Effectiveness of end range mobilization with scapular mobilization in frozen shoulder

Introduction: Frozen shoulder is defined as an idiopathic condition of the shoulder characterized by the spontaneous onset of pain in the shoulder with restriction of movement in every direction. To regain the normal extensibility of the shoulder capsule, passive stretching of the shoulder capsule in all planes of motion by means of mobilization techniques (EMTs) has been recommended. Lack of research has been done to evaluate the combined effects of scapular mobilization and end range mobilization to improve the shoulder range of motion in frozen shoulder. Objectives: To evaluate the effectiveness of end range mobilization with scapular mobilization in improving shoulder range of motion and function in subjects with frozen shoulder and to compare the effectiveness of end range mobilization with scapular mobilization over end range mobilization alone in improving shoulder range of motion and function in subjects with frozen shoulder. Materials and methods: Hospital based comparative study was carried out to compare the effects of two different forms of mobilization techniques on two groups of patients of frozen shoulder among 30 patients attending the OPD of Physiotherapy Department of Oxford College, Bangalore. Assessment of patients included evaluation of Range of motion and disability index (SPADI) both pre and post treatment for both the groups. Data was analyzed by SPPS software ver. 21 using appropriate statistical tests. Results: Shoulder pain and disability index (SPADI) and range of motion of shoulder in all the positions was assessed separately in both the groups, pre and post mobilization treatment therapy. Improvement was observed in both the groups pre and post treatment and these results were statistically significant (p<0.01). Conclusion: End range mobilization with scapular mobilization is more effective in improving range and functioning as compared to end mobilization alone.