"EFFECTS OF INTRAMUSULAR MANUAL THERAPY ON IMPROVING SHOULDER ABDUCTION IN ADHESIVE CAPSULITIS"- A SINGE BLINDED RCT

Authors

  • SUKUMAR S, LAWRENCE MATHIAS .. Assistant professor and PhD student, Nitte Institute of physiotherapy, Deralakatte, Mangalore -575 018, Professor, Dept of Orthopedics, K.S. Hedge Medical Academy, Deralakatte, Mangalore - 575 018,

Keywords:

dry needling, intramuscular manual therapy, myofascial trigger points, adhesive capsulitis, frozen shoulder.

Abstract

BACKGROUND: Myofascial trigger points formation in muscles of shoulder is one of
the reasons for pain and reduction in range of motion in adhesive capsulitis. This
study was conducted to evaluate the effects intramuscular manual therapy and
conventional physical therapy on improving shoulder abduction ROM in adhesive
capsulitis.
METHODS: 50 subjects were randomly allocated into two groups and pre
intervention assessment was taken for pain and disability by using SPADI and
shoulder abduction ROM by goniometry. 25 subjects were received Intra Muscular
Manual Therapy (IMMT), and another 25 subjects were received Conventional
Physical Therapy (CPT) for one week duration.
RESUTS: The mean and standard deviation of post intervention SPADI score (10.76 ±
3.13) and shoulder abduction ROM (165.40 ± 6.10) was shown improvement
compared to pre intervention SPADI score (110.08 ± 7.44) and shoulder abduction
ROM (89.68 ± 11.99) in IMMT group. Mean and standard deviation of post
intervention SPADI score (23.84 ± 4.93) and shoulder abduction ROM (147.80 ±
10.34) was shown improvement compared to pre intervention SPADI (111.84 ± 5.16)
and shoulder abduction ROM (89.1 2 ± 8.16) in CPT group. Within group comparison
of SPADI score in IMMT and CPT was shown the statistically very high significance
(p=.000). Between group comparisons of SPADI score (U=92.5) was shown very high
significance. Paired and Independent t test results shown statistical significance
(p=.000) for shoulder abduction ROM.
CONCLUSION: This study results conclude that IMMT is more effective than CPT and
it can be used as a primary intervention tool in treating adhesive capsulitis.

References

Bron C, Wensing M, Franssen JL, Oostendorp RA (2007). Treatment of myofascial trigger points in common shoulder disorders by physical therapy: a randomized controlled trial. BMC Musculoskelet Disord, 8:107. 2.Baldry P (2004). Acupuncture, Trigger Points and Musculoskeletal Pain. Third Churchill Livingstone. 3.Clewley D, Flynn TW, Koppenhaver S (2014). Trigger point dry needling as an adjunct treatment for a patient with adhesive capsulitis of the shoulder. J Orthop Sports Phys Ther. 44(2):92-101.

Grey RG. (1978).The natural history of "idiopathic" frozen shoulder. J Bone Joint Surg [Am], 60:564. 5.Green S, Buchbinder R, Hetrick S (2003). Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev. (2) 6.Holmes CF, Fletcher JP, Blaschak MJ, Schenck RC (1997). Management of shoulder dysfunction with an alternative model of orthopedic physical therapy intervention: a case report. J Orthop Sports Phys Ther. 26(6):347-54. 7.Kuijpers T, van Tulder MW, van der Heijden GJ, Bouter LM, van der Windt DA (2006). Costs of shoulder pain in primary care consulters: a prospective cohort study in The Netherlands. BMC Musculoskelet Disord. 7:83. 8.Ma SY, Je HD, Jeong JH, Kim HY, Kim HD (2013). Effects of whole-body cryotherapy in the management of adhesive capsulitis of the shoulder. Arch Phys Med Rehabil. 94(1):9-16. 9.Neviaser AS, Neviaser RJ (2011). Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg, 19(9):536-42.

Roy JS, MacDermid J C, Woodhouse LJ, (2009). Measuring shoulder function: A systematic review of four questionnaires. Arthritis & Rheumatism, 61: 623–632. 11.Simons D, Travell JG, Simons LS (1999) Myofascial pain and dysfunction. The trigger point manual. Upper half of body. Baltimore: Lippincott, Williams and Wilkins. 12.Simons D (2004). Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol. 14:95-107

Downloads

Published

2014-11-30

Issue

Vol. 3 No. 12 (2014): NOVEMBER 2014

Section

Articles

License

Copyright Notice

Submission of an article implies that the work described has not been published previously (except in the form of an abstract or as part of a published lecture or academic thesis), that it is not under consideration for publication elsewhere, that its publication is approved by all authors and tacitly or explicitly by the responsible authorities where the work was carried out, and that, if accepted, will not be published elsewhere in the same form, in English or in any other language, without the written consent of the Publisher. The Editors reserve the right to edit or otherwise alter all contributions, but authors will receive proofs for approval before publication.

Copyrights for articles published in World Scholars journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.