Comparative study of the combined effect of therapeutic exercises and mobilization between stage II and stage III frozen shoulder / Ola Ismail Ibrahim Mohamed ; Supervised SalwaFadl Abdalmajeed , Walid Reda Mohamed , Mohamed Ali Sarhan

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background:Frozen shoulder (FS) is a painful and debilitating condition affecting up to 5% of the population. Frozen shoulder is considered fibrosis of the glenohumeral joint capsule with a chronic inflammatory response. Patients experience pain, limited active and passive range of motion and disability. Frozen shoulder is idiopathic, self-limiting syndrome divided into four consecutive stages; Painful stage, Freezing stage, Frozen stage and Thawing stage. It is imperative to consider the patient{u2019}s symptoms and stage of the condition. There is little evidence to suggest that the disease prognosis is affected and this raises the need for new research.objective: Tocompare the combined effect of shoulder mobilization and therapeutic exercises on pain, range of motion (ROM), and overall shoulder functions between stage II and stage III frozen shoulder. methods: This study consisted of 30 patients (two groups). Group A; consisted of 15 patients stage (II),(FS), with mean age of 52 years, Group B; consisted of 15 patients stage (III),(FS), with mean age of 53years, both groups were treated with mobilization, stretching exercises, active exercise and Codman pendulum exercises. Each patient was assessed for pain and disability using shoulder pain and disability index (SPADI) and shoulder ROM using universal goniometer. Results: There was significant effect of mobilization and therapeutic exercises on pain and overall shoulder functions in stage II and stage III frozen shoulderwith a significant increase in the percentage of change in pain and function of stage II compared with that of stage III

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