EFFECTIVENESS OF HIGH GRADE MAITLAND MOBILIZATION TECHNIQUE IN PATIENT WITH IDIOPATHIC ADHESIVE CAPSULITIS OF SHOULDER JOINT.

Objective:The idiopathic adhasive capsulitis of shoulder joint is very common disease estimated to be 2 to 5 percent of the general population and aim of the study was to determine the effectiveness of high grade Maitland mobilization technique in patients with idiopathic adhesive capulitis of shoulder joint. Methods: Total of 40 subjects diagnosed with idiopathic shoulder adhesive capsulitis were selected and randomly allocated into two groups. In group A (n=20) subjects were treated with high grade Maitland mobilization technique, whereas subjects in group B (n=20) received conventional physiotherapy technique. Shoulder Pain and Disability Index (SPADI) and Visual Analogue Scale (VAS) were used for outcome measure. Pain and functional disability were recorded before and after the treatment. Total duration of the study was 1 year; data were analyzed by SPSS and student t test. Result: The mean age group of the study was 45.63?8.018 years with a range from 35 to 65 years, More of the respondents were female (62.5%) and married (92.5%). Secondary level of education completed (35%) of respondents were more and people who are housewife they are mostly affected (40%) by this condition. deformity level were very less just only 12.5% and Right shoulder is maximally affected (82.5%). Most of the respondents suffered by continuous pain (55%) and Pain were more at morning (75%). Muscle atrophy was found in 95% and more of the respondents were visited doctors (67.5%). History of trauma were (7.5%) and Diabetes Mellitus were (32.5%) of the respondent, this study also found highly significant association between muscle deformity and types of pain (p ≤ 0.02). Study also analysis the data within two groups and showed significant improvement of all the parameters, where between group comparisons revealed higher improvement in Group B compared to the Group A. Conclusion: Conventional physiotherapy techniques are more effective for improving pain and disability in patients with idiopathic adhesive capsulitis of shoulder joint than high grade Maitland mobilization technique.