Comparison of Outcome of Passive Joint Mobilization Techniques with Active Assisted Pulley Exercises in Patients with Frozen Shoulder in Improving Range of Motion

Frozen shoulder is a multi-factorial glenohumeral joint dysfunction that develops due to many causes and it involves a large number of world populations irrespective of gender and race. Its prevalence is 2 to 5 percent of world population is a major public health problem resulting in serious social and physical limitations and psychological problems due to physical and emotional stresses. Objective was to measure and compare the outcomes of passive joint mobilizations with active assisted pulley exercises in improving ROM at shoulder joint. This was a multicenter quasi experimental study of 100 patients (both M/F) which were randomly assigned to two different interventional groups. Group A patients received U/S, TENS and active assisted pulley exercises (twice/week) + home plan for exercises and Group B patients received U/S, TENS and manual joint mobilizations (twice/week) + home plan for exercises. ROM and VAS pain score was taken before the interventions and then after 2months for both groups and then outcomes were compared by using paired sample t test. The study proved that the interventions used in both groups had same efficacy and statistically there was no significant difference in outcomes of both groups.