• Pak J Med Sci · Jul 2021

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

    • Rida Shabbir, Aatik Arsh, Haider Darain, and Sadaf Aziz.
    • Rida Shabbir, DPT, MSPT. Lecturer, Institute of Physical Medicine and Rehabilitation, Khyber Medical University Peshawar, Pakistan.
    • Pak J Med Sci. 2021 Jul 1; 37 (4): 1196-1200.

    ObjectiveTo determine effectiveness of proprioceptive training and conventional physical therapy in managing patients with adhesive capsulitis.MethodsA 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.ResultsThe 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.ConclusionProprioceptive 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.Copyright: © Pakistan Journal of Medical Sciences.

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