Effectiveness of scapular stabilization exercise with conventional physiotherapy among adhesive capsulitis patients attended at Center for the Rehabilitation of the Paralysed (CRP).

Abstract

Purpose: The purpose of the study was to explore the effectiveness of scapular stabilization exercise with conventional physiotherapy compare to only conventional physiotherapy for Adhesive capsulitis patient. Objectives: To evaluate the effect of pain after introducing scapular stabilization exercise with conventional physiotherapy for Adhesive capsulitis. And to explore the socio-demography of the participants, to measure the scapular range of motion, to measure functional limitation. Methodology: Twenty patients with adhesive Capsulitis were randomly assigned into two groups. 10 patients to scapular stabilization exercise with conventional physiotherapy group and 10 patients to the only conventional physiotherapy group. Numeric Pain Rating Scale was used to measure pain intensity in different functional position and Goniometer to measure ROM. Unrelated “t” test and paired ‘t’ test were used to compare the result in ROM analysis and Pain and functional limitation was analyzed by Mann Whitney U Calculator. Results: In this study, the results were found to be significant in case of variables of resting pain (p<0.05), pain during lying on affected side (p<0.05), pain during reaching objrct on a high shelf (p<0.05), pain during pushing with the involved arm (p<0.05). The within group and between group analysis also found significant improvement of ROM in case of scapular protraction (p<0.05), retraction (p<0.05), elevation (p<0.05). The functional limitation were also significant in case of combing hair (p<0.05), washing back (p<0.05), putting dress (p<0.05), carrying heavy weight (p <0.05) and difficulty during writing from between group analysis. Conclusion: This experimental study shows that scapular stabilization exercise with conventional physiotherapy were more effective than conventional physiotherapy alone for patients with Adhesive Capsulitis. Key words: Adhesive Capsulitis, Scapular stabilization exercise, Conventional physiotherapy