Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder

Main Article Content

G.Yuvarani
Jibi Paul
M. Manoj Abraham
N. Harikrishnan

Keywords

Periarthritis; Adhesive capsulitis; SPADI; Active release technique; PNF

Abstract

The term Periarthritis and adhesive capsulitis was coined in 1945 by Neviaser. The exact etiology remains unclear. The presentation is like an inflammatory condition followed by fibrosis and collagen deposition. Periarthritis (PA) is a "catch-all diagnosis" that frequently refers to a variety of shoulder issues. The goal of this study was to see how Neuromuscular Facilitation and Active Release Technique improves pain, range of motion, and shoulder function in periarthritic patients. Based on the criteria for selection, the investigation was carried out at the ACS Medical College and Hospital's Outpatient Department of Physiotherapy. They were divided into Group A (n = 12), Group B (n = 12) and Group C (n = 12) using the simple random lottery procedure. This study used a pre- and post-test comparison design. Simple random sampling was used to choose the study's 36 participants, who were both male and female, aged 40 to 60, with second-stage periarthritis of the shoulder. Pre- and post-test scores were kept for the outcome measure, which included the Visual Analog Scale, Goniometry, Shoulder Pain and Disability Index Scale. Six weekly sessions of the treatment were given over the course of four weeks. The Dependent variable is Pain, ROM, shoulder function, the Independent variables are Neuromuscular Facilitation and Active Release Technique. The present study provided evidence to prove that proprioceptive neuromuscular facilitation is more effective than the active release technique with P<0.001, in periarthritic patients in terms of lowering discomfort, enhancing range of motion, and functional capacity. According to the study, periarthritic individuals who underwent the proprioceptive neuromuscular facilitation have pain relief, improved range of motion, and improved functional abilities.

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References

1. Iqbal M, Riaz H, Ghous M, Masood K. Comparison of Spencer muscle energy technique and Passive stretching in adhesive capsulitis: A single blind randomized control trial. J Pak Med Assoc. 2020 Dec;70(12(A)):2113-2118. doi: 10.5455/JPMA.23971. PMID: 33475581.
2. Nakandala P, Nanayakkara I, Wadugodapitiya S, Gawarammana I. The efficacy of physiotherapy interventions in the treatment of adhesive capsulitis: A systematic review. J Back Musculoskelet Rehabil. 2021;34(2):195-205. doi: 10.3233/BMR-200186. PMID: 33185587
3. Nagy MT, Macfarlane RJ, Khan Y, Waseem M. The frozen shoulder: myths and realities. Open Orthop J. 2013 Sep 6;7:352-5. doi: 10.2174/1874325001307010352. PMID: 24082974; PMCID: PMC3785028..
4. Tedla JS, Sangadala DR. Proprioceptive neuromuscular facilitation techniques in adhesive capsulitis: a systematic review [ and meta-analysis. J Musculoskelet Neuronal Interact. 2019 Dec 1;19(4):482-491. PMID: 31789299; PMCID: PMC6944810..
5. Almureef SS, Ali WM, Shamsi S, Al Zahrani MB. Effectiveness of mobilization with conventional physiotherapy in frozen shoulder: a systematic review. International journal of recent innovations in medicine and clinical research. 2020;2(4):22-9.
6. Kushwah SS, Srivastava N. Comparison between Effectiveness of Active Release Technique and Capsular Stretch Along with Conventional Therapy in the Management of Frozen Shoulder. Indian Journal of Physiotherapy & Occupational Therapy. 2018 Oct 1;12(4).
7. Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ. 2005 Dec 17;331(7530):1453-6. doi:
10.1136/bmj.331.7530.1453. PMID: 16356983; PMCID: PMC131565
8. Do JG, Hwang JT, Yoon KJ, Lee YT. Correlation of ultrasound findings with clinical stages and impairment in adhesive capsulitis of the shoulder. Orthopaedic Journal of Sports Medicine. 2021 May 10;9(5):23259671211003675.
9. Sonu punia, Jaspreet kaur, Varun singh, Manoj malik, PRIYNKA, "Efficacy Of Proprioceptive Neuromuscular Facilitation And Joint Mobilization In Management Of Frozen Shoulder", IJRAR - International Journal of Research and Analytical Reviews (IJRAR), E-ISSN 2348-1269, P- ISSN 2349-5138, Volume.6, Issue 1, Page No pp.868-873, March 2019.
10. Cho CH, Bae KC, Kim DH. Treatment Strategy for Frozen Shoulder. Clin Orthop Surg. 2019 Sep;11(3):249-257. doi: 10.4055/cios.2019.11.3.249. Epub 2019 Aug 12. PMID: 31475043; PMCID: PMC6695331.
11. Mertens MG, Meert L, Struyf F, Schwank A, Meeus M. Exercise therapy is effective for improvement in range of motion, function, and pain in patients with frozen shoulder: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022 May 1;103(5):998-1012.
12. Mishra N, Mishra A, Charaniya P. Effect of scapular proprioceptive neuromuscular facilitation on pain and disability in patients with adhesive capsulitis. Int J Yogic Hum Mov Sports Sciences. 2019 Jan;4(1):995-1000
13. Nellutla M, Giri P, M’kumbuzi VR, Patel HC. PNF movement patterns compared to the use of conventional free exercises to improve joint ROM in chronic peri-arthritis of the shoulder. Physiotherapy and Occupational Therapy. 2009:31
14. Anitha A, Sridevi J, Anusuya S, Avinash VN. Effectiveness of End Range Mobilization along with conventional therapy in patients with Periarthritis Shoulder. Research Journal of Pharmacy and Technology. 2020;13(3):1271-6.
15. Balcı NC, Yuruk ZO, Zeybek A, Gulsen M, Tekindal MA. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. Journal of physical therapy science. 2016;28(4):1219-27.
16. Mishra D, Prakash RH, Mehta J, Dhaduk A. Comparative Study of Active Release Technique and Myofascial Release Technique in Treatment of Patients with Upper Trapezius Spasm. Journal of Clinical & Diagnostic Research. 2018 Nov 1;111).