Effects Of Thoracic Manipulation in Increasing Rom and Pain in Frozen Shoulder Randomized Control Study

Abstract

Adhesive capsulitis is a common musculoskeletal condition that can cause discomfort and a limited range of motion (ROM) in the shoulder. Unknown is the precise pathophysiology of frozen shoulder. The tendon fibrosis and capsule contractors that limit mobility at the glenohumeral joint are often to blame. Objective: To determine the efficacy of thoracic spine manipulation on shoulder ROM, pain and disability in patients with frozen shoulder. Methods: This study was conducted in a randomized control fashion at the HHIRS Rehabilitation Department in Mansehra. Patients experiencing shoulder discomfort between the ages of 40 and 60 were included, both male and female. The analysis was carried out using SPSS version 22.0. For normality, the Shapiro-Walk test was applied. Tests both parametric and non-parametric were used to compare results within and across groups. Results: Friedman test presented comparison within group of variables via non parametric test for shoulder pain and ROMs.  There is significant improving in variables on VAS scale and range of motions in both groups showed significant improvement p<0.001. Both group A and B showed statistically significant improvement in disability p<0.001 while in B group there was an irrelevant alteration in 3rd week. Conclusions: In comparison to traditional physical therapy alone, thoracic spine manipulation is more successful in improving shoulder discomfort, disability and ROM