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Research Paper | Physiotherapy | India | Volume 13 Issue 9, September 2024 | Popularity: 5.4 / 10

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To Study the Effect of End Range Mobilization with Scapular Mobilization on Pain, Range of Motion, Joint Space and Functional Disabilities in Adhesive Capsulitis Individuals with Type 2 Diabetes Mellitus-Randomized Controlled Trail

C. S. Hemalatha, Dr. C Shanthi, Dr. K Madhavi, Dr. B Vijayalakshmi Devi

Abstract: Purpose: The study aims to find out the effect of end range mobilization with scapular mobilization on pain, range of motion, joint space and functional disabilities in adhesive capsulitis individuals with type 2 diabetes mellitus. Background: Adhesive Capsulitis, a prevalent musculoskeletal issue especially in type 2 diabetes mellitus, is a major cause of shoulder joint and functional impairments, impacting the components of the shoulder movements and thus impairing the ADLs. End range mobilization coupled with scapular mobilization, proves effective in enhancing the shoulder movements and thus improving the functional activities. Participants: The study recruited 50 adhesive capsulitis subjects meeting inclusion criteria, aged 40 - 60, both men and women with HbA1c ranging 6.5 - 8.5 with medications. Methodology: The study employs a randomized controlled method. Subjects were randomly assigned into two groups: Group A received end range mobilizations with scapular mobilization with conventional therapy, Group B underwent only end range mobilization with conventional therapy. Both the groups participated in 30 - 40 minutes of daily sessions, 3 days in a week, over a 12 - week period. Pain was evaluated by Visual Analog Scale (VAS), range of motion by digital inclinometer, joint space by radiological measure and functional ability by SPADI questionnaire. Analysis: Pre - and post - values were measured using paired t - tests within the groups. The individual t - test is used to measure the between group data. Results: Following treatment, both groups exhibited significant differences Additionally, a comparison between the experimental and control groups revealed End - range mobilization combined with scapular mobilization significantly improves shoulder mobility and reduces pain. The experimental group showed notable improvements in shoulder movements and a substantial reduction in pain and disability. This treatment approach is more effective in enhancing shoulder function and alleviating pain than the control group. Conclusion: This study showed that end range mobilization with scapular mobilization be used as an effective treatment in reducing pain, functional disabilities and improving shoulder range of motion and joint space in diabetic adhesive capsulitis individuals.

Keywords: Adhesive capsulitis, diabetes mellitus, VAS, digital inclinometer, SPADI

Edition: Volume 13 Issue 9, September 2024

Pages: 292 - 298

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