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Background: Adhesive capsulitis is an inflammatory condition that causes discomfort and stiffness in the shoulder which has a prevalence of 2% to 5%. Hence this research work is done to check the efficacy of Maitland mobilization technique versus Exercise with therapeutic ultrasound in adhesive capsulitis. Purpose: To find out the effects of Maitland mobilization technique & exercise with therapeutic ultrasound in adhesive capsulitis. Materials and Methods: Total of 28 participants were selected from Vijay physiotherapy clinic and divided into two groups. Group A was allocated with 14 participants and managed with Maitland mobilization technique and ultrasound. Group B 14 participants were managed with exercises and ultrasound for 4 weeks. The participant's intervention effects were assessed using VAS, SPADI Scale and Range of motion Study Period: November 2022 to July 2023. Result: This study results showed a significant (p value 0.0001) reduction in pain and improvement in shoulder disability values and ROM of adhesive capsulitis participants in group A (Maitland mobilization technique and Ultrasound) compared with group B (Exercise and Ultrasound). Conclusion: This study found that the Maitland Mobilization technique as well as Exercise both seems to be effective in treating adhesive capsulitis. But the patients in Maitland Group show greater improvement than the exercise group. [ABSTRACT FROM AUTHOR]

Background: Adhesive Capsulitis in the shoulder characterized as a self-limiting situation that lasts only while it has also been described as a 24 week long-term impairment caused by a chronic condition. SMET is a widely used method to restore normal ROM and reduce pain. PNF aims to improve joint synchronization, movement control, and mobility. Purpose: This study focuses on the effect of Spencer Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation for reducing pain and disability in Adhesive Capsulitis. Materials and Methods: A total of 40 participants were selected based on inclusion and exclusion criteria from Eyan Healthcare Foundation during the period of November 2022 to July 2023. They were split into two groups, with 20 Participants receiving Spencer Muscle Energy Technique and 20 Participants receiving Proprioceptive Neuromuscular Facilitation. Subjects with age of 40-70 years, with or without diabetes and pain or stiffness on shoulder were included and Subjects with recent trauma, injury around the shoulder were excluded in the study. All the subjects underwent pre-test measurement with Shoulder Pain and Disability Index (SPADI) and the same repeated for post-test measurement at the end of 4 weeks. Results: By statistical analysis there is a significant difference between the two groups. The Spencer group displays a greater difference than the PNF group when comparing mean differences of the two groups using SPADI. Conclusion: The study concluded that subjects who underwent Spencer Muscle Energy Technique are found to be more effective in reducing pain and disability than Proprioceptive Neuromuscular Facilitation in Adhesive Capsulitis. [ABSTRACT FROM AUTHOR]

Background: The management of frozen shoulder (FS) differs depending on experience level and variation between scientific guidelines and actual practice. Purpose: To determine the current trends and practices in the management of FS among shoulder specialists and compare them with senior shoulder specialists. Study Design: Consensus statement. Methods: A team of 15 senior shoulder specialists (faculty group) prepared a questionnaire comprising 26 questions regarding the definition, terminology, clinical signs, investigations, management, and prognosis of FS. The questionnaire was mailed to all the registered shoulder specialists of Shoulder and Elbow Society, India (SESI) (specialist group; n = 230), as well as to the faculty group (n = 15). The responses of the 2 groups were compared, and levels of consensus were determined: strong (>75%), broad (60%-74.9%), inconclusive (40%-59.9%), or disagreement (<40%). Result: Overall, 142 of the 230 participants in the specialist group and all 15 participants in the faculty group responded to the survey. Both groups strongly agreed that plain radiographs are required to rule out a secondary cause of FS, routine magnetic resonance imaging is not indicated to confirm FS, nonsteroidal anti-inflammatory drugs should be administered at bedtime, steroid injection (triamcinolone or methylprednisolone) is the next best option if analgesics fail to provide pain relief, passive physical therapy should be avoided in the freezing phase, <10% of patients would require any surgical intervention, and patients with diabetes and thyroid dysfunction tend to fare poorly. There was broad agreement that routine thyroid dysfunction screening is unnecessary for women, a single 40-mg steroid injection via intra-articular route is preferred, and arthroscopic capsular release (ACR) results in a better outcome than manipulation under anesthesia (MUA). Agreement was inconclusive regarding the use of combined random blood sugar (RBS) and glycosylated hemoglobin versus lone RBS to screen for diabetes in patients with FS, preference of ACR versus MUA to treat resistant FS, and the timing of surgical intervention. There was disagreement over the most appropriate term for FS, the preferred physical therapy modality for pain relief, the most important movement restriction for early diagnosis of FS, and complications seen after MUA. Conclusion: This survey summarized the trend in prevalent practices regarding FS among the shoulder specialists and senior shoulder surgeons of SESI. [ABSTRACT FROM AUTHOR]

Background: Adhesive Capsulitis idiopathic painful restriction of Shoulder movement results in global restriction of the glenohumeral joint. It is affecting 2% to 3% of the general population and affects many functional activities like combing, lifting, pushing and pulling. Although Physiotherapy is often the first line of management, there are various treatments has found its effectiveness but yet to date its protocol of treatment has not been established. So, it is necessary to find effectiveness of specific Physiotherapy treatment protocol for Adhesive Capsulitis. The aim of this study was to find effectiveness of Therapeutic Protocol for Physiotherapy management of Adhesive Capsulitis. Materials and Method: Experimental trial of 30 patients, diagnosed with primary Adhesive Capsulitis selected and divided into two groups. One group was given a Therapeutic Protocol based on review of literature and the other group was treated with Conventional Physiotherapy treatment for 4 Weeks. Pre and post treatment measurement of ROM, and SPADI Index were taken and statistical analysis was done. The two treatment strategies were compared, Group A showed better improvement in Abduction, IR ROM and Functional Score (SPADI) as compare to Group B which was treated with Conventional regular Physiotherapy Treatment. Improvement in Flexion, Extension and ER ROM was relatively less. Conclusion: Therapeutic Protocol proved effective for management of Adhesive Capsulitis. [ABSTRACT FROM AUTHOR]

Objective: To compare the effectiveness of mobilization with movement and end range mobilization along with conventional therapy for the treatment of frozen shoulder. Study Design: Experimental study design. Subjects: 30 patients between the age group 40 yrs to 60 yrs were selected as per the inclusion and exclusion criterion. Procedure: By random sampling method the 30 subjects were divided into 2 equal groups with 15 patients each.Experimental group A received Hot Pack,Exercises,MWM .Experimental group B received Hot Pack,Exercises,ERM. The study was performed for 4 months.The treatment was given 6 days per week.once in a day for 12 weeks .Evaluation was done before starting the treatment and then after 4 months. Outcomes scores were evaluated using SPADI & ROM . Result: Experimental group A showed improvement in SPADI score 62.9 % and ROM improved by 81.87 degree. The ERM group showed improvement in SPADI scores by 47.9 % and 76.8 degree Conclusion: The study found that both the treatment that is MWM and ERM are effective in the management of frozen shoulder but MWM is found to be slightly more effective. [ABSTRACT FROM AUTHOR]