Comparison Of Effectiveness Between Scapular Mobilization Using Kaltenborn Technique and General Scapular Mobilization in Adhesive Capsulitis: A Randomize Control Trial.
Shaista rani1, Rehana Hayat2, Sumbal Salik3, Misdaq Batool4, Rizwan Haider5, Arooba Nawaz6
Abstract:
Frozen shoulder is the painful inflammatory condition of the shoulder, which affects normal movements of shoulder having different etiological causes, but if it is untreated then it progresses to person's lifetime disability and limit all functional activities of person.
Objective: To determine the comparative effectiveness of Kaltenborn Scapular mobilization and General scapular mobilization in frozen shoulder for better recovery in patients.
Material and Method:
A single-blinded randomized control trial was conducted in Physiotherapy Department of Mayo Hospital Lahore from 20th December to 30th January 2020. The study included 45 patients who were suffering from frozen shoulder of both genders and age group of 30-50 years had no local infection. The patients were randomly placed in three groups i.e.; conservative and two trial groups by computerized generated list. In conservative group; 15 patients were treated with conventional therapy. In trial groups; one was treated with Kaltenborn scapular mobilization and Conventional therapy and the other trial group were treated with General scapular mobilization and Conventional therapy 3 sessions per week. Pain intensity, Shoulder ROM and level of disability were outcome measures by Numeric Pain Rating Scale (NPRS), Goniometer and Shoulder Pain and Disability Index scale (SPADI).
Results: The results showed that pain intensity, ROM and disability was improved all groups. However, statistically significant improvement in ROM and reduction in pain were observed among which were treating with Kaltenborn Scapular mobilization along with Conventional treatment with p-value <0.05 as compared to the general scapular mobilization. The study provides the opportunity to the patients to consider physiotherapy as an effective treatment for the frozen shoulder. It also provides the statistical knowledge about the role of the Kaltenborn scapular mobilization in treating the disability among Frozen shoulder patients.
Conclusion: It was concluded that Kaltenborn Scapular mobilization was more effective than General scapular mobilization in frozen shoulder not only in decreasing pain but also improves function and flexibility of shoulder.
Index Terms: Frozen shoulder, Kaltenborn Scapular mobilization, General scapular mobilization.