Periarthritis (PA) shoulder is a self-limiting condition with unknown etiology that is characterized by painful and limited active and passive range of motion (ROM). Mobilization technique have proven effective in reducing pain and improving ROM, thereby increasing functional ability of shoulder. However, there are very few literatures available suggesting the effectiveness of gong’s mobilization in the treatment of PA shoulder, so the present study was done to find out the effectiveness of gong’s mobilization on pain and functional ability in patient with Periarthritis shoulder. Thirty subjects were chosen at random and divided into two groups. Group A (N=15) was treated with gong’s mobilization technique, ultrasound and Codman’s pendulum exercise. Group B (N=15) was treated with ultrasound and Codman’s pendulum exercise. The initial evaluation of pain intensity by NPRS, shoulder ROM by universal goniometry, and functional disability were scored using constant score. The significant improvement in NPRS (t=12.13, p=0.001) and shoulder abduction (t=11.42, p=0.001) and shoulder medial rotation (t=10.98, p=0.001) and shoulder constant score (t=10.44, p=0.001) was observed in patients with Group A. The significant improvement in NPRS (t=11.50, p=0.001) and shoulder abduction (t=16.10, p=0.001) and shoulder medial rotation (t=12.93, p=0.001) and shoulder constant score (t=8.79, p=0.001) was observed in patients with Group B. The study result concludes that in patients with periarthritis shoulder, the Gong’s mobilization technique is effective in decreasing pain, improving ROM (medial rotation and abduction), and functional disability. However, the patients who received the gong’s mobilization technique showed better improvement than the control group.
Background: Coracohumeral ligament thickness plays an important role in maintaining shoulder range of motion and stability. It is essential to evaluate its thickness and also to find out its role in limiting shoulder range of motion in adhesive capsulitis. Aim of the study is to evaluate the coracohumeral thickness in adhesive capsulitis by ultrasonic scan and also to find out the relationship of its thickness with shoulder abduction and external rotation range of motion. Study design: Case – control study. Sixty-seven adhesive capsulitis patients and age and BMI matched controls were selected. The coracohumeral thickness was evaluated by ultrasound scanning. Shoulder abduction and external rotation range of motion was also recorded. The coracohumeral ligament thickness was compared between groups by independent sample ‘t’ test. The relationship between coracohumeral ligament thickness and shoulder abduction and external rotation was studied by Pearson’s correlation coefficient. Result: The mean coracohumeral thickness was 2.940.14 mm in adhesive capsulitis and it was significantly higher than in controls, mean = 1.92 0.19 mm
Cervical traction is a variety of practicing methods depending on the pathology being treated. The established effectiveness in cervical spondylosis of these different methods makes it a useful tool for physiotherapy practitioners. However, its role in cervical spondylosis is uncertain. Comparing manual Mulligan traction and intermittent electrical traction would provide information of great importance to the scientific community on the use of cervical traction in patients with cervical spondylosis. The purpose of the present study is to find out and compare the effectiveness of manual Mulligan traction versus intermittent electrical traction on pain, range of motion (ROM) and functional disability in patients with cervical spondylosis. A total of 30 subjects with cervical spondylosis were selected and screened for inclusion and exclusion criteria. Initially, the pain intensity was evaluated using the Numerical Pain Rating scale (NPRS). The active ROM of cervical extension and cervical Lt/Rt rotation was measured with inch tape and functional disability by using the scale of the neck disability index (NDI). Participants were then allocated into two A&B groups. Group A (N=15) was given manual Mulligan traction with interferential therapy (IFT) and isometric neck exercise, and group B (N=15) was given intermittent electrical traction with IFT and isometric neck exercise. Group A showed significant improvements in NPRS (Z=9.77, P=0.002), NDI (t=2.76, P=0.010), ROM of cervical extension (t=7.26, P=0.026) and cervical left rotation (t=2.31, P=0.029) when compared to group B, but the level of improvement in cervical right rotation was insignificant (t=1.89, P=0.07). Hence it is concluded that manual Mulligan traction and intermittent electrical traction are effective in reducing pain, improving cervical ROM and functional performance in cervical spondylosis. However the subject who received the manual Mulligan traction with IFT and isometric neck exercise showed better improvement in reducing pain, improving cervical ROM and functional performance than subject who received the intermittent electrical traction.
Background: Mulligan’s Mobilization with movement is one of the important physical therapy interventions in the management of adhesive capsulitis of shoulder. Increased coracohumeral thickness is a grave factor in the reduction of shoulder Range of motion and functional limitation in adhesive capsulitis. Very limited literatures are available in this regard. Aim: To identify the effectiveness of Mulligan’s Mobilization with movement on coracohumeral thickness in patients with adhesive capsulitis of shoulder. Study Design: Randomized controlled trial. Methods: One hundred and fifty patients with adhesive capsulitis were randomly divided into two groups, viz., group ‘A’ and group ‘B’. In group A, Mulligan’s mobilization with movement was administered for three weeks whereas in group ‘B’. Conventional physical therapy program was administered for a period of 3 weeks. Outcome measures: Coracohumeral thickness was evaluated by ‘B’ mode ultrasound scanning before and after therapy. The differences in the CHL thickness between groups was evaluated statistically by independent sample‘t’ test. Results: The mean improvement in the CHL thickness was significantly higher in Mulligan’s mobilization, mean diff. = 0.63, t = 50.05, p = 0.001 than in conventional treatment. Conclusion: It is concluded that Mulligan’s Mobilization with Movement is effective in reducing coracohumeral ligament thickness in patients with adhesive capsulitis. Keywords: Adhesive Capsulitis, Coracohumeral Thickness, Shoulder Abduction and External Rotation ROM, Mulligan’s Mobilization with Movement.
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