EFFECTIVENESS OF MANUAL JOINT MOBILIZATION IN FROZEN SHOULDER WITH AND WITHOUT HOME EXERCISE PROGRAM

Abstract

ABSTRACT
BACKGROUND: Adhesive Capsulitis or Frozen Shoulder, according to many authors is a
clinical disorder rather than Ac diagnosis. OBJECTIVE:To determine the effectiveness of
manual joint mobilization in frozen shoulder with and without home exercise program.
MATERIALS AND METHODS: A randomized control was conducted in Sindh (Karachi)
from May 2022 to November 2022 to determine the effectiveness of manual therapy with and
without home exercise program for frozen shoulder. Sample size of 48 participants were
randomly assigned to Group A and Group B. Group A and Group B received manual joint
mobilization two time per week for total six weeks, Group B advised to perform daily home
exercises. The SPADI was used to measure primary outcome was changes in pain and stiffness.
Goniometer was used to measure the secondary outcomes. Descriptive and inferential statistics
was used for data analysis.RESULTS: Participants were divided into Group A and Group B.
Group A (n=24) and Group B (n=24) groups. Results showed that the group B had significantly
greater improvements in pain (-25.86 vs. -15.00), disability (-22.64 vs. -17.72), and ROM (39.17
vs 30.01 for flexion, 43.21 vs 33.09 for abduction, and 26.41 vs 18.85 for external rotation)
compared to the group A. These findings suggest that joint mobilization with home program may
be an effective intervention for improvement in pain, disability, and ROM in patients with
shoulder impingement syndrome. CONCLUSION: A Study concluded that Manual joint
mobilization with a home exercise program was found to be an effective treatment for frozen
shoulder, resulting in significant improvements in pain, disability, and range of motion.