International Journal of Yoga, Physiotherapy and Physical Education

Authors
Dr. Shreya Phadke, Dr. Kiran Jeswani, Dr. Sucheta Golhar

Abstract
Objective: The objective of this study was to compare the effect of Reverse Distraction technique and Scapular Mobilization on Shoulder flexion and abduction range of motion, pain and disability in patients with primary adhesive capsulitis at the end of 4 weeks. Subject and Methods: 40 subjects with Stage 2 primary adhesive capsulitis were divided into two equal groups using random allocation. The study included both males and females in the age group of 40 to 55 years. The Reverse distraction group (Group A) was given Reverse distraction technique along with conventional exercises. The Scapular Mobilization group (Group B) was given Scapular Mobilization along with conventional exercises. Both the groups received treatment for a duration of 4 weeks (3 sessions/week). Outcome measures for active range of motion, pain and disability were Range of motion (Universal goniometer), Numerical Pain Rating Scale(NPRS) and Shoulder pain and disability index (SPADI) respectively which were taken pre intervention and after duration of the study ended. Result: In Group A, the Sh Flex ROM improved from 90.05°±3.52° to 135.53°±3.89° and Sh Abd ROM improved from 82.47° ± 5.21° to 124.84 °±4.54°. In Group B, Sh Flex ROM improved from 86.84°±4.33° to 115.74°±4.62° and Sh Abd ROM improved from 79.10°±3.81° TO 112.74°±4.40°. In Group A, the NPRS score reduced from 5.78 ±0.63 to 2.84± 0.60 and the total SPADI score reduced from 61.306±4.004% to 43.891±3.676%. In Group B, the NPRS score reduced from 6.263±0.7335 to 3.316±0.6710 and the total SPADI score reduced from 63.07±5.62% to53.06 ±5.11%. Conclusion: The Reverse distraction technique was more effective in improving Shoulder flexion and abduction range of motion and reducing disability. Both the techniques were equally effective in reducing pain.