Tag: SPADI

Correlation between functional disability and shoulder ROM in patients with primary frozen shoulder

Shaimaa Ramadan Eldeab, Bassem Galal Eldein El Nahass, Mona Mohamed Ibrahim, Mohammed Ali Sarhan

Shaimaa Ramadan Eldeab, Bassem Galal Eldein El Nahass, Mona Mohamed Ibrahim, Mohammed Ali Sarhan – Correlation between functional disability and shoulder ROM in patients with primary frozen shoulder –  Fizjoterapia Polska 2025; 25(4); 198-204

DOI: https://doi.org/10.56984/8ZGA431542L

Abstract
Background. The Shoulder Pain and Disability Index (SPADI) is a common patient-reported outcome for frozen shoulder. However, the correlation between SPADI and objective range of motion (ROM), especially during the frozen stage, is not fully understood. Clarifying these relationships can enhance clinical assessment and rehabilitation.
Methods. This cross-sectional study investigated patients with frozen-stage frozen shoulder. Passive ROM (flexion, extension, abduction, external rotation [ER] at 0° and 45°, internal rotation [IR] at 45°) and SPADI total, pain, and function subscale scores were assessed. Pearson correlation coefficients determined the strength and significance of associations between SPADI and ROM.
Results. Significant moderate to strong negative correlations were found between higher SPADI total scores and reduced ROM: ER at 0° (r = −0.458, p = 0.002), IR at 45° (r = −0.507, p < 0.001), flexion (r = −0.567, p < 0.001), abduction (r = −0.380, p = 0.010), and extension (r = −0.298, p = 0.047). The SPADI function subscale showed similarly strong correlations across all ROM directions, notably ER at 45° (r = −0.572, p < 0.001). SPADI pain had weaker correlations, significant only with IR at 45° (r = −0.308, p = 0.040) and flexion (r = −0.459, p = 0.001). ER at 45° strongly correlated with ER at 0° (r = 0.852, p < 0.001), indicating its broader relevance.
Conclusions. The observed correlations generally support the construct validity of SPADI as a functional measure sensitive to physical limitations in patients with frozen shoulder.
Key words
frozen shoulder, SPADI, shoulder ROM
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Effectiveness of Mulligan “MWM” versus Spencer technique on functional ability in subjects with adhesive capsulitis of the shoulder joint

Sundar Rajan M S, Kotteeswaran K, Kamalakannan M, Hariharan J, Priyanga Seemathan, Delphin Kavya D, Dinesh S, Koteeswari Arumugam

 

Sundar Rajan M S et al. – Effectiveness of Mulligan “MWM” versus Spencer technique on functional ability in subjects with adhesive capsulitis of the shoulder joint –  Fizjoterapia Polska 2025; 25(2); 54-59

DOI: https://doi.org/10.56984/8ZG7D19F64U

Abstract
Background. Frozen shoulder, or adhesive capsulitis, is characterized by pain and progressive loss of both active and passive shoulder range of motion due to capsular contracture and fibrosis. The Spencer technique focuses on mobilizing the glenohumeral and scapulothoracic joints. The Mulligan technique combines active movement with passive accessory mobilization to achieve pain-free motion by restoring impaired accessory glide.
Objective. To evaluate the effectiveness of Mulligan “MWM” versus the Spencer technique in patients with adhesive capsulitis of the shoulder joint using range of motion (ROM) and the Shoulder Pain and Disability Index (SPADI).
Methods. Forty subjects meeting the inclusion and exclusion criteria were selected. The procedure was explained in detail, and informed consent was obtained before initiating the study. Pre- and post-test values were measured using ROM and SPADI. Participants were divided into two groups: Mulligan “MWM” with exercise (n = 20), and the Spencer technique with exercise (n = 20). Both groups received arm circles, pendulum stretch, towel stretch, wand exercise, wall climbing, and upper body stretch, three days a week for six weeks (2 sets of 10 repetitions with a 10-second hold).
Results. The data were statistically analyzed using an unpaired t-test. The Mulligan “MWM” group showed significantly greater improvement (p < 0.01) in pain reduction and functional ability compared to the Spencer technique, as measured by ROM and SPADI.
Conclusion. Mulligan “MWM” is more effective than the Spencer technique, when combined with exercise, in reducing pain and improving functional ability in individuals with adhesive capsulitis of the shoulder joint.

Key words
adhesive capsulitis, range of motion, SPADI, Mulligan “MWM”, Spencer technique

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Changes in Rotator Cuff Strength Ratio, Shoulder Pain and Disability after Cervicothoracic Mobilization in Subjects with shoulder impingement syndrome

Ahmed M Elmelhat, Salwa F Abdelmagid, Ebtessam F Gomaa, Ahmed M Gad

Ahmed M Elmelhat, Salwa F Abdelmagid, Ebtessam F Gomaa, Ahmed M Gad – Changes in Rotator Cuff Strength Ratio, Shoulder Pain and Disability after Cervicothoracic Mobilization in Subjects with shoulder impingement syndrome. Fizjoterapia Polska 2020; 20(1); 36-42

Abstract
Background. Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain. Recently, attention has been given to the use of spinal manual therapy to treat shoulder pain. Methods. This study is a Randomized controlled trial. Overall, 35 patients with mean age (32 ± 6.47) years were participated in this study as SIS (stage I and II Neer’s classification) were randomized into 2 equal groups. The control group received only a treatment based on the most evidence-based treatment for SIS (Stretching of the posterior capsule, rotator cuff exercises, and scapular muscle training) while experimental group received Maitland’s rhythmic oscillatory central posteroanterior (PA) and transverse mobilization of cervico-thoracic spine (C7-T4 vertebra) with addition same physiotherapy program received by control group for 4 weeks. All patients in both groups were evaluated pre- and post-treatment with isometric rotator-strength ratio measured by Hand Held Dynamometer (HHD) Device. pain level and shoulder disability were measured by Shoulder Pain and Disability Index (SPADI). Results. Statistical analysis using pre and post treatment design indicated that there’s no significant difference between groups in the isometric rotator-strength ratio. However, a significant difference was found in pain level and shoulder disability index between groups. Conclusions. Cervicothoracic mobilization may be an effective intervention to treat pain and disability associated with shoulder impingement; however, the improvements associated with mobilization are not likely explained by changes in shoulder muscle strength.

Key words:
Manual Therapy, Shoulder Pain, Cervicothoracic, SPADI

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