Effectiveness of Scapular Stabilization Exercise with conventional physiotherapy for the frozen shoulder, Maharat Nakhon Ratchasima Hospital.

Abstract

Objective : The purpose was to evaluate the effectiveness of scapular stabilization exercise (SSE) with a conventional physiotherapy and compared to the conventional physiotherapy in the patients having frozen shoulder.

Methods : This research was experimental design with randomize controlled clinical trial study. The sample of 22 frozen shoulder patients was divided into the control and experimental group.  The sample was diagnosed and referred to the physiotherapy department by the physicians from 1 November 2020 to 30 April 2021. The study tools consisted of the general information, clinical information, and the SSE interventional program which validated by the expert. The outcomes were measured by using the shoulder pain and disability index, the visual analog scale, the active and passive, 4-direction range of motion report and the quality of life.

Results:  The effectiveness of SSE with conventional physiotherapy,  when compared to the conventional physiotherapy, both the SSE group and controlled group has lower score of SPADI after 6 weeks. The SSE group has SPADI score lower than that of the control group 17.53 points (95% CI : -29.59, -5.46), which were statistically significant improved (p-value=0.007). The SSE group has less pain than controlled group -2.10 score (95% CI : -3.31 ,-0.89), which were statistically significant improved (p-value = 0.002). The SSE group had the active ROM  in abduction more than controlled group 19.6 degree (95% CI: 0.79 , 38.41), that was significant improvement (p-value=0.042).

Conclusion : The findings of the study suggested that the SSE program can help reduce the pain, increase shoulder ability, increase active ROM in abduction, effectively. The program would be a good choice of treatment to add into the conventional physiotherapy as it can be used at home.