%0 Journal Article
%T Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis
%A Abhay Kumar
%A Suraj Kumar
%A Anoop Aggarwal
%A Ratnesh Kumar
%A Pooja Ghosh Das
%J ISRN Rehabilitation
%D 2012
%R 10.5402/2012/710235
%X Objective. To study the effectiveness of Maitland techniques in the treatment of idiopathic shoulder adhesive capsulitis. Methods. total of 40 patients diagnosed with idiopathic shoulder adhesive capsulitis were recruited and randomly allocated into two groups. In Group A ( ) subjects were treated with Maitland mobilization technique and common supervised exercises, whereas subjects in Group B ( ) only received common supervised exercises. Variables. Shoulder pain and disability index (SPADI), VAS and shoulder ROM (external rotation and abduction) were variables of the study. These were recorded before and after the session of the training. Total duration of the study was four weeks. Result. Statistical analysis of the data revealed that within-group comparison both groups showed significant improvement for all the parameters, whereas between-group comparison revealed higher improvement in Group A compared to the Group B. Conclusion. The study confirmed that addition of the Maitland mobilization technique with the combination of exercises have proved their efficacy in relieving pain and improving R.O.M. and shoulder function and hence should form a part of the treatment plan. 1. Introduction The term ”°capsulitis”± or ”°frozen shoulder”± referes to a common shoulder condition characterized by the global restriction in the shoulder range of motion in a capsular pattern. The capsular pattern in the shoulder is characterized by most limitation of passive lateral rotation and abduction [1]. The presence of capsular pattern is necessary to give a diagnosis of shoulder Capsulitis [2]. Although the ROM varies depending upon which stage the patient presents, yet he or she still has limitations of passive ROM in a capsular pattern. This condition was first described by Duplay [3] who called it ”°periarthrite scapulo-humerale.”± Codman [4] first introduced the term ”°frozen shoulder”± and described it as a ”°class of cases which are difficult to define, difficult to treat and difficult to explain from the point of view of pathology”± [5]. Neviaser [5] called it adhesive capsulitis, as he, under arthroscopy, observed that the capsule looked thickened and adhered to underlying bone and could be peeled off from the bone. In an idiopathic capsulitis there is no apparent cause. The shoulder gradually becomes painful and stiff. Some authors have divided frozen shoulder in primary frozen shoulder, which corresponds to idiopathic. The secondary corresponds to traumatic capsulitis or if some other medical condition is present alongside [6]. The natural course of the condition is
%U http://www.hindawi.com/journals/isrn.rehabilitation/2012/710235/