EFFECTIVENESS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION AND POSITIONAL RELEASE THERAPY WITH MULLIGAN MOBILIZATION AMONG THE PATIENTS WITH CHRONIC FROZEN SHOULDER

*S. Karthikeyan, V. Kamal Raj and P. Senthil Selvam

ABSTRACT

Background: Shoulder Joint is one of the most mobile joints involving in various functional activities that includes upper extremity. The joint undergoes pathological changes and frozen shoulder is one among the commonest in older adults. The primary structure affected in the frozen shoulder is the inferior joint capsule. The condition can vary from mild to moderate pain, stiffness and causes restriction in the range of motion of the Glenohumeral joint. Method: The study is an experimental design with 50 samples for a duration of 6 weeks. The treatment groups were A & B in which group A treated with proprioceptive neuromuscular facilitation and group B with positional release therapy. Mulligan mobilization was given commonly for both the groups. The pre and post test scores were taken for range of motion, pain using numerical pain rating scale and functional ability by shoulder pain arm disability index (SPADI). Results: The data were collected and analysed using Mann Whitney U test and Wilcoxon signed rank test. The analysed data shows statistically significant improvement in range of motion of shoulder joint in both the groups. But the mean and standard deviation with analysed data of group B shows statistically significant improvement in pain and functional status comparing to group A. The Mean ± S.D with p < 0.001. Conclusion: Both Proprioceptive neuromuscular facilitation technique and Positional release therapy shows statistically significant improvement in range of motion but Positional release therapy shows statistically and clinically significant improvement in pain reduction and improvement in functional status of the patients with chronic frozen shoulder.

Keywords: positional release therapy, proprioceptive neuromuscular facilitation, frozen shoulder, mulligan mobilization.