Comparative Efficacy of Physiotherapy Modalities in the Treatment of Frozen Shoulder: Stretching, Mobilization, and Ultrasound Therapy

Authors: Areej M. M. Al-Abdulrahman, Razan I. Alsaleem, Shorouk A. Aljarallah, Mona R. Attamimi

DOI: https://doi.org/10.5281/zenodo.13683204

Short DOI: https://doi.org/gt9jrp

Country: Saudi Arabia

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Abstract: Background: Frozen shoulder (adhesive capsulitis) is a common condition characterized by pain and restricted shoulder movement. Various physiotherapy modalities, including stretching exercises, joint mobilization, and ultrasound therapy, are used to manage this condition, but their relative efficacy remains unclear.

Objective: This study aimed to compare the efficacy of stretching exercises, joint mobilization, and ultrasound therapy in improving range of motion (ROM), reducing pain, and enhancing shoulder function in patients with frozen shoulder.

Methods: A randomized controlled trial was conducted with 50 participants diagnosed with frozen shoulder. Participants were randomly assigned to one of three intervention groups: stretching exercises (n=17), joint mobilization (n=17), or ultrasound therapy (n=16). Primary outcomes measured were shoulder ROM, pain (VAS), and shoulder function (SPADI) over a 12-week period.

**Results:** All three modalities led to significant improvements in ROM, pain reduction, and shoulder function. However, the joint mobilization group showed the greatest improvements in shoulder flexion, external rotation, and SPADI scores compared to the other groups (p < 0.05). Stretching exercises also demonstrated substantial benefits, while ultrasound therapy was less effective when used alone.

Conclusion: Joint mobilization is the most effective physiotherapy modality for improving outcomes in patients with frozen shoulder. Stretching exercises are also beneficial, while ultrasound therapy may be best used as an adjunct to other treatments.

Keywords: Frozen shoulder, adhesive capsulitis, physiotherapy, joint mobilization, stretching exercises, ultrasound therapy, range of motion

Paper Id: 231126

Published On: 2016-08-08

Published In: Volume 4, Issue 4, July-August 2016

Cite This: Comparative Efficacy of Physiotherapy Modalities in the Treatment of Frozen Shoulder: Stretching, Mobilization, and Ultrasound Therapy - Areej M. M. Al-Abdulrahman, Razan I. Alsaleem, Shorouk A. Aljarallah, Mona R. Attamimi - IJIRMPS Volume 4, Issue 4, July-August 2016. DOI 10.5281/zenodo.13683204

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