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116244

Comparative Study of the Combined Effect of Therapeutic Exercises and Mobilization between Stage II and Stage III Frozen Shoulder

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Last updated: 22 Jan 2023

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Abstract

Abstract Background: It is clear that therapeutic exercise plus mobilization have significant benefits on range of motion in frozen shoulder however it is important to consider the patient's symptoms and the stage of the condition and suggest if the disease prognosis is affected by treatment. Aim of Study: To compare the combined effect of shoulder mobilization and therapeutic exercises on pain, range of motion, and overall shoulder functions between stage II and stage III frozen shoulder. Material and Methods: Thirty patients referred as frozen shoulder, were divided according to their stage of illness equally into two groups; group A (stage II) and group B (stage III). Both groups were treated with mobilization, stretching exercises, active exercise and Codman pendulum exercises and that was 2 times per week for successive two months. Each patient was assessed for shoulder ROM using universal goniometer pretreatment, post 6 sessions and post treatment and pain and disability using shoulder pain and disability index (SPADI) pretreatment and post treatment. Results: There was significant effect of mobilization and therapeutic exercises on pain and overall shoulder functions in both groups with more significant effect in group A compared with group B (p=0.0001). Also there was significant effect on shoulder ROM of flexion and abduction in group A com-pared with that of group B (p=0.0001). But there was no significant difference in shoulder internal rotation and external ROM between both groups (p=0.8 & p=0.12). Whereas there was a significant increase in shoulder extension ROM of group B compared with that group A (p=0.001). Conclusion: The combined effect of mobilization and therapeutic exercises has significant effect on pain and overall shoulder functions in stage II frozen shoulder than stage III and a significant effect on shoulder ROM in both stages.

DOI

10.21608/mjcu.2020.116244

Keywords

Frozen shoulder, Mobilization, Therapeutic Exercises

Authors

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OLA I. IBRAHIM, M.Sc.;

Last Name

SALWA F. ABDEL-MAJID, Ph.D.

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First Name

WALID R. MOHAMED, Ph.D.;

Last Name

MOHAMED A. SARHAN, Ph.D.

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Affiliation

The Department of Physical Therapy for Orthopedics, Faculty of Physical Therapy, Cairo1,2 and South Valley3 Universities and The Department of Orthopedic Surgery, Faculty of Medicine, Cairo University4, Egypt

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Volume

88

Article Issue

September

Related Issue

14147

Issue Date

2020-09-01

Receive Date

2020-06-30

Publish Date

2020-09-01

Page Start

1,531

Page End

1,537

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_116244.html

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https://mjcu.journals.ekb.eg/service?article_code=116244

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12

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

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Article

Created At

22 Jan 2023