Comparison of PFS and ART in Adhesive Capsulitis in Diabetic Patients

Comparison of Post Facilitation Stretch and Active Release Technique in Adhesive Capsulitis in Diabetic Patients

To determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques

There is a very limited literature available Active release technique (ART) and Post Facilitation Stretch (PFS) in frozen shoulder. Additionally there is a very limited literature on the evaluation of ART in comparison with PFS in adhesive capsulitis of diabetic patient. Disease such as rheumatoid arthritis (RA), osteoarthritis (OA) etc that cause stiffness of the shoulder joint also present with altered muscle activity, that in long run becomes one of the main causes of reduces joint range of motion. With this study, we will be able to determine the technique that will have better effects in realigning the muscle kinematics and to normalize the muscle activity along with reducing muscle stiffness with mobilizations techniques. This study will also fulfill that research gap and will provide clinicians with an alternative approach in treatment of adhesive capsulitis.

Inclusion Criteria:

• Controlled diabetic patients (random 200-250mg/dl /fasting 120-160mg/dl).

• Grade 2 & 3 of adhesive capsulitis,

• Pain (NPRS) ranging between 3-10

• Reduced normal shoulder ROM's i.e

  • Flexion less than 160 degrees.
  • Extension less than 50 degrees.
  • Abduction less than 170 degrees.
  • External rotation less than 80 degrees.
  • Internal rotation less than 70 degrees

Exclusion Criteria:

• Trauma history of shoulder/surgery.
• Frozen shoulder accompanied with neurological involvement.
• People with any injury or disability of elbow or hand