Comparing The Effect Of Kaltonborn And Maitland Mobilization On Pain And Disability In Adhesive Capsulitis

Background of StudyAdhesive capsulitis is a condition in which inflammation occur in shoulder joint which lead to pain in shoulder and leading to limitation in activity of daily living and mobilization techniques are effective in dealing with this condition. Objective The objective of this study was to compare the effect of Kaltonborn and Maitland Mobilization in adhesive capsulitis for decreasing pain and disability which occur due to limitation in activity of daily living. Material and method This randomized control trail study was conducted in physiotherapy department Mayo Hospital Lahore. Simple random sampling technique was castoff and overall of 40 subjects were contributed in this research. From the subjects after taking Informed consent data was collected. Self-made questionnaire was used. Numeric pain rating scale and SPADI index was used as an assessing tool for pain and disabilityfor data assortmentafterward inclusion criteria was contented. patient identified with adhesive capsulitis with limited range of motion having pain and limitation of activity of daily living age group 35-70 year both genders were included subject who willing to participate and History of shoulder arthritis rotator cuff and ligament injuries Malignancy Peri arthritis shoulder are considered in exclusion criteria. Datawas evaluatedvia using SPSS 23.0 version and Microsoft excel 2010. Mean and standard deviation of age pain SPADI for disability pre and post treatment was calculated. The Frequency and percentage of gender occupationwasanalyzed and bar charts were used to present it. Wilcoxson sign test was used to assess the intensity of pain and Spadi disability pre and post treatment with in a group and Man Whitney u test were used to analyze pain and Spadi index between two groups. Results There was significant difference in pain and disability Spadi index pre and post treatment in both groups and between the groups p0.000 p0.05 but Maitland seems to be more effective as compared to Kaltonborn. Mean value and standard deviation of kaltobnorn post treatment for NPRS and SPADI index was 3.40001.60263 and 21.450012.06768 while in Maitland its was 1.55000.75915 and 3.95002.39462. Conclusion Majority frequency shows that of ration of diabetic and female gender were more in adhesive capsulitis.Both techniques were effective for managing patient of frozen shoulder but Maitland technique was more effective as compared to Kaltonborn for reducing pain increasing ranges and decreasing disability which would improve activity of daily livings ADLs.