Different Mobilization Technique In Management Of Frozen .
International Journal of Science and Research (IJSR)ISSN (Online): 2319-7064Index Copernicus Value (2013): 6.14 Impact Factor (2013): 4.438Different Mobilization Technique in Managementof Frozen ShoulderDr. Jayanta Nath (MPT, Ph.D Scholar)11SSUHS, Department of orthopaedics GMC&H, Assam, IndiaPhysiotherapist at Jugijan Model Hospital (Govt of Assam), Industrial Area, P/O Mangaldai, Dist: Darrang, Assam, PIN: 784125, IndiaAbstract: Adhesive capsulitis also known as frozen shoulder, is a condition characterized by pain and significant loss of both activerange of motion (AROM) and passive range of motion (PROM) of the shoulder. Frozen shoulder usually affects patients aged 40-70,with females affected more than males, and no predilection for race. There is a higher incidence of frozen shoulder among patientswith diabetes (10-20%), compared with the general population (2-5%). There is an even greater incidence among patients with insulindependent diabetes (36%), with increased frequency of bilateral shoulder involvement.8 This paper reviews the various mobilizationtechnique like Midrange mobilization (MRM), endrange mobilization (ERM), and mobilization with movement (MWM) by Maitland,Kaltenborn, and Mulligan and other soft tissue technique like myofascial release, Active Release Therapy (ART), for management ofpatients with frozen shoulder.Keywords: Frozen shoulder, mobilization technique, pathology of frozen shoulder1. IntroductionAdhesive capsulitis, also known as frozen shoulder, is acondition characterized by pain and significant loss of bothactive range of motion (AROM) and passive range of motion(PROM) of the shoulder. The term “Periarthritis” firstdescribed by a French doctor ES Duplay in 1872. The term“frozen shoulder” was first introduced by Codman in 1934.The peak age is 56, and the condition occurs slightly moreoften in women than men. In 6-17% of patients, the othershoulder becomes affected, usually within five years, andafter the first has resolved. The non-dominant shoulder isslightly more likely to be affected.While many classificationsystems are proposed in the literature, frozen shoulder ismost commonly classified as either primary or secondary.Primary frozen shoulder is idiopathic in nature, andradiographs appear normal. Secondary frozen shoulderdevelops due to some disease process, which can further beclassified as systemic, extrinsic, or intrinsic. Systemicsecondary frozen shoulder develops due to underlyingsystemic connective tissue disease processes, and causesinclude diabetes mellitus, hypo- or hyperthyroidism,hypoadrenalism. Extrinsic secondary frozen shoulder occursfrom pathology not related to the shoulder, such ascardiopulmonary disease, CVA, cervical disc pathology,humeral fracture, and Parkinsons. Intrinsic secondary frozenshoulder results from known shoulder pathology, includingbut not limited to rotator cuff tendinopathy, GH arthropathy,and AC arthropathy.3Frozen shoulder usually affects patients aged 40-70, withfemales affected more than males, and no predilection forrace. There is a higher incidence of frozen shoulder amongpatients with diabetes (10-20%), compared with the generalpopulation (2-5%). There is an even greater incidence amongpatients with insulin dependent diabetes (36%), withincreased frequency of bilateral shoulder involvement.8had both chronic inflammatory cells and fibroblast cells,indicating the presence of both an inflammatory process andfibrosis3. Frozen shoulder typically lasts 12 to 18 monthswith a cycle of 3 clinical stages, the freezing, frozen andthawing stages. These stages last on average 6 months, butthe time frames are variable. The freezing stage is alsoknown as the painful inflammatory phase. Patients presentwith constant shoulder pain and range of motion (ROM)limitations in a capsular pattern (external rotation (ER) abduction (ABD) flexion (FLX) and internal rotation(IR)). In the second phase, the frozen or stiff phase, the painprogressively decreases as does shoulder motion andin
(ERM), and mobilization with movement (MWM) techniques have been advocated by Maitland, Kaltenborn, and Mulligan, but they did not base their suggestions on research. Additionally, few studies have described the use of these techniques in patients with FSS. 4. Various Mobilization T
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sive mobilization techniques, vary-ing the plane of elevation or varying the degree of rotation in the end-range position, were applied. Mobilization With Movement The use of MWM for peripheral joints was developed by Mulligan.19,20 This technique combines a sustained appli-cation of a manu
Resource mobilization can be defined as a management process of identifying people who share the values of your organization and take steps to manage this relationship (IDRC, 2010). Resource mobilization is often wrongly considered as fundraising. In fact, fundraising is a component of the resourc
organizational management and development involves establishing and strengthening organizations for the resource mobilization process.it involves identifying the organization's vision,mission,and goals,and putting in place internal systems and processes that enable the resource mobilization efforts,such as: identifying the roles of board and
Nerve Root Adhesion Neural Tension Tests NEURAL MOBILIZATION Soft Tissue Restrictions Palpation SOFT TISSUE MOBILIZATION . 17 continuing ED Determination of Joint Mobility difficult to assess quantity graded in millimeters quality graded by “end feel” .
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KNGF Clinical Practice Guideline for Physical Therapy in patients with stroke Practice Guidelines V-12/2014 IV D.2.2 Dexterity 23 D.2.3 Basic ADL activities 23 E Pre-mobilization phase 24 E.1 Definition of pre-mobilization 24 E.2 Prognosis and natural course during the pre-mobilization phase 24 E.3 Diagnostics and care in c
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