Effectiveness of proprioceptive training and conventional physical therapy in treating adhesive capsulitis

  • Rida Shabbir Institute of Physical Medicine and Rehabilitation, Khyber Medical University Peshawar, Pakistan
  • Aatik Arsh Paraplegic Center, Peshawar
  • Haider Darain Institute of Physical Medicine and Rehabilitation, Khyber Medical University Peshawar, Pakistan
  • Sadaf Aziz Rahman Medical institute Peshawar
Keywords: Frozen Shoulder, Pain, Physical Therapy, Proprioception, Rehabilitation

Abstract

Objective: To determine effectiveness of proprioceptive training and conventional physical therapy in managing patients with adhesive capsulitis.

Methods: A pre-test post-test control group study was conducted at Rehman Medical Institute from June to December 2019. Thirty-eight patients, aged 30 to 60 years, with diagnosis of adhesive capsulitis for more than four months were divided into two groups. Subjects in Group-I (conventional group; n=19) received conventional physical therapy protocols for one month while subjects in Group-II (proprioceptive group; n=19) received proprioceptive training along with conventional physical therapy for one month. Disability of Arm Shoulder & Hand questionnaire, Shoulder Pain & Disability Index and goniometer were used at baseline and post-treatment to assess functional activity level, pain & disability and range of motion respectively. Data was analyzed using SPSS version 20.

Results: The mean age of the participants was 53.13 ± 9.12 years. Baseline characteristics were balanced between the two groups. After the treatment, all measures (functional activity level, pain, disability, ROM) improved in both groups. Post treatment, between group analysis showed that functional activity (DASH) and pain (SPADI pain) significantly (P-value <0.05) improved in proprioceptive group as compared to conventional group. However, there were no significant differences (P-value≥ 0.05) in post treatment SPADI disability, SPADI total and ROM (flexion, abduction, external rotation) scores of both groups.

Conclusion: Proprioceptive exercises along with conventional physical therapy are more effective in managing pain and improving functional activities in adhesive capsulitis patients as compared to conventional physical therapy alone.

doi: https://doi.org/10.12669/pjms.37.4.3874

How to cite this:
Shabbir R, Arsh A, Darain H, Aziz S. Effectiveness of proprioceptive training and conventional physical therapy in treating adhesive capsulitis. Pak J Med Sci. 2021;37(4):1196-1200. doi: https://doi.org/10.12669/pjms.37.4.3874

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-05-07
How to Cite
Shabbir, R., Arsh, A., Darain, H., & Aziz, S. (2021). Effectiveness of proprioceptive training and conventional physical therapy in treating adhesive capsulitis. Pakistan Journal of Medical Sciences, 37(4). https://doi.org/10.12669/pjms.37.4.3874
Section
Original Articles