TOTAL END RANGE TIME AND MAITLAND’S ANTERO - POSTERIOR GLIDE MOBILIZATION IN FROZEN SHOULDER OF TYPE II DIABETIC SUBJECTS

Abstract

In many physical therapy programs for subjects with frozen shoulder, mobilization has been the primer. The restored ROM by mobilization many times has disappeared again, So in order to establish a tool which can provide us a technique with permanent restoration joint ROM, this study compares the efficacy of TERT and Mobilization. The study design is Prospective Experimental study design. Outcome measures are the Shoulder Pain and Disability Index (SPADI) and Baseline goniometer measurement (AASO). The method of study is done by taking 57 subjects who met the criteria’s were randomized into two groups group A and group B. Group A received mobilization with gleno-humeral AP glide and Group B were received TERT technique for 4 weeks (20sessions). Pre and Post test measures were recorded. The data were compared and analyzed using paired and independent ‘t’test, 5 % level of probability was used to indicate statistical significance. The data were analyzed using ‘t’ test. Overall, subjects in both the group improved over 4 weeks. Statistically significant greater change scores were found in group B for SPADI and for external rotation and abduction. The mean of (SPADI scores) pain, disability, total and (ROM) external rotation, abduction showed difference between pre and post test with in group A( Pain pre 38.39, post32.71 Disability index pre38.15, post30.08 ER pre 36.71, post44.14 Abduction pre87.54, post102.32), group B (Pain pre38.03, post29.86, Disability index pre 36.85, post27.46,ER in 90° abd pre 37.76, post 55.34, Abduction pre84.83, post110.17). There was a significant difference between the groups p<0.05). Four weeks of total end range time training and mobilization in subjects with frozen shoulder proved to be effective, TERT showed significant improvement in comparison with mobilization. So, even in the absence of expertise it can be performed with a TERT tool.