A Study to Compare the Effectiveness of Scapular Mobilization v/s Shoulder Mobilization in Patients with Frozen Shoulder

Background: Frozen shoulder is a painful condition in which movement of the shoulder becomes severely restricted. The condition can vary in severity from mild to severe pain and/or from some to severe restriction in movement.
Aims & Objectives: This study aimed to compare the scapular mobilization along with conventional physiotherapy versus shoulder mobilization along with conventional physiotherapy in patient with frozen.
Methodology: This study designed to double blinded randomized control trial and pre–post assessment study. This study included 30 patients diagnosed with stage 3 frozen shoulders. Divided into two groups, Group A Experimental Study (n=15) received scapular mobilization & conventional treatment and Group B Control group (n=15) received Conventional physiotherapy treatment. Before and after commencing the exercise programmed VAS, Goniometry and SPADI was taken as an outcome measure and the data was analyzed by applying non parametric test.
Result: As the data was not normally distributed non parametric test was used to compare within and between groups.Statistical analysis showed that by applying Wilcoxon test there was significant improvement noted on SPADI (p< 0.03), VAS (p<0.001), and Goniometry (p<0.003) in group A, also the result shows statically significance on VAS (p< 0.05), SAPDI (p< 0.05),and goniometry(p< 0.04), in Group B. while comparing both the groups by Man Whitney U test there was no significant improvement ( P> 0.09).
Conclusion: This study concluded that both scapular mobilization and shoulder mobilization was effective to relieve pain, improve shoulder range of motion and quality of life of patient but scapular mobilization was found to be more effective compared to shoulder mobilization.

Key words: Frozen shoulder, scapular mobilization, shoulder mobilization, SPADI, VAS, goniometry.