ROLE OF KALTENBORN MOBILIZATION IN IMPROVING SHOULDER FLEXION ROM IN ADHESIVE CAPSULITIS

Abstract

Introduction: Shoulder joint is one of the most mobile joint of human body. Being very mobile joint its stability is compromised. Because of these factors along with some others, it is prone to different disorders such as adhesive capsulitis. An individual suffering from frozen shoulder finds him into a difficult situation in performing activities of daily living. Decrease blood supply, inflammation and injury to joint capsule may lead to restricted range of motion (ROM). Frozen shoulder can be primary or secondary. Primary being without any cause while secondary frozen shoulder is due to any other co-morbidity such as cervical spondylosis or diabetes mellitus. Females are more prone to develop frozen shoulder than males. This condition is also seen more in the non-dominant side. Setting: Fatima memorial hospital (FMH) Lahore. Material and Methods: In this study, effects of Kaltenborn mobilization in improving shoulder flexion ROM due to frozen shoulder were observed. Two groups having 30 patients each were formed in this research. A combination of Kaltenborn along with ROM exercises was administered to one of the groups while the other group was given Kaltenborn mobilization alone. During the study it was observed that combination therapy showed better results in improving shoulder flexion ROM. Results: 0 Mean change in flexion was 43±6.48 in combination of kaltenborn + ROM while for 0 kaltenborn alone the mean change in flexion was 15.60±5.04 . Conclusion: The combination of Kaltenborn mobilization with ROM exercises was cost effective, non-invasive and safe without any danger to the patient with frozen shoulder.