International Journal of Advanced Research and Publications (2456-9992)

Comparing The Effect Of Kaltonborn And Maitland Mobilization On Pain And Disability In Adhesive Capsulitis

Volume 3 - Issue 5, May 2019 Edition
[Download Full Paper]

Author(s)
Muhammad Rizwan, Ayesha Razzaq, Shazia Ijaz, Tooba Amin
Keywords
Adhesive Capsulitis, kaltonbornmobilization, Maitland mobilization, activity of daily livings (ADL’s), numeric pain rating scale, SPADI index.
Abstract
Background of Study:Adhesive capsulitis is a condition in which inflammation occur in shoulder joint which lead to pain in shoulder and leading to limitation in activity of daily living and mobilization techniques are effective in dealing with this condition. Objective: The objective of this study was to compare the effect of Kaltonborn and Maitland Mobilization in adhesive capsulitis for decreasing pain and disability which occur due to limitation in activity of daily living. Material and method: This randomized control trail study was conducted in physiotherapy department Mayo Hospital, Lahore. Simple random sampling technique was castoff and overall of 40 subjects were contributed in this research. From the subjects after taking Informed consent data was collected. Self-made questionnaire was used. Numeric pain rating scale and SPADI index was used as an assessing tool for pain and disability,for data assortmentafterward inclusion criteria was contented. patient identified with adhesive capsulitis with limited range of motion, having pain and limitation of activity of daily living, age group 35-70 year, both genders were included, subject who willing to participate and History of shoulder arthritis, rotator cuff and ligament injuries, Malignancy, Peri arthritis shoulder are considered in exclusion criteria. Datawas evaluatedvia using SPSS 23.0 version and Microsoft excel 2010. Mean and standard deviation of age, pain, SPADI for disability pre and post treatment was calculated. The Frequency and percentage of gender, occupationwasanalyzed, and bar charts were used to present it. Wilcoxson sign test was used to assess the intensity of pain and Spadi disability pre and post treatment with in a group and Man Whitney u test were used to analyze pain and Spadi index between two groups. Results: There was significant difference in pain and disability (Spadi index) pre and post treatment in both groups and between the groups, p=0.000 (p<0.05) but Maitland seems to be more effective as compared to Kaltonborn. Mean value and standard deviation of kaltobnorn post treatment for NPRS and SPADI index was 3.4000±1.60263 and 21.4500±12.06768 while in Maitland its was 1.5500±0.75915 and 3.9500±2.39462. Conclusion: Majority frequency shows that of ration of diabetic and female gender were more in adhesive capsulitis.Both techniques were effective for managing patient of frozen shoulder, but Maitland technique was more effective as compared to Kaltonborn for reducing pain, increasing ranges and decreasing disability which would improve activity of daily livings (ADL’s).
References
[1] Zreik, N.H., Malik, R.A. and Charalambous, C.P., ‘’Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence,’’ Muscles, ligaments and tendons journal, 6(1), p.26,2016.

[2] Gordon JA, Breitbart E, Austin DC, Photopoulos CD, Kelly JD. ‘’Adhesive Capsulitis: Diagnosis, Etiology, and Treatment Strategies,”InElite Techniques in Shoulder Arthroscopy, p.149-68,2016.

[3] Tamai K, Akutsu M, Yano Y. “Primary frozen shoulder: brief review of pathology and imaging abnormalities,” Journal of Orthopaedic Science,19(1), p.1-5,2014.

[4] Guyver PM, Bruce DJ, Rees JL. “Frozen shoulder–A stiff problem that requires a flexible approach,”Maturitas,78(1), p.11-6, 2014

[5] Russell S, Jariwala A, Conlon R, Selfe J, Richards J, Walton M. “A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder,” Journal of shoulder and elbow surgery,23(4), p.500-7,2014.

[6] Horst R, Maicki T, Trąbka R, Albrecht S, Schmidt K, Mętel S, von Piekartz H. “Activity-vs. structural-oriented treatment approach for frozen shoulder: a randomized controlled trial,” Clinical rehabilitation,31(5), p.686-95, 2017.

[7] Mahajan S, Gadi D, Gupta R, Singla S, Setia P, Gupta S, Kaur R. “A prospective study on causes and functional outcome of frozen shoulder,” International Journal of Medicine,4(1), p.23-5,2016.

[8] Badalamente MA. “Treatment Options for Patients with Adhesive Capsulitis (Frozen Shoulder),”InDupuytren Disease and Related Diseases-The Cutting Edge, p.363-69,2017.

[9] Mahajan S, Gadi D, Gupta R, Singla S, Setia P, Gupta S, Kaur R. “A prospective study on causes and functional outcome of frozen shoulder,” International Journal of Medicine,4(1), p.23-5,2016.

[10] Bryant M, Gough A, Selfe J, Richards J, Burgess E. “The effectiveness of ultrasound guided hydrodistension and physiotherapy in the treatment of frozen shoulder/adhesive capsulitis in primary care: a single centre service evaluation,” Shoulder & elbow, 9(4), p.292-8,2017.

[11] Eljabu W, Klinger HM, von Knoch M. “Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review,” Archives of orthopaedic and trauma surgery,136(1), p.1-7,2016.

[12] Do Moon G, Lim JY, Da YK, Kim TH. “Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders,” Journal of physical therapy science, 27(5), p.1391-5

[13] Junaid M, Burq SI, Rafique S, Malik S, Rasool A, Mubeen I, Khalid S. ‘’A comparative study to determine the efficacy of routine physical therapy treatment with and without kaltonbornmobilization on pain and shoulder mobility in frozen shoulder patients,’’ International Journal of Physiotherapy,3(3): p.316-9,2016.

[14] Naik S, Metgud S, Heggannavar A. ‘’Effect of McKenzie method of mechanical diagnosis and therapy (MDT) versus Maitland mobilization in individuals with stage II adhesive capsulitis,’’ A randomized clinical trial. IJAR.3(8),p.362-7, 2017.