Abstract:
Purpose: The purpose of the study was to explore the effectiveness of Scapular
stretching and strengthening exercises with conventional physiotherapy compare to
only conventional physiotherapy for Adhesive capsulitis of Shoulder. Objectives: To
compare pain intensity at rest, Abduction, Lateral rotation, Medial rotation, lying in
affected side and ROM in Abduction, Lateral rotation, Medial rotation before and
after Scapular stretching and strengthening exercises with conventional physiotherapy
and conventional Physiotherapy alone in Patients with adhesive capsulitis.
Methodology: Fourteen patients with adhesive Capsulitis were randomly selected
from outdoor musculo-skeletal unit, CRP and then 7 patients with Adhesive Capsulitis
were randomly assigned to Scapular stretching and strengthening exercises with
conventional physiotherapy group and 7 patients to the only conventional
physiotherapy group for this randomize control trial study. AsThe study was a single
blinded study which has been conducted at musculoskeletal department of CRP,
savar. Visual Analogue Scale was used to measure pain intensity in different functional position and Goniometer to measure ROM. Unrelated "t" test was used to compare the result in ROM analysis and Pain was analyzed by Calculating mean difference between two groups. Results:In Experimental group, Mean difference of reduction of resting pain was 4.57 which were 2.29 times more than Mean difference in control group. Also there was significant improvement of pain in Abduction, Lateral rotation; medial rotation and pain during lying in affected side, as the mean difference were consecutively 2.28, 2.14, 2.00, and 2.57 times more than control group. The study also found significant Improvement of ROM In case of Abduction
(p<.05). A small but not statistically significant improvement has been found in
Medial rotation and lateral rotation of Shoulder. Conclusion: This experimental study
shows that Scapular stretching and strengthening exercises with conventional
physiotherapy is more effective than conventional physiotherapy alone for patients
with Adhesive Capsulitis.
