Effectiveness of Mindfulness Based Cognitive Therapy Verses Conventional Physiotherapy on Kinesiophobia in Patients with Frozen Shoulder: A Comparative Study

Abstract

Background: Frozen Shoulder is defined as a clinical syndrome characterized by painful restriction of both active and passive shoulder movements (1) . there is high degree of kinesiophobia among patients having shoulder pain(2). Mindfulness based cognitive therapy (MBCT) may be an effective intervention for the treatment of active depression in a population with chronic pain (3) . The treatment goal of MBCT program, is to find ways of managing the pain and the adverse consequences on mental health and quality of life (4). considering that in patients with frozen shoulder treatment of pain alone was not enough to reduce fear of movement , Hence this study aimed to find the effect of MBCT on pain and kinesiophobia in patients with frozen shoulder. Objective: To find the effect of mindfulness based cognitive therapy on pain and kinesiophobia in patients with frozen shoulder. Methodology: After designing the study Institutional Ethical Approval was taken. Consent was obtained from all the participants. 30 samples were screened based on eligibility criteria, 2 were excluded and 28 were further divided into Group A (experimental group) received MBCT and conventional therapy and Group B (control group) received conventional therapy. Pre-assessment was by Tampa scale for kinesiophobia and VAS scale for pain done at Week 0. The experimental group received the MBCT and regular exercise program for 8 sessions 2 hours per day for 8 weeks. The control group received regular exercise program. Post-assessment was done at week 8. Result: The (INSTAT) was used for comparison of mean of group A and group B. One participant from the experimental group and one from the control group did not complete the study. The comparison of mean post intervention scores for group A and B of TSK Scores was found to be Extremely significant which was calculated using un-paired t test with t value t= 3.922, p value p= <0.0006. Comparison of mean post intervention scores for group A and B of VAS Scores was found to be Not significant which was calculated using un-paired t test with t value t= 0.4583, p value p= 0.6505. Conclusion: The study concludes that MBCT along with conventional physiotherapy is effective in reducing kinesiophobia in patients with frozen shoulder.