Effects of the Myofascial Arm Pull With and Without Active Release Technique in Adhesive Capsulitis

Effects of the Myofascial Arm Pull With and Without Active Release Technique on Pain, Range of Motion and Disability in Adhesive Capsulitis

The aim of the study is to determine the effects of the myofascial arm pull with and without active release technique on pain, ROM and disability in adhesive capsulitis.

Adhesive capsulitis (frozen shoulder), a painful disorder caused by capsular inflammation that results in fibrosis and rigidity of the glenohumeral joint capsule, is characterized by a progressive loss of both active and passive glenohumeral movements. Frozen shoulder can be primary (also known as idiopathic) if there is no underlying cause of disease or it can be secondary. The term "secondary frozen shoulder" is associated with injury, trauma, cardiovascular diseases, hemiparesis, or diabetes.Active release technique and myofascial arm pull technique are both effective treatment options for patients with adhesive capsulitis. These techniques help to improve range of motion and reduce pain by releasing tension and adhesions in the affected area. Active release technique focuses on releasing tension and adhesions in the soft tissues surrounding the affected joint, while the Myofascial arm pull technique aims to improve range of motion by stretching the muscle and fascia in the affected area. By incorporating these techniques into a comprehensive treatment plan, patients of adhesive capsulitis can see significant improvement in their pain, range of motion and disability.

Because the method of treatment is inexpensive, findings of this study could be beneficial in revision of the clinical protocols to manage the patients of adhesive capsulitis.

Inclusion Criteria:

• Both Male and Female; mean age (35-60).
• Case diagnosed with adhesive capsulitis, both primary and secondary origin.
• Freezing stage of adhesive capsulitis.
• Those with at least a 50% reduction in the range of motion (ROM).

Exclusion Criteria:

• History of shoulder surgery or manipulation under anesthesia, local corticosteroid injection administration to the affected shoulder within the last 3 months.
• Neurological deficit affecting the shoulder functioning during daily activities.
• Pathology of the shoulder joint other than adhesive capsulitis.
• Pain or disorder of the cervical spine, elbow, wrist or hand.
• Patients diagnosed with cancer