Effects of Anterior Versus Posterior End Range Mobilizations on Shoulder Rotations Range of Motion in Adhesive Capsulitis Stage II

Abstract

Background: Adhesive capsulitis is characterized by a spontaneous onset of shoulder pain accompanied by progressive limitation of both active and passive glenohumeral joint movements. Aim and Objectives: This study was done to compare effectiveness of anterior versus posterior end range mobilizations on shoulder rotations range of motion (ROM) in subjects with adhesive capsulitis stage II. Method: 56 participants with clinical diagnosis of adhesive capsulitis stage II were randomly allocated in two groups A & B. Both groups received therapeutic ultrasound and pre-set of prescribed home exercises in common. While Group ‘A’ received Anterior and Group ‘B’ received Posterior end range mobilizations. Shoulder rotations ROM was assessed as Outcome measure using universal goniometer at baseline, at end of 2 weeks post intervention. Results: Result showed both anterior (% of change was -66.88) and posterior (% of change was -67.80) end range mobilization were equally effective in increasing internal rotation (IR) ROM. Posterior end range mobilisation (% of change was -187.50) was more effective than anterior end range mobilization (% of change was -101.37) in increasing external rotation(ER) ROM. Conclusion: We concluded that application of posterior end range mobilization is more effective than anterior end range mobilisation in increasing ERROM.