Muhammad Usman Khan, Ghazala Noor Nizami, Ali Farhad.
Comparison of effectiveness of mobilization and self-exercises in adhesive capsulitis of shoulder.
Pak J Rehabil Jan ;7(1):35-41.

OBJECTIVE: To compare the effectiveness of mobilization and self-exercises in the management of adhesive capsulitis of shoulder. STUDY DESIGN: Randomized Control Trial. SAMPLE SELECTION: 30 patients of adhesive capsulitis of shoulder from physiotherapy department of tertiary care hospitals of Karachi were selected through simple random sampling technique. PROCEDURE: Treatment was continued for 5 days per week for the period of 3weeks followed by assessment. Patients were randomly divided into two equal groups. Group A was treated with midrange mobilization while group B performed self-exercises. Both groups received TENS and hot pack prior to the exercises. Mean ± SD, frequencies and percentages were used for descriptive analysis. ROM via goniometry and pain intensity through VAS was analyzed by paired t-test within the groups and by independent t-test between the groups, using SPSS. P-value of less than 0.05 was considered significant.RESULTS60% were females (n=18) and 40% were males (n=12) with mean age of 50.17±6.37 years. Significant improvement (p-value <0.05) in pain and shoulder ROM was observed among patients of Group A as compared to Group B. Pain intensity was decreased to 1.67 ± 0.62in group A, whereas ROMs in these patients were also better than other group. CONCLUSION: Joint mobilization is more effective than self-exercises in reducing pain and increasing ROM of patients of adhesive capsulitis of shoulder.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com