Comparison of Restricted Movement Pattern among Patients of Idiopathic, Diabetic and Traumatic Adhesive Capsulitis

Abstract

Background Objectives: Restriction in Adhesive capsulitis is known, however pattern of restriction in different groups of adhesive capsulitis is unknown and unclear. Methods: Self-administered questionnaire was undertaken to measure the available range of motion (ROM) among 60 patients of adhesive capsulitis divided in 3 groups idiopathic, diabetic and traumatic. Age ranged from 40 to 75 years. Standardized Goniometer was used to measure the ranges of shoulder. The data was collected and analyzed statistically by Statistical Package for the Social Sciences (SPSS) software. Results: Study included 60 patients of adhesive capsulitis consisting of three groups of idiopathic, diabetic and traumatic adhesive capsulitis (20 each). The results regarding patterns of ranges in all groups showed that for flexion range of motion there was non-significant difference between idiopathic and diabetic Group (p value 0.69), while between idiopathic versus traumatic and diabetic versus traumatic group it was significant (p value 0.04 and 0.017 respectively). For extension range of motion, between idiopathic and diabetic group, there was non-significant difference (p value 0.227), while it was significant for idiopathic versus traumatic and diabetic versus traumatic groups (p value 0.022 and 0.001 respectively). Results for abduction range of motion, there was non-significant difference for all groups i.e. idiopathic versus diabetic, idiopathic versus traumatic and traumatic versus diabetic groups (p value 0.085, 0.503 and 0.286 respectively), while for internal and external rotation groups of idiopathic versus diabetic and idiopathic versus traumatic all showed significant difference (p value 0.000) and non-significant for traumatic versus diabetic group (p value 0.151 and 0.326 respectively) for internal and external rotation. Conclusion: The study concluded that diabetic and traumatic group of adhesive capsulitis followed cyriax 'capsular pattern' but in idiopathic group of adhesive capsulitis this pattern did not emerged.