EFFECTIVENESS OF HIGH-GRADE MOBILIZATION AND SHORTWAVE DIATHERMY WITH STRETCHING ON SHOULDER PAIN AND DISABILITY INDEX (SPADI) IN STAGE II ADHESIVE CAPSULITIS

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Aquil Shaik K
Mahantesh Biradi
Syed Zubair Ahmed

Keywords

Adhesive capsulitis Stage II, High Grade Mobilization, Shortwave Diathermy, Stretching.

Abstract

Background: Adhesive capsulitis is characterised by a spontaneous onset of shoulder pain accompanied by progressive limitation of both active and passive glenohumeral joint movements. This study was conducted to compare the effectiveness of High Grade Mobilization with stretching and Shortwave Diathermy with stretching in stage II adhesive capsulitis of the shoulder.


Objective: To evaluate and compare the effectiveness of High Grade Mobilization and stretching versus Shortwave Diathermy and stretching on pain, range of motion, and functional disability in stage II adhesive capsulitis.


Methods: Sixty participants with clinical diagnosis of adhesive capsulitis stage II were randomly allocated into two groups. Group A received High Grade Mobilization and stretching, while Group B received Shortwave Diathermy and stretching. The outcome measures were assessed in terms of Visual Analogue Scale (VAS), Range of Motion (ROM), and Shoulder Pain and Disability Index (SPADI).


Results: The mean difference of VAS scores for pre- and post-treatment was 1.76±1.07 in Group A and 1.36±1.35 in Group B respectively. The mean SPADI scores reduced from 33.95±11.82 to 27.00±11.29 in Group A, and from 41.92±8.88 to 35.33±9.59 in Group B. Mean difference in SPADI was 6.27±3.48 in Group A and 6.59±5.50 in Group B. Range of motion (flexion, abduction, external rotation and internal rotation) showed greater improvement in Group A compared to Group B.


Conclusion: Both High Grade Mobilization with stretching and Shortwave Diathermy with stretching were effective in stage II adhesive capsulitis. However, greater improvements in range of motion and functional disability were observed in the mobilization group.

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