXCLUSION CRITERIA: 1. Previous shoulder surgeries to the affected shoulder, neck and elbow. 2. Secondary adhesive capsulitis Eg: fractures around shoulders. 3. Shoulder girdle motor control deficits associated with neurological disorders Eg: stroke, parkinson's disease. 4. Injection with cortico steroids in the affected shoulder in the preceding 4 weeks. CONCLUSION: The objective of the study was to find out the effect of anterior glide versus inferior glide in patients with Adhesive Capsulitisis. The thirty subjects with Adhesive Capsulitis patients were selected based on the inclusion and exclusion criteria. The subjects were divided into two groups Group-A and Group-B each group consist 15 subjects in each. Group-A subjects received anterior glide along with home exercises are given. Group-B: 15 subjects received inferior glide along with home exercises for 6 weeks, 4 sessions per week assessed every two weeks 2, 4, 6 weeks respectively. Universal Goniometer and VAS scale should be used. All the values were tabulated and statistically analyzed by using paired, unpaired t-test. Paired t-test is used to compare data set within the groups and unpaired t-test is used to compare the data set between the groups. This concludes that anterior glide was given in this study was found to be effective in improving shoulder range of motion and reducing pain than inferior glide.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271710205
Uncontrolled Keywords: Anterior, Inferior Glide, Improving Functional Activity, Shoulder, Adhesive Capsulitis.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Ravindran C
Date Deposited: 15 Sep 2019 12:58
Last Modified: 20 Sep 2019 06:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/11474

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