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“Comparative Effects of Transcutaneous Electrical Nerve Stimulations and Mobilization With and Without Rotator Cuff Muscles’ Strengthening Exercises on pain, Range of motions and Function in Participants with Adhesive; a randomized clinical trial”

. Muhammad Talha Hassan Javed, Maryam Ijaz, Hafsa Riaz, Muhammad Abbas, Muhammad Hanif & Shaheer Masood


Abstract

Background: Adhesive capsulitis (AC disease is a condition of joint capsule, which becomes inflamed and fibrosed, so a thickening of lining of glenohumeral joint’s capsule brings remarkable stiffness which increases progressively thus limiting all movements at GH joint. Continuous severe pain in the GH joint renders the muscles around the joint to become spastic, muscles when are spastic, becomes less efficient and becomes weak gradually. Therefore it is advised that strengthening of RC muscles must be integrated while treating the AC disease. Aims and objectives: This study was conducted to find out the effects of TENS and mobilization with and without rotator cuff muscles’ strengthening exercises on function, Range of motions and pain in Adhesive Capsulitis disease. Materials and Methodology: It was a quasi experimental research. A sample of 40 subjects with AC disease was selected by using convenient sampling technique from public and private hospitals of Faisalabad. We divided the subjects into two groups; one group received GH joint mobilization & TENS, on the other hand, second group was given strengthening exercises of the RC muscles additionally. Total twelve treatment sessions were given for 4 consecutive weeks with administration of three treatment session in one week. A goniometer was used for ROM measurement, VAS for pain measurement and SPADI & PSFS was used for the measurement of pain, disability and functional status. Data Analysis: SPSS version 16 was used for data analysis. Results: Statistically significant improvement i.e. p-value<0.05 was seen in the group which was given strengthening exercises combined with TENS and mobilizations. Conclusion: This study concluded that strengthening exercises combined with mobilization and TENS had a greater impact on ROM and a greater impact on pain on the VAS than using mobilization and TENS alone

Keywords: Adhesive capsulitis, mobilization, frozen shoulder,

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