Efficacy of Scapular Movement with Mobilization in Patients with Shoulder Impingement

Background & Purpose of the study: Scapular kinematic alterations have been demonstrated in subjects with impingement syndrome. These scapula movement alterations are believed to decrease the subacromial space by failing to move the acromion away from the humeral head during arm elevation resulting in increased compressive loads on the tendons of rotator cuff or long head of the biceps muscle. Mulligan's movement with mobilization (M.W.M) hypothesize that positional malalignment can be corrected with appropriate gliding. Thus this research investigates the efficacy of scapular movement with mobilization in patients with shoulder impingement.

Aim: Efficacy of scapular movement with mobilization in patients with shoulder impingement

Objective: Assess immediate effect of scapular movement with mobilization in shoulder impingement

Research design: Exploratory study

Methodology: Scapula M.W.M was given to the patient, 10 repetitions thrice were repeated.

Outcome measures: Visual analogue scale was used to assess pain, Range of Motion in Scaption plane was assessed by using Goniometer, Supraspinatus strength assessment was assessed in Scaption plane, Shoulder pain and disability index (SPADI) was assessed

Data collection and analysis: Baseline data recorded for the outcome measures and post intervention data was statistically analyzed for the level of significance. Paired t-test was done for the same.

Results: Significant differences were observed with respect to various outcome measures studied. Visual analogue scale Mean difference is 2.880,Standard deviation difference is 1.447,95% confidence interval difference is 2.283 to 3.477,(p

Conclusion: Scapular movement with mobilization proved to be effective in patients with shoulder impingement