EFFICACY OF ANTERIOR GLIDE JOINT MOBILIZATION OVER POSTERIOR GLIDE JOINT MOBILIZATION FOR IMPROVING EXTERNAL RANGE OF MOTION WITH FROZEN SHOULDER.

Orthopaedic Physiotherapy

ABSTRACT Background: Adhesive capsulitis, also known as frozen shoulder, is a condition characterized by pain and stiffness in the shoulder joint application of manual therapy and physical therapy, describe a concave joint surface moves on a convex joint surface, the roll and glide should occur in opposite directions to maintain joint congruency. In the context of the shoulder, understanding the joint surfaces and applying mobilization techniques accordingly may be crucial in achieving optimal outcomes. This study aims to investigate and compare the effects of two different joint mobilization techniques—posterior glide and anterior glide—on improving external rotation range of motion (ROM) in patients with idiopathic adhesive capsulitis of the shoulder. Aim: To measure the efficacy of the effects of anterior glide joint mobilization over Posterior glide joint mobilization for improving external rotation ROM of patients with idiopathic adhesive capsulitis of the shoulder with a specific ROM deficit Methodology: For this study only twenty patients (four men and 16 women), between the ages of 37 and 66 years met the inclusion/exclusion criteria. Inclusion criteria: 1) Diagnosis insidious onset in one shoulder, Adhesive capsulitis 2) Age between 24-70 years 3) Normal findings on radiographs within the previous 10 months 4) Affected shoulder has no previous surgery 5) No previous manipulations under anaesthesia of the affected Shoulder 6) Glenohumeral external rotation ROM deficits that could primarily be attributed to glenohumeral capsular restrictions Exclusion Criteria: 1) Significant trauma history. 2) Glenohumeral external rotation ROM that could primarily be attributed to muscle flexibility deficits. 3)Stroke and Parkinson’s patient. Result: From the study, Group 1 showed a statistically significant {p < .001) mean improvement of 31.2°, whereas, Group 2 showed a mean improvement of only 3.0° (p = .68) at the end of the six treatment sessions. Conclusions: These results indicate that anterior glide mobilizations of the humeral head on the glenoid result doesn’t show significant improvement in external rotation range as compared with posterior glide mobilizations, over the span of six treatment sessions. Keywords: Manual Therapy, Anterior, Posterior, Mobilization, Anesthesia, Adhesive Capsulitis

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