Modified Mobilization Techniques in Adhesive Capsulitis of the Shoulder Joint: A Case Report

Background and Purpose

The purpose of this case report is to describe the use of modified mobilization technique (M.M.T) in the management of patient with adhesive capsulitis.

Case Description

One patient (63 years) with adhesive capsulitis of the glenohumeral joint (disease duration=12.3 month) was treated with modified mobilization techniques, twice a week for 3 months. Indexes of pain, joint mobility were measured by the same observer before treatment and after 3 months of treatment.

Outcomes

After 3 months of treatment, there was increase in active range of motion. Abduction increased from 87 degrees to 147 degrees, flexion in the sagittal plane increased from 110 degrees to 144 degrees, and lateral rotation increased from 12 degrees to 29 degrees. There were also increases in passive range of motion: abduction increased from 90 degrees to 151 degrees, flexion in the sagittal plane increased from 117 degrees to 149 degrees, and lateral rotation increased from 17 degrees to 38 degrees. Patients rated their improvement in shoulder function as excellent.

Discussion

Modified mobilization techniques appear to have role in the treatment of adhesive capsulitis. Controlled studies are needed to prove the effectiveness of modified mobilization techniques in the treatment of adhesive capsulitis.