EFFECTS OF END-RANGE MOBILIZATION TECHNIQUE ON PAIN AND DISABILITY IN PATIENTS WITH ADHESIVE CAPSULITIS-A QUASI-EXPERIMENTAL STUDY

BACKGROUND AND AIMS Studies have revealed that end-range mobilization techniques are found to be efficient in providing high and low-grade thrusts thereby enhance cellular elongation, decreases soft tissue edema and localized inflammatory changes in the affected individual. Therefore, this study is aimed to determine the effects of end-range mobilization on patients with Adhesive Capsulitis. METHODOLOGY This quasi-experimental study was conducted on 40 patients of 40-70 years of age with adhesive capsulitis. End-range mobilization was performed in 2-3 sets of 10-15 repetitions in Grade 3 or 4 in varying plane and degree of rotation for 2 days/week for 4 weeks for the duration of 30 minutes while the Shoulder Pain and Disability Index (SPADI ) was used to assess pre and post outcomes. RESULTS A total number of 40 adhesive capsulitis patients included in this study with a mean age of 51.2±10.6 consisted of 19 males and 21 females. The overall SPADI scores were significantly decreased to 66.45±8.8 from 73.99±9.1 post-intervention of 4-weeks inclusive the marked reduction in pain and disability scores respectively CONCLUSION It was concluded that the end-range mobilization technique was effective to reduce pain and disability, subsequently SPADI score pre and post 4-weeks of intervention in adhesive capsulitis patients. Further trials should be conducted in the future taking large samples and varied techniques into account for the identification of optimal strategy in improving health-related outcomes of patients with shoulder joint pathologies.