Comparison of Anterior and Posterior Kaltenborn Grade III Glide on Glenohumeral Joint for Improving External Rotation in Adhesive Capsulitis (Frozen Shoulder)

Abstract

Background: Adhesive capsulitis is a common disabling and painful condition that causes limitation of both passive and active ranges of shoulder joint. Division of frozen shoulder can be into primary and secondary categories. Different techniques have been devised in physiotherapy to regain limited range of motion in adhesive capsulitis. Objectives: To compare the effects of anterior and posterior grade III Kaltenborn glides on glenohumeral joint for improving external rotation and functional ability in patients with adhesive capsulitis. Material and methods: This randomized controlled trial was conducted in University of Health Sciences, Lahore and 40 patients were recruited from Mayo Hospital, Lahore from 08-10-2019 to 10-02-2020 and divided randomly into two groups. Group A was given anterior glide and Group B was given posterior glide. Treatment was given for 4 weeks, 3 sessions in each week. Outcomes were measured in terms of external rotation and functional status of shoulder from Goniometry and SPADI scale. Results: Comparison of External rotation and SPADI score of group A (Anterior glider) and group B (posterior glide) has shown that both groups were similar at baseline (p>0.05 for all variables) but post-treatment mean external rotation range in group A was 36.50 ± 7.72 while in group B was 52.80 ± 7.14, with the P value <0.05 and post-treatment mean SPADI score in group A was 48.99 ± 3.68 while in group B was 38.30 ± 5.53, with the P value <0.05. Conclusion: Posterior glide mobilization on glenohumeral joint is more significant in improving external rotation in patients with adhesive capsulitis as compared to anterior mobilization.