Comparative Study Of Range Of Motion After Conventional Physiotherapy In Adhesive Capsulitis Of Shoulder Joint Among Diabetic And Non-Diabetic Patients At Teaching Hospital Batticaloa.

Abstract

Abstract: Adhesive capsulitis (AC) of shoulder is one of the commonest condition among musculoskeletal disorders. It affects both male and female gender and some medical conditions associated with AC especially diabetes. Physiotherapy is the most advocated treatment option to manage this condition conservatively. The objectives were to compare the range of motion (ROM) of shoulder joint in percentage among the patients with AC associated with diabetic and nondiabetic patients received follow-up at the Teaching Hospital Batticaloa after conventional physiotherapy and to determine the associated risk factors that delaying the recovery. The methodology was Observational, prospective institutional based study was conducted at the Department of Physiotherapy, Teaching Hospital Batticaloa, Sri Lanka for the period of 12 weeks. 32 patients with primary AC were recruited to this study, 15 with diabetic and 17 without diabetic. An interviewer administered questionnaire was given to the participants prior to the commencement of physiotherapy sessions and goniometry measurement was obtained in mean percentage in AC shoulder and contralateral side before and after the conventional physiotherapy with a standard 12-inch plastic goniometer. Data was analyzed in SPSS. The results shown that the conventional physiotherapy would have an impact in improving ROM of AC shoulder both in DM and non-DM population and this trend was statistically significant at a confidence level of 95% (p<0.05). However, there was no statistically significant (p>0.005) observation identified when compare the recovery of the ROM among DM and non-DM patients with conventional physiotherapy. There was no impact on the recovery of ROM in AC patients associated with DM when compared to non-DM population. Even though the present study is a preliminary in nature, the results indicated that there is no significant improvement among patients with non-DM with compared to DM patients. Therefore, it may not advisable to do over treatment to DM patients with the intention of gaining a higher productivity in the range of motion. Keywords: Adhesive capsulitis, Frozen shoulder, Range of Motion, Diabetes, Physiotherapy.