European Journal of Biomedical and Pharmaceutical Sciences

EFFICACY OF MAITLAND MOBILIZATION IN FROZEN SHOULDER

Dr. Abdullah Al Shehri, Sami S. Almureef, Shabana Khan and Dr. Sharick Shamsi*

ABSTRACT

Objectives: Efficacy of Maitland Mobilization in Frozen shoulder. Design: Randomized Control Trial. Methodology: A total of 40 patients were included as per pre defined inclusion and exclusion criteria and randomly assigned into two groups each having 20 patients. Group A was given Maitland mobilization along with Exercises (stretching, strengthening and ROM exercises) while Group B was given Ultrasound therapy along with Exercises (stretching, strengthening and ROM exercises) for thrice a week for four weeks (12 sessions). The patient’s outcome measures were assessed by visual analog scale, Shoulder pain and disability index (SPADI) and Goniometry for Shoulder Range of Motion. Pre and post treatment values were recorded for comparison of results. Results: Results revealed that means and S.D of both groups were clinically significant but statically the Group of patients treated with Maitland mobilization along with Exercises managed pain (pre=5.27±1.5, post=1.72±0.9), SPADI (pre= 80.27±3.45, post= 35.24±7.27) and range of motion(flexion pre=104.4±36.02, post=151.31±15.83, Abduction pre=92±33.96 ,post=161.5±8.45, lateral rotation =22.31±12.88, post=72.06±6.84 and Medial rotation pre=41.56±9.34, post=66.56±9.25, is better than group of patients treated with Ultrasound therapy along with Exercises in terms of pain (pre=5.35±1.6, post=2.30±0.5), SPADI (pre=81.25±3.21,post=9.12±5.53) and range of motion (flexion pre=99.25±47.13, post=118.38±35.61, Abduction pre=84.56±48.16, post=112.63±37, lateral rotation pre=28±18.83 post=40.94±17.15, Medial rotation pre=41.37±13.80, post=50.81±11.61. Conclusion: The result of study suggests that both Maitland Mobilization and Ultrasound improves the symptoms of frozen shoulder. Better improvement was shown by Maitland’s group than Ultrasound group. Based on these results Maitland mobilization with Exercise’s should be the treatment of choice for frozen shoulder rather than Ultrasound with Exercises.

Keywords: Ultrasound, Shoulder Pain, Maitland’s, Exercise.