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To Compare the Effectiveness of Cyriax Deep Friction Massage and End Range Mobilization Technique in Adhesive Capsulitis

Dr Ashish Dobhal, Lecturer, Department of Physiotherapy, Sai College of Paramedical Science, Dehradun, Uttarakhand 248001, India. , Dobhal Ashish1 , Khurana Barkha2 , Agarwal Vaibhav3

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Physiotherapy and Occupational Therapy Journal 11(1):p 5-13, January - March 2018. | DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.11118.1

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Abstract

Introduction: Adhesive capsulitis is one of the most common cause of shoulder pain and disability in general population. Reeves described three stages of the disease: Stage 1 is freezing phase which is mainly characterized by pain Stage 2 is frozen phase, in which pain gradually subsides, but the stiffness is marked Stage 3 is thawing phase, in which pain resolves and improvement in range of motion (ROM) appears. Need of Study: There are various studies that shows effectiveness of Cyriax Deep Friction Massage and effectiveness of End Range Mobilization in adhesive capsulitis, but there is no literature available comparison of these two techniques.So the present study is intended to compare these two techniques Methodology: It is comparative in nature. Sampling: Randomized sampling technique was adopted in the present study. Sample Size: Total of 60 subjects with adhesive capsulitis were included in the study and then they were grouped into two groups A and B with 30 in each group.

Result: The result of the study suggests that ‘t’ value is highly significant in each pair of both Group A and Group B. Both the groups, Group A and Group B improved in VAS, Active ROM mainly abduction, external and internal rotation of the shoulder joint and SPADI, which reveals that the treatments given to the subjects of both groups are effective. Discussion: On comparing the result of both the groups, it was found that changes in VAS, SPADI Pain, SPADI Disability and SPADI Total and active range of motion of abduction, external rotation and internal rotation were more significant in Group B than that of Group A. This shows that the treatment given to Group B is more effective than that of Group A. Thus null hypothesis is rejected and alternative hypothesis is accepted. Conclusion: This study shows that end range mobilization with hot packs provide better results as compared to Cyriax deep friction massage with hot packs.

Keywords: Cyriax Deep Friction Massage; End Range Mobilization Technique; Adhesive Capsulitis. 

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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.11118.1

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