Abstract

Purpose. This study aimed to investigate the effect of intermittent stretching of inferior capsule of frozen shoulder patient on shoulder range of motion (ROM) (shoulder flexion, abduction, and external rotation), pain intensity level, shoulder function, and handgrip strength. Materials and Methods. Randomized controlled trial. Overall, 30 patients of both genders with ages ranged from 40-55 years with a frozen shoulder in the second stage were recruited randomly and divided into two equal groups; Group (A) (control group), received conventional treatment of frozen shoulder for 4 weeks three times per week, day after day and Group (B) (experimental group), received the same conventional treatment plus intermittent stretching with mobilization for 4 weeks three times per week, day after day. Pre- and post-treatment assessment of the pain intensity level was done by numerical pain rating scale (NPRS), patients’ ROM was assessed by Goniometer-Pro App, handgrip strength was assessed by Jamar hand dynamometer and shoulder function by The American Shoulder and Elbow Surgeons evaluation form. Results. There were statistically significant differences between pre and post-treatment of each group, and significant differences post-treatment between the two groups, where statistical analysis showed greater improvement in pain intensity level, shoulder function, ROM, and handgrip strength (p < 0.05) in favor of the experimental group (B). Conclusion. Intermittent stretching of the inferior capsule is more effective when used with conventional physical therapy than conventional physical therapy alone in adhesive capsulitis patients.

Key words:

adhesive capsulitis, intermittent stretching, inferior capsule