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153774

End-Range and Scapular Mobilization Technique Versus PassiveStretching Exercises in Treatment of Shoulder Adhesive Capsulitis

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Last updated: 01 Jan 2025

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Abstract

AbstractBackground: Idiopathic adhesive capsulitis of the shoulderis a condition characterized by gradual loss of active andpassive glenohumeral motion. The prevalence of adhesivecapsulitis is estimated to be two to five percent of the generalpopulation. Stretching the adhered shoulder capsule by meansof end range mobilization and passive stretching is the cor-nerstone of physical therapy interventions for treatment ofadhesive capsulitis. Scapular mobilization is also recommendedto correct the abnormal scapulohumeral rhythm accompaniedwith the limited motion at glenohumeral joint in patients withadhesive capsulitis.Aim of Study: To compare between the effect of end rangemobilization and scapular mobilization versus passive stretch-ing exercises on shoulder pain severity, functional disabilityand passive range of motion of shoulder flexion, abduction,internal rotation and external rotation in treatment of idiopathicshoulder adhesive capsulitis.Design of the Study: Randomized clinical trial, pretreat-ment posttreatment design was used.Methods: Forty male patients with idiopathic adhesivecapsulitis of the shoulder, whose age ranged between 40 to65 years with limited shoulder passive range of motion in atleast 2 of 4 directions and duration of illness ranged between 3 and 12 months participated in this study. They were randomly distributed into two equal experimental groups. The first group received end range mobilization technique and scapular mobilization technique and the second group received passive stretching exercises. In addition to that both groups received infrared radiation before each treatment session for warming up. All patients were treated twice weekly for six weeks.Results: Both groups had significant improvement in allmeasured variables. End range mobilization and scapularmobilization was significantly more effective than passivestretching exercises in improving shoulder pain severity,functional disability and range of motion of shoulder flexionand abduction. However, there was no significant differencebetween groups in improving range of motion of shoulderexternal rotation and internal rotation.

DOI

10.21608/mjcu.2021.153774

Keywords

Shoulder adhesive capsulitis, End-range mobi-lization, Scapular mobilization, Passive stretch-ing exercises

Authors

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SAYED S. MAAROUF, M.Sc.;

Last Name

MAGDY ELNAGGAR, Ph.D.

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First Name

MOHAMED A.

Last Name

KADDAH, M.D.

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Affiliation

The Department of Orthopedic Physical Therapy*, Faculty of Physical Therapy, Cairo University andOrthopedic Surgery Department**, Faculty of Medicine, Cairo University, Egypt

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Volume

89

Article Issue

March

Related Issue

22429

Issue Date

2021-03-01

Receive Date

2020-12-05

Publish Date

2021-03-01

Page Start

91

Page End

98

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_153774.html

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https://mjcu.journals.ekb.eg/service?article_code=153774

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12

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Journal

Publication Title

The Medical Journal of Cairo University

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

MainTitle

End-Range and Scapular Mobilization Technique Versus PassiveStretching Exercises in Treatment of Shoulder Adhesive Capsulitis

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Article

Created At

22 Jan 2023