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Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis

RAWAT P; EAPEN C; SEEMA KP
J HAND THER , 2017, vol. 30, n° 3, p. 235-241
Doc n°: 184059
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2016.10.007
Descripteurs : DD35 - PATHOLOGIE - EPAULE

PURPOSE OF THE STUDY:
To study the
effect of adding rotator cuff (RC) muscles strengthening to joint mobilization
and transcutaneous electrical nerve stimulation (TENS) in patients with adhesive
capsulitis. METHODS: A prospective, parallel-group, randomised clinical trial was
conducted on 42 patients. One group received TENS and joint mobilization and in
the other group RC muscles strengthening was added. Treatment was given for 12
sessions within 4 weeks. RESULTS: When compared between the groups statistically
significant changes were seen in all the outcome measures in the group that
received RC muscle strengthening exercises vs TENS and mobilization. VAS 12.76
+/- 1.04 vs 4.05 +/- 1.32; SPADI 34.66 +/- 6.69 vs 54.29 +/- 12.17; PFPS 3.06 +/-
0.80 vs 4.70 +/- 0.81; and ROM (elevation >125 vs >110 degrees and rotations >70
vs >48 degrees). CONCLUSIONS: Addition of a structured RC strengthening program
to TENS and joint mobilization in the treatment of adhesive capsulitis resulted
in improvement in pain, ROM and function. LEVEL OF EVIDENCE: 1b.
CI - Copyright (c) 2016 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS

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