Find an article

Welcome to the literature resource section.

We have created a library of the latest evidenced-based research within the physiotherapy field of practice, orthopedic rehabilitation and medicine.

Our library is expanding every day. If you would like to make a contribution to our library by posting a journal article you will be entered into PT Health's Journal Contest. The individual that contributes the most legitimate journal articles will receive $1500.00.

Find Article  


POST AN ARTICLE

Physiotherapy Research

Journal Name:
Journal of Orthopaedic and Sports Physical Therapy (37) 3 ,88-99

Article Title:
The Effect of Anterior Versus Posterior Glide Joint Mobilization on External Rotation Range of Motion in Patients With Shoulder Adhesive Capsulitis

Abstract:
STUDY DESIGN: Randomized clinical trial. OBJECTIVE: To compare the effectiveness of an­terior versus posterior glide mobilization techniques for improving shoulder external rotation range of motion (ROM) in patients with adhesive capsulitis. BACKGROUND: Physical therapists use joint mobilization techniques to treat motion impair­ments in patients with adhesive capsulitis. However, opinions of the value of anterior versus posterior mobilization procedures to improve external rotation ROM differ. METHODS AND MEASURES: Twenty consecu­tive subjects with a primary diagnosis of shoulder adhesive capsulitis and exhibiting a specific external rotation ROM deficit were randomly assigned to 1 of 2 treatment groups. All subjects received 6 therapy sessions consisting of application of therapeutic ultrasound, joint mobilization, and upper-body ergometer exercise. Treatment differed between groups in the direction of the mobilization technique performed. Shoulder external rotation ROM mea­sured initially and after each treatment session was compared within and between groups and analyzed using a 2-way ANOVA, followed by paired and independent t tests. RESULTS: There was no significant differ­ence in shoulder external rotation ROM between groups prior to initiating the treatment program. A significant difference between groups (P = .001) was present by the third treatment. The individu­als in the anterior mobilization group had a mean improvement in external rotation ROM of 3.0° (SD, 10.8°; P = .40), whereas the individuals in the poste­rior mobilization group had a mean improvement of 31.3° (SD, 7.4°; P<.001). CONCLUSIONS: A posteriorly directed joint mobilization technique was more effective than an anteriorly directed mobilization technique for improving external rotation ROM in subjects with adhesive capsulitis. Both groups had a significant decrease in pain.

Posted By:
admin

Posted Date:
2007-06-22

Posting(s) to Date:
13