COLLATION OF SCAPULAR PROPRIOCEPTIVE NEURO-MUSCULAR FACILITATION AND SCAPULAR MOBILIZATION WITH MOVEMENT IN ADHESIVE CAPSULITIS PATIENTS

Introduction:Adhesive-Capsulitis is a self-limiting condition of unknown etiology characterized by painful and stiff shoulder range of motion(ROM); with scapular dyskinesis. The treatment of Adhesive-Capsulitis aims at reducing pain and improving ROM and shoulder Function. However, treatment of scapular dyskinesis for the management of Adhesive-Capsulitis are limited to this date. Aim Of Study:To compare the effects of Scapular Proprioceptive Neuromuscular Facilitation(PNF) and Scapular Mobilization With Movement(MWM), on Pain, ROM and Simple Shoulder Functional Activities, in patients having Adhesive-Capsulitis. Method:It is a Comparative Study. 20 subjects having Adhesive-Capsulitis Stage- II/ III with scapular dyskinesis of age group of 40-70 years were included and patients with recent history of trauma, neurological conditions, shoulder fracture-dislocation, tumors and/or altered cognition were excluded. Procedure:10 subjects per Groups, A and B were selected and screened for exclusion criteria. Groups received Scapular PNF and Scapular MWM respectively alongwith hotpack, shoulder-ROM exercise, capsular-stretching for period of 1 week. Outcome Measures:Visual Analogue Scale (VAS), Goniometeric ROM, and Simple Shoulder Function Test on first day before the treatment and on seventh day after the treatment. Results:Statistical analysis was done by using Wilcoxon within the groups and Man-Whitney between the groups. There was statistical significant difference(<0.005) in pain, ROM and functional outcome measure in both the groups. There was no statistical significant difference between the groups. Conclusion:Scapular PNF & Scapular MWM are equally effective in reducing Pain, improving ROM and Simple Shoulder Functional Activities, in patients having Adhesive-Capsulitis.