The Efficacy of Sleeper’s Stretch and Movement with mobilization on Pain, Range of Motion & Functional Capacity in Patients with Adhesive Capsulitis

Authors

  • R. Chidambaram 1,2, P. Muruganandam 3, Kanchan S. Bhandure 4

DOI:

https://doi.org/10.37506/ijpot.v14i4.11317

Keywords:

Adhesive Capsulitis, Range of motion, Disability, M.W.M., Sleeper’s stretch & Pain.

Abstract

BACKGROUND: The pathological changes in adhesive capsulitis occurs surrounding the intrinsic structure
tightness. Movement with mobilization mostly works on intracapsular & sleeper’s stretch mainly acts on
capsule. There are some studies which supports that M.W.M. is more effective in patients with adhesive
capsulitis. At the same time, some studies have been done which proves sleeper’s stretch to be beneficial
in capsular tightness. As a result, present study thought to determine the combined effects of M.W.M.&
Sleeper’s Stretch on adhesive capsulitis. OBJECTIVES: To find the effects of M.W.M. on R.O.M., pain and
functional disability in populations with adhesive capsulitis. To find the effects of M.W.M. and sleeper’s
stretch on R.O.M., pain and functional disability in populations with adhesive capsulitis. To compare the
effects of M.W.M. and M.W.M. with sleeper’s stretch on R.O.M., pain and functional disability in populations
with adhesive capsulitis. METHODOLOGY: A Randomized, controlled, single blinded study, 50 patients
with adhesive capsulitis were selected based on the inclusion and exclusion criteria. Pre -assessment of pain,
R.O.M. and disability index had been taken. The patients are randomly allocated into two groups. 25 patients
in Group ‘A’ with adhesive capsulitis was treated with M.W.M. alone where as another 25 patients in Group
‘B’ with adhesive capsulitis was treated with M.W.M. plus, sleeper’s stretch. Both the groups were given
the conventional therapy which includes hot packs, pendular exercises, finger ladder exercises and active
range of motion exercises. Post assessment was done. RESULTS: In total, 50 patients were randomized to
the study interventions. The flexion R.O.M. in pre and post mean values of Groups ‘A’ and ‘B’ are 18.41
and 29.16, P value is 0.04. The internal rotation R.O.M. in pre and post mean values of Groups ‘A’ and ‘B’
are 7.72 and 14.44, P value is 0.09. The external rotation R.O.M. in pre and post mean values of Groups ‘A’
and ‘B’ are 13.72 and 16.85, P value is 0.39. In SPADI, Pre & Post mean values of Group ‘A’ & Group ‘B’
are 16.83 and 24.41 respectively, P value is 0.28. In NPRS, Pre and post mean values of Groups ‘A’ and ‘B’
are 2.72 & 2.88 respectively, P value is 0.02. CONCLUSIONS: Adding sleeper’s stretch with M.W.M. to
standard therapy for adhesive capsulitis may offer significant advantages.

Author Biography

R. Chidambaram 1,2, P. Muruganandam 3, Kanchan S. Bhandure 4


Professor, SRM College of Physiotherapy, SRMIST, Kattankulathur, Chengalpattu, 2
Ex .Professor, PES Modern
College of Physiotherapy, MUHS, Pune, 3
Associate Professor, Dr.D Y Patil College of Physiotherapy, Dr.D Y Patil
Vidyapeeth, Pune, 4
PG Student, CMF College of Physiotherapy, MUHS, Pune.

Published

2020-10-15