Original Research Article
Year: 2019 | Month: August | Volume: 9 | Issue: 8 | Pages: 149-156
Effectiveness of Scapular Mobilization versus Myofascial Release of Subscapularis on Pain, ROM and Function in Subjects with Chronic Frozen Shoulder: A Comparative Study
Uma Sinha1, Bibhuti Sarkar2, Pravin Kumar3
1Professional Trainee (PT), 2Demonstrator, (PT), 3Assistant professor, (PT);
Department of Physiotherapy, National Institute for Locomotor Disabilities (Divyangjan), B.T. Road, Bonhoogly, Kolkata-700090, West Bengal, India.
Corresponding Author: Uma Sinha
ABSTRACT
Background and Purpose: Frozen shoulder, also known as Adhesive Capsulitis, is a common condition involving scapulohumeral pain and loss of motion. Subscapularis trigger points (TrPs) are quite common in "frozen shoulder". Referred pain from subscapularis TrPs muscle concentrates in the posterior deltoid area and may extend medially over the scapula, down the posterior aspect of the arm.
Objective: To evaluate and compare the effectiveness of scapular mobilization versus myofascial release of subscapularis on pain, external rotation ROM and function in subjects with chronic frozen shoulder.
Subjects and Methods: Thirty-two (32) subjects with chronic Frozen Shoulder were assessed as per inclusion, exclusion criteria and randomly allocated in two groups. Subjects in Group-A (n=15, Male-7, Female-8) received scapular mobilization, supervised exercise protocol, moist hot packs (MHP) and home exercise program. Subjects in Group B (n=17, Male-6, Female-11) received myofascial release (MFR) of subscapularis, supervised exercise protocol, MHP and home exercise program. Both the group received 10 sessions of intervention (5 sessions/week) in 2 weeks.
Outcome Parameters: Pain intensity was measured by numerical pain rating scale (NPRS), Active external rotation ROM of shoulder by universal goniometer & functional disability by shoulder pain and disability index (SPADI). These parameters were measured at baseline and after 10 sessions of intervention.
Results: All outcome measures were homogenous at baseline (p>0.05). Intragroup analysis revealed significant changes in all outcome parameters. Whereas, intergroup comparison showed statistically insignificant difference for all outcome parameters.
Conclusion: The results of this study suggested that both the treatment methods (i.e. scapular mobilization and MFR) were effective in improving pain, ROM & function in subjects with Chronic Frozen Shoulder.
Key words: Chronic Frozen Shoulder, Subscapularis trigger points, Scapular Mobilization, Myofascial release, Functional disability.