Effectiveness of Kaltenborn Posterior Glide and Coracohumeral Ligament Positional Stretching on External Rotation Range of Motion in Patients with Adhesive Capsulitis.

Background:Adhesive capsulitis is a common and debilitating medical condition which is treated by various surgical and non-surgical treatments but there is no significant method universally. Physical therapists use various shoulder mobilization techniques to improve the ROM. Radiographic and surgical evidence presents tightened CHL to be a prime contributor to inadequate shoulder external rotation in individuals diagnosed with adhesive capsulitis. Objective: To determine the combined effectiveness of Kaltenborn posterior glide and coracohumeral ligament (CHL) positional stretching on external rotation in patients with adhesive capsulitis. Methods and Measures:A number of 30 subjects, both Male and Female with a primary diagnosis of shoulder adhesive capsulitis by the physician were recruited. 15 subjects each were randomly assigned to Group-A(Experimental) and Group-B(control). All subjects received 6 therapy sessions consisting of moist heat, shoulder pendular and ROM exercises, Kaltenborn posterior glide and Coracohumeral ligament positional stretching in Group-A. Moist heat, shoulder pendular and ROM exercises in Group-B. Pre-test and post-test were carried out for both the groups and analysed using paired and independent t tests in an SPSS software. Results: The experimental group(Group-A) mean VAS score had decreased from 6.27 to 3.73, SPADI mean score decreased from 0.534 to 0.380 and also Goniometer (Shoulder external ROM) showed an improvement from 29.2 to 35.33 but when intergroup analysis was done, it resulted in significance only for SPADI where p < 0.05. Through this measure, we can state that the treatment protocol for group A had a significant improvement in disability but not much on pain and ROM in patients with adhesive capsulitis. Conclusion: All the interventions has brought about some improvement in each group post-treatment based on the mean score but its significance vary. So, this study can be concluded that, the treatment protocol, Kaltenborn posterior glide and CHL positional stretching could bring a significant difference with regard to disabilty but not much of difference in pain and ROM in patients with adhesive capsulitis. [ABSTRACT FROM AUTHOR]