Sanil Koyili
V.S.P.M'S College of Physiotherapy, INDIA
Title: Kinesio Taping as an adjunct to end range mobilization in treatment of adhesive capsulitis of shoulder. A Randomized Controlled Trial
Biography
Biography: Sanil Koyili
Abstract
Shoulder pain is one of the commonest causes for patient visiting rehabilitation clinic. The term adhesive capsulitis of shoulder has been used for the patients with shoulder pain and mobility deficits. The prevalence of shoulder pain has been reported to be 26%, with greater prevalence among females. Adhesive capsulitis will be used to describe both primary (idiopathic) and secondary adhesive capsulitis. The primary is associated with medical conditions like DM, Hyperthyroidism, IHD etc and secondary is associated with extended mobilization, Cumulative trauma or surgical trauma. Studies have demonstrated the benefits of manual therapy for improvement in mobility and pain measure. Recently new advances for the treatment of adhesive capsulitis are the use of Kinesiotape (KT), which is a safe technique that has minimal side effects that facilitates musculoskeletal rehabilitation by reducing discomfort. However minimal evidences exist to support the use of KT in the tr eatment of adhesive capsulitis.
30 subjects diagnosed with adhesive capsulitis (stage II) within the age of 45 to 65 years were randomly selected and was grouped as “A” and “B” with equal representation by random sampling using lottery method. Subjects of group B was given KT in addition to End range mobilization (Grade IV) 3 sessions per week for 6 weeks. Outcome measures were pain on VAS, Range of Motion and UCLA score.
The collected data was analyzed using one way repeated measure ANOVA and Wilcoxon Rank Sum test. Over day 1 to end of 6 weeks the average reduction of pain in group A was 2.53+1.35 and in group B was 3.33+1.11. Comparison of UCLA score shows a difference of 5.06+3.23 in group A and 5.73+3.06 in group B at the end of six weeks. There was significant improvement in global range of motion in both the groups with marked increase in group B as compared to group A at the end of 18 sessions.
The randomized controlled trial shows that Kinesiotape has an adjunct effect on pain, range of motion and function along with end range mobilization in the of adhesive capsulitis of shoulder.