Effect of Maitland mobilization and exercises for the treatment of shoulder adhesive capsulitis: A single-case design

Maricar, Nasimah; Shacklady, Carol; McLoughlin, L.

doi:10.1080/09593980902776654

Cited by 30 publications

(27 citation statements)

References 35 publications

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“…Thus, these results allowed rejection of the null hypothesis and thereby supported to accept the experimental hypothesis. These results strongly support the earlier findings of study [16] that investigated the shoulder motion pain and function by using mobilization and exercises on single case design and concluded that all four movements improved, although more gain in motion was observed when mobilizations were added.…”

Section: Abduction Rangessupporting

confidence: 90%

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Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Kumar¹,

Kumar²,

Anoop

et al. 2012

ISRN Rehabilitation

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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 (n = 20) subjects were treated with Maitland mobilization technique and common supervised exercises, whereas subjects in Group B (n = 20) 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.

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Section: Abduction Rangessupporting

confidence: 90%

“…Intervention consisted of the Codman exercise [4], shoulder wheel exercises [6], self-stretching exercises [6], wall-ladder exercises [6,16], and self-stretching exercises (for improving abduction, flexion, external rotation, internal rotation, and horizontal adduction).…”

Section: Common Supervised Exercisesmentioning

confidence: 99%

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Kumar¹,

Kumar²,

Anoop

et al. 2012

ISRN Rehabilitation

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“…28,49,50 Jewell et al 20 concluded in a retrospective cohort study that the use of joint mobilization and exercise was associated with improved outcomes, whereas poor outcomes were associated with providing massage, ultrasound, phonophoresis, and iontophoresis as the primary interventions. Stretching exercises are advocated for patients with adhesive capsulitis.…”

Section: T T Discussion: This Case Report Describesmentioning

confidence: 99%

Trigger Point Dry Needling as an Adjunct Treatment for a Patient With Adhesive Capsulitis of the Shoulder

Clewley¹,

Flynn²,

Koppenhaver³

2014

J Orthop Sports Phys Ther

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A dhesive capsulitis is a common shoulder condition of unknown etiology that is often treated by physical therapists. 26,47 The incidence rate of adhesive capsulitis is higher in women than in men and higher among middleaged individuals. 47 The risk factors associated with adhesive capsulitis are type 1 or 2 diabetes mellitus, thyroid disease, an age of between 40 and 65 years, trauma, prolonged immobilization, autoimmune disease, and myocardial infarction. 23 In individuals with diabetes, the incidence rate is upward of 20%, compared to 2% to 5% in individuals without diabetes. 15,37The economic burden and the impact of adhesive capsulitis on health care expenditures are significant. 9,43 The condition has been described as self-limiting, typically resolving in 1 to 3 years, with long-term range of motion (ROM) deficits lasting up to 10 years. 27 However, the prognosis associated with adhesive capsulitis improves with a lesser number of comorbidities. 48There are a number of invasive and conservative options for managing adhesive capsulitis. 7,8,13,23,44 Invasive interventions include intra-articular steroid injection, surgery, and manipulation under anesthesia. Manipulation under anesthesia is commonly used but carries the risk of humeral fracture, dislocation, rotator cuff injuries, labral tears, and brachial plexus injury.13 Acetaminophen and nonsteroidal anti-inflammatory medications are common first-line nonsurgical treatments for adhesive capsulitis, but there is little evidence for their effectiveness. 44 Oral corticosteroids might provide short-term benefit in pain relief and improved ROM in patients with adhesive capsulitis.7 However, they have not been proven to reduce the duration of adhesive capsulitis. 8Early physical therapy intervention that includes joint mobilization directed at the shoulder joint complex has been T T STUDY DESIGN: Case report. T T BACKGROUND:Prognosis for adhesive capsulitis has been described as self-limiting and can persist for 1 to 3 years. Conservative treatment that includes physical therapy is commonly advised. T T CASE DESCRIPTION:The patient was a 54-year-old woman with primary symptoms of shoulder pain and loss of motion consistent with adhesive capsulitis. Manual physical therapy intervention initially consisted of joint mobilizations of the shoulder region and thrust manipulation of the cervicothoracic region. Although manual techniques seemed to result in some early functional improvement, continued progression was limited by pain. Subsequent examination identified trigger points in the upper trapezius, levator scapula, deltoid, and infraspinatus muscles, which were treated with dry needling to decrease pain and allow for higher grades of manual intervention. T T OUTCOMES:The patient was treated for a total of 13 visits over a 6-week period. After trigger point dry needling was introduced on the third visit, improvements in pain-free shoulder range of motion and functional outcome measures, assessed with the Shoulder Pain and Disability Index and the shortened form...

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“…[2][3][4][5] Joint mobilization techniques are thought to produce various therapeutic effects. 6 A biomechanical effect may exist when forces are directed towards capsular resistance.…”

Section: Introductionmentioning

confidence: 99%

“…9 Furthermore, mobilization techniques may serve to improve or maintain joint mobility by improving the flow and exchange of synovial fluid. [7][8][9] Consequently, gliding of the GH joint is used in the treatment of a variety of pathologies, such as impingement, 4 adhesive capsulitis 3,5,10 and in post-operative rehabilitation. 1 The glenohumeral posterior glide and distraction mobilizations have been well researched in regard to their ability to produce tissue deformation and stretch of the glenohumeral joint capsule.…”

Section: Introductionmentioning

confidence: 99%

EMG activity of selected rotator cuff musculature during grade III distraction and posterior glide glenohumeral mobilization: results of a pilot trial comparing painful and non-painful shoulders

Swanson

Holst

Infante

et al. 2016

Journal of Manual & Manipulative Therapy

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Objectives: The objectives of this pilot study were to investigate rotator cuff activity that may be present during grade III distraction and posterior glide mobilization of the glenohumeral (GH) joint, as well as to examine any differences in response between painful and non-painful shoulders utilizing these techniques. Methods: EMG data were collected using Delsys EMGworks ® software and Trigno ® mini-wireless electrodes for the supraspinatus, infraspinatus and upper trapezius musculature during grade III GH distraction and posterior glide mobilization. A total of 20 shoulders (10 painful, 10 non-painful) were recruited from a sample of convenience. Submaximal voluntary dynamic contraction against gravity was used as reference for each of the three selected muscles. Participants underwent two trials of each mobilization, and the mean results for each group were assessed using descriptive statistics (mean, standard deviation) and effect size. Results: Both the painful and non-painful groups exhibited considerable levels of rotator cuff activity during each test parameter, with the painful group consistently generating higher supraspinatus and infraspinatus RMS and peak force activity. Analysis of the peak combined rotator cuff activity during distraction (d = 0.58) and posterior glides (d = 0.64) suggests moderate-to-high practical significance of the results. Discussion: GH distraction and posterior glide mobilizations have traditionally been thought of as passive treatment procedures. The results of this pilot study indicate that the supraspinatus and infraspinatus are significantly active during these techniques. Findings suggest that during these techniques, the total infra/supraspinatus EMG activity approaches the level produced while raising the arm against gravity. Level of evidence: 2b

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Effect of Maitland mobilization and exercises for the treatment of shoulder adhesive capsulitis: A single-case design

Cited by 30 publications

References 35 publications

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Effectiveness of Maitland Techniques in Idiopathic Shoulder Adhesive Capsulitis

Trigger Point Dry Needling as an Adjunct Treatment for a Patient With Adhesive Capsulitis of the Shoulder

EMG activity of selected rotator cuff musculature during grade III distraction and posterior glide glenohumeral mobilization: results of a pilot trial comparing painful and non-painful shoulders

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