Effect of Deep Transverse Friction Massage and Capsular Stretching in Idiopathic Adhesive Capsulitis
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The study was a randomized controlled trial. This study was reviewed and approved by the research review committee at Faridabad Institute of Technology. (Faridabad).
ObjectiveTo determine the effect of deep friction massage and capsular stretching in idiopathic adhesive capsulitis.
BackgroundStudies have shown the effect on deep transverse friction massage and manipulation together. This study is being done to see the effect of deep friction massage and capsular stretching together; on supraspinatus and subscapsularis muscle as these two muscles are will be effective in improving the range of motion and pain with functional disability in adhesive capsulitis.
Methods and MeasuresTwenty six patients with primary diagnosis of adhesive capsulitis (both men and women; mean age 40-60 years) and exhibiting a specific abduction, medial rotation and external rotation range of motion deficit will be randomised into two treatment groups.
The first group (Experimental group) will be receiving the Cyriax approach of deep friction massage on supraspinatus and the subscapsularis with inferior capsular stretching, hot packs, active assisted exercises and home exercise programs for a period of two weeks. The second group (control group) will be receiving the same except Cyriax technique. The initial evaluation will be including the recording of detailed medical and physiotherapy history and assessment of range of motion using goniometer, pain using visual analogue scale with disability using shoulder pain and disability index (SPDAI).
ResultsImprovement in shoulder abduction, internal and external rotation values along with functional disability and the decrease in pain were significantly better in the Experimental group after the first and second week of treatment.
ConclusionThe Cyriax method of rehabilitation provides a faster and better response than the conventional physical therapy methods in treatment of adhesive capsulitis.
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