Volume 33, Issue 11 (February 2023)                   Studies in Medical Sciences 2023, 33(11): 796-806 | Back to browse issues page

Ethics code: IR.URMIA.REC.1401.015


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Akbarian S, Roshani S. COMPARISON OF THE EFFECT OF SCAPULAR STABILIZATION AND MOBILIZATION TECHNIQUES ON PAIN AND RANGE OF MOTION OF GLENOHUMERAL JOINT IN THE WOMEN WITH FROZEN SHOULDER. Studies in Medical Sciences 2023; 33 (11) :796-806
URL: http://umj.umsu.ac.ir/article-1-5952-en.html
Assistant Professor, Department of Physiology and Corrective exercise, Faculty of Sports Sciences, Urmia University, Urmia, Iran (Corresponding Author) , srowshani@yahoo.com
Abstract:   (1862 Views)
Background & Aims: Frozen shoulder or adhesive capsulitis is one of the most common causes of shoulder pain and disability, which is characterized by pain and limited range of motion of the glenohumeral joint. The purpose of this study was to compare the effect of scapular stabilization and mobilization techniques on pain and range of motion glenohumeral joint in the women with frozen shoulder.
Materials & Methods: In this semi-experimental research, 45 women suffering from frozen shoulder with an age range of 40-60 years, referred to Urmia city clinics were selected and divided into three groups of scapular stabilization exercises (age: 48.19±2.52 years), shoulder mobilization (age: 51.73±3.85 years), and control (age: 49.33±2.49 years) groups. The range of motion of abduction, flexion, and internal and external rotation of the shoulder were measured using a goniometer. Shoulder pain was measured using a visual analog scale (VAS) before and after the interventions. Data analysis was done using SPSS software at a significant level of P≤0.05. ANCOVA and Sidak post hoc test were used to compare the mean of the variables.
Results: There was no significant difference between the two types of therapeutic intervention on pain and range of motion. However, a significant difference was observed between the two scapular stabilization and mobilization programs in order of reduction of pain and improvement of the range of motion of abduction, flexion, internal rotation, and external rotation compared to the control group.
Conclusion: Carrying out scapular stabilization and mobilization exercises has a significant effect on reducing pain and improving the range of motion of the shoulder of patients. Therefore, the mentioned programs can be used to reduce pain and increase the range of motion of the shoulder of patients with frozen shoulder.
Full-Text [PDF 598 kb]   (678 Downloads)    
Type of Study: Clinical trials | Subject: طب فیزیکی

References
1. Ng CY, Amin AK, Narborough S, McMullan L, Cook R, Brenkel IJ. Manipulation Under Anaesthesia andEarly Physiotherapy Facilitate Recovery of Patients with Frozen Shoulder Syndrome. Scott Med J 2009;54(1):29-31. [DOI:10.1258/rsmsmj.54.1.29] [PMID]
2. Codman EA. Normal motions of the shoulder joint. The shoulder. Boston: Thomas Todd Co. 1934; 32-64. [URL]
3. Ueda A, Matsumura A, Shinkuma T, Oki T, Nakamura Y. Scapular dyskinesis type is associated with glenohumeral joint and scapular kinematic alteration during pitching motion in baseball players. J Bodywork Mov Ther 2021;28:332-40. [DOI:10.1016/j.jbmt.2021.07.039] [PMID]
4. Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis: Does the timing of manipulation influence outcome? Acta Orthop Belg 2007;73:21-5. [Google Scholar]
5. Homsi C, Bordalo-Rodrigues M, DA Silva JJ, Stump XM. Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament avaluable diagnosis tool? Skeletal Radiol 2006;35:673-8. [DOI:10.1007/s00256-006-0136-y] [PMID]
6. Mahendran P, Dinku Chetia. Combind Effects of Joint Mobilization with Proprioceptive Neuromuscular Facilitation in Subjects with Adhesive Capsulitis of Shoulder. J Chalmeda Anandrao Inst Med Sci 2013;6(1):5-11. [Google Scholar]
7. Montgomery RI, Galway R, Kernohan WG, McKane R. A randomized controlled trial of intra-articular triamcinolone and/or physiotherapy in shoulder capsulitis. Rheumatology 2005;44:529-35. [DOI:10.1093/rheumatology/keh535] [PMID]
8. Castellarin G, Ricci M, Vedovi E, Vecchini E, Sembenini P, Marangon A, et al. Manipulation and arthroscopy under general anaesthesia and early rehabilitation treatment for frozen shoulders.Arch Phys Med Rehabil 2004;85:1236-40. [DOI:10.1016/j.apmr.2003.12.032] [PMID]
9. Omari A. Bunker TD. Open surgical release for frozen shoulder: Surgical findings and results of the release. J Shoulder Elbow Surg 2001;10:353-7. [DOI:10.1067/mse.2001.115986] [PMID]
10. Vermeulen HM, Rozing PM, Obermann WR, Cessie S, Vlieland TPW. Comparison of high-grade and lowgrade mobilization techniques in the management of adhesive capsulitis of the shoulder: Randomized controlled trial. Phys Ther 2006;86:355-68. [DOI:10.1093/ptj/86.3.355] [PMID]
11. Voight ML, Thomson BC. The role of the scapula in the rehabilitation of shoulder injuries. J Athl Train 2000;35(3):364. [] [PMCID]
12. Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis: Does the timing of manipulation influence outcome?. Acta Orthop Belg 2007;73:21-5. [Google Scholar]
13. Jurgel J, Rannama L, Gapeyeva H, Ereline1 J, Kolts I, Paasuke M. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas) 2005;41:30-8. [Google Scholar]
14. Sokhtehzari Z, Ghanizadeh hesar N, Mohammadi dangheralo M, Roshani S. Comparison of the Effect of Codman Exercises and Scapular Rhythm on Pain and External Rotation of Shoulder in Women with Frozen Shoulder Syndrome. J Ilam Univ Med Sci 2022;29(6):1-10. [DOI:10.52547/sjimu.29.6.1]
15. Simpson, J. K., & Budge, R. Treatment of frozen shoulder using distension arthrography(hydrodilatation): a case series. Australas. Chiropr. Osteopathy 2004;12(1): 25-37. [PMCID]
16. Ping Lin, Moudan Yang, Deqing Huang, Huan Lin, Jialin Wang, Chaoping ZhongLi Guan. Effect of proprioceptive neuromuscular facilitation technique on the treatment of frozen shoulder: a pilot randomized controlled trial. BMC Musculoskelet Disord 2022:23(2):367-81. [DOI:10.1186/s12891-022-05327-4] [PMID] [PMCID]
17. Roshani S, Moghaddasi A, Abbasi M, Abdolmohammadi A, Ahanjan Sh. The effect of a 4-week rehabilitation program on increasing range of motion and reducing pain in men with frozen shoulder. Iran J Ageing 2010;5(3):7-15 [URL]
18. Dos Santos C, Jones MA, Matias R. Short-and long-term effects of a scapular-focused exercise protocol for patients with shoulder dysfunctions-a prospective cohort. Sensors 2021;21(8):2888. [DOI:10.3390/s21082888] [PMID] [PMCID]
19. Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008;17(2):231-6. [DOI:10.1016/j.jse.2007.05.009] [PMID]
20. Guity MR, Ghaznavi AR. Manipulation of idiopathic frozen shoulder with and without concomitant intra-articular corticosteroid injection. Tehran Univ Med J 2007;65(6):12-6 [Google Scholar]
21. Simmonds F A. Shoulder pain with particular reference to the frozen shoulder. J Bone Joint Surg 1999;13(3):426-32. [DOI:10.1302/0301-620X.31B3.426]
22. Ravichandran H, Janakiraman B, Gelaw AY, Fisseha B, Sundaram S, Sharma HR. Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review. J Exerc Rehabil 2020;16(3):216. [DOI:10.12965/jer.2040256.128] [PMID] [PMCID]
23. Jurgel J, Rannama L, Gapeyeva H, Ereline1 J, Kolts I, Paasuke M. Shoulder function in patientswith frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas) 2005;41(1):30-8. [Google Scholar]
24. Yang JL, Chang CW, Lin JJ. Shoulder kinematic features in the prediction of response to physical therapy in patients with frozen shoulder syndrome. J Biomech 2007;40(2):386-97. [DOI:10.1016/S0021-9290(07)70381-0]
25. Smith J, Kotajarvi BR, Padgett DJ, Eischen JJ. Effect of scapular protraction and retraction on isometric shoulder elevation strength. Arch Phys Med Rehabil 2002;83(3):367-70. [DOI:10.1053/apmr.2002.29666] [PMID]
26. Kotteeswaran K, Rekha K, Vaiyapuri A, Kotteeswaran K. Effect of stretching and strengthening shoulder muscles in protracted shoulder in healthy individuals. Int J Comput Appl 2012;2(2):111-8. [Google Scholar]
27. Nawoczenski DA, Clobes SM, Gore SL, Neu JL, Olsen JE, Borstad JD, Ludewig PM. Three-dimensional shoulder kinematics during a pressure relief technique and wheelchair transfer. Arch Phys Med Rehabil 2003;84(9):1293-300. [DOI:10.1016/S0003-9993(03)00260-0] [PMID]
28. Roy JS, Moffet H, Hébert LJ, Lirette R. Effect of motor control and strengthening exercises on shoulder function in persons with impingement syndrome: a single-subject study design. Man Ther 2009;14(2):180-8. [DOI:10.1016/j.math.2008.01.010] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Studies in Medical Sciences

Designed & Developed by : Yektaweb