Effects of deep and superficial heating with joint mobilization therapy on range of motion and visual analog scale in patients with frozen shoulder.
Keywords:
Frozen shoulder patients, Joint Mobilization, Hot pack, Short Wave Diathermy, Range of motion, Visual analogue scalesAbstract
Background and Objective : The question of whether deep (Short Wave Diathermy:SWD)or superficial heating (Hot pack: HP) therapy along with joint mobilization improve clinical outcome in range of motion and decrease visual analogue scales (VAS) in patients with frozen shoulder still remains in question. This research aims to investigated the effectiveness of SWD and HP with joint mobilization therapy on ranges of motion (ROM) and VAS in both male and female frozen shoulder patients at Suratthani Hospital.
Methods : 40 patients with frozen shoulder between the age of 30-60 at Suratthani Hospital are divided into 2 groups, the group which HP and SWD heating therapy, and treated with respective heating therapy with joint mobilization for 5 consecutive weeks with range of motion in shoulder that are less or equal to the ROM when raising shoulder flexion 90 degrees, abduction 80 degree, internal and external rotation 40 degrees. The VAS during such movements must be less than 5 under the condition that the patients with frozen shoulder had never received any physical therapy prior to the study.
Results : The study monitored the patients from 2 groups, HP with joint mobilization of 20 patients, 12 males and 8 females, with the average age of 48.2 which received therapy using HP with joint mobilization and 20 patients, 14 males and 6 females, with the average age of 51.3, which received therapy using SWD with joint mobilization. The study within each group shows that there is a significant statistical increase after the treatments using HP and
SWD with joint mobilization therapy were employed compared to the ranges of motion in shoulder flexion, abduction, internal and external rotation prior to the treatment. When comparing 2 groups,the study shows that there is no significant statistical difference in shoulder flexion, abduction, internal and external rotation. Moreover, there here was no significant difference in VAS after the treatments between the HP and SWD with joint mobilization group, both within and between the groups.
Conclusion : The research shows that after treatments using HP and SWD with joint mobilization are the factor in the increase ROM in shoulder in patients with frozen shoulder.
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