Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effectiveness of PNF Stretching and Self Stretching in Patients with Adhesive Capsulitis - A Comparative Study


Affiliations
1 Samarpan Orthopedic Hospital, Jamnagar, India
2 K K Sheth College of Physiotherapy, India
3 Parul Institute of Physiotherapy, Vadodara, India
     

   Subscribe/Renew Journal


Background: Adhesive capsulitis of shoulder is characterized by insidious and progressive pain and loss of active and passive mobility of glenohumeral joint. In many physical therapy programs for subjects with adhesive capsulitis of shoulder mobilization techniques are an important part of the intervention. The purpose of this study is to compare the efficacy of PNF stretching techniques and Self stretching techniques in subjects with adhesive capsulitis.

Objective: To compare the effectiveness of PNF stretching and self stretching in improving ROM, shoulder pain & disability index in patients with adhesive capsulitis.

Method: 30 subjects diagnosed by an orthopedic surgeon as having adhesive capsulitis of shoulder joint and who showed a typical restriction of external rotation and abduction were selected. Subjects were randomly taken, divided into two groups each of 15 subjects. Group A: (n=15):- Treated with PNF stretching. Group B: (n=15):- Treated with self stretching. Analysis was based on ROM and Shoulder Pain and Disability Index (SPADI) sub scores and total scores.

Outcome measures: The following outcome measures were measured at baseline, 2nd week and 4th week follow up.

1. Active ROM of shoulder External rotation and Abduction.

2. Shoulder pain and disability index (SPADI).

Results: The ROM and SPADI percentage across baseline, 2nd week and 4th week follow up showed a significant improvement statistically in their mean scores within Group A and Group B. Statistically significant greater changes in score were found in PNF Stretching (Group A) for ROM and SPADI as compared to Self Stretching (Group B).

Conclusion: The results indicate that PNF Stretching (Group A) and Self Stretching (Group B) are significantly effective in improving ROM and SPADI (sub scores and total scores). However PNF Stretching (Group A) appears to be more effective in improving glenohumeral joint mobility and reducing disability as compared to Self Stretching (Group B).


Keywords

Adhesive Capsulitis, PNF Stretching, self stretching, SPADI
Subscription Login to verify subscription
User
Notifications
Font Size


  • Giggs SM, Ahm A and Green A. Idiopathic Adhesive Capsulitis. A Prospective Functional Out Come, Study of non operative Treatment. J Bone Joint Surg, Vol. 82, Oct-2000, 1398-1407.

  • H.A. Anton. Frozen Shoulder. Can Fam Physician 1993;39:1773-1777.

  • R.A Donatelli, Physical Therapy of the Shoulder, 3rd edition, CHARCHILL LIVINGSTONE. Pp 257- 278.

  • Rick Sandor. Adhesive Capsulitis; Optimal Treatment Of “Frozen Shoulder”. THE PHYSICIAN AND SPORTSMEDICINE, Vol.28, No.9, SEP-200.

  • Henricus M Vermeulen, Wim R Obermann, Bart J Burger, Gea J Kok, Piet M Rozing, CorneliaHMvan den Ende. End- Range Mobilization techniques in Adhesive Capsulitis of the Shoulder joint: A Multiple- Subject Case Report.

  • S.B.Brotzman, K.E.Wilk, Clinical Orthopaedic Rehabilitation, 2nd edition, Shoulder Injuries, page 125-250.

  • Mitchell UH, Myrer JW, Hopkins JT, Hunter I, Feland JB, Hilton SC acute stretch perception alteration contributes to the success of the PNF “contract-relax” stretch. J Sports Rehab. May 2007; 16(2):85-92.

  • Godges JJ, Matson-Bell M ,Thorpe D; Shah D, The immediate effect of soft tissue mobilization with PNF on gleno humeral external rotation & overhead reach; J Orthop Sports Phys Ther, Dec 2003; 33 (12) : 713-718.

  • Decico PV, Fisher MM, The effects of PNF stretching on shoulder ROM in overhead athletes. J Sports Med Phy Fitness, Jun 2005; 45(2):183-187.

  • Luís Viveiros, Marcos Doederlein Polito, Roberto Simão and Paulo Farinatti Immediate and late responses of flexibility in the shoulder extension in relation to the number of series and stretching duration. Rev Bras Med Esporte. Nov/Dec 2004; Vol 10, N 6:464-467.

  • Funk DC, Swank AM, Mikla BM, Fagan TA, Farr BK. Impact of prior exercise on hamstring flexibility: a comparison of proprioceptive neuromuscular facilitation and static stretching. J Strength Cond Res. 2003 Aug; 17(3):489-92.

  • Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Thera. 1998 Mar; 78(3):321-2.

  • Leung MS, Cheing GL. Effects of deep and superficial heating in the management of frozen shoulder. J. Rehabil Med. 2008 Feb; 40(2):145-50.

  • Murphy DR.A critical looks at static stretching; are we doing our patient harm? Chriopract sport med, 1991; 5:67-70.


Abstract Views: 2426

PDF Views: 0




  • Effectiveness of PNF Stretching and Self Stretching in Patients with Adhesive Capsulitis - A Comparative Study

Abstract Views: 2426  |  PDF Views: 0

Authors

Harshit Mehta
Samarpan Orthopedic Hospital, Jamnagar, India
Paras Joshi
K K Sheth College of Physiotherapy, India
Hardik Trambadia
Parul Institute of Physiotherapy, Vadodara, India

Abstract


Background: Adhesive capsulitis of shoulder is characterized by insidious and progressive pain and loss of active and passive mobility of glenohumeral joint. In many physical therapy programs for subjects with adhesive capsulitis of shoulder mobilization techniques are an important part of the intervention. The purpose of this study is to compare the efficacy of PNF stretching techniques and Self stretching techniques in subjects with adhesive capsulitis.

Objective: To compare the effectiveness of PNF stretching and self stretching in improving ROM, shoulder pain & disability index in patients with adhesive capsulitis.

Method: 30 subjects diagnosed by an orthopedic surgeon as having adhesive capsulitis of shoulder joint and who showed a typical restriction of external rotation and abduction were selected. Subjects were randomly taken, divided into two groups each of 15 subjects. Group A: (n=15):- Treated with PNF stretching. Group B: (n=15):- Treated with self stretching. Analysis was based on ROM and Shoulder Pain and Disability Index (SPADI) sub scores and total scores.

Outcome measures: The following outcome measures were measured at baseline, 2nd week and 4th week follow up.

1. Active ROM of shoulder External rotation and Abduction.

2. Shoulder pain and disability index (SPADI).

Results: The ROM and SPADI percentage across baseline, 2nd week and 4th week follow up showed a significant improvement statistically in their mean scores within Group A and Group B. Statistically significant greater changes in score were found in PNF Stretching (Group A) for ROM and SPADI as compared to Self Stretching (Group B).

Conclusion: The results indicate that PNF Stretching (Group A) and Self Stretching (Group B) are significantly effective in improving ROM and SPADI (sub scores and total scores). However PNF Stretching (Group A) appears to be more effective in improving glenohumeral joint mobility and reducing disability as compared to Self Stretching (Group B).


Keywords


Adhesive Capsulitis, PNF Stretching, self stretching, SPADI

References