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B. Gandhi1, A. Ghillodia1
1Chitkara University, Physiotherapy, Punjab, India
Background: Adhesive capsulitis is a common, painful and debilitating condition of the glenohumeral joint affecting about 2-5% of the population. Internal organs are inter-connected through the support membranes. Tension in these support membranes may further cause mechanical restrictions, thereby affecting the mobility of the visceral organ.
Purpose: The objective of study is to explore the effect of organ specific visceral manipulation on adhesive capsulitis in subjects with right shoulder adhesive capsulitis.
Methods: Twenty subjects with adhesive capsulitis were assessed for eligibility, out of which fourteen subjects were recruited using convenience sampling method. Two sessions of Placebo Visceral Manipulation was administered for the first two weeks, followed by a two sessions of visceral manipulation of liver for next two weeks. Digital goniometer, Shoulder pain and disability index and Modified sphygmomanometer were used to measure the pre and post outcomes.
Results: Between group comparison of the outcomes showed a statistically significant difference in the shoulder range of motions scores (flexion [(p=0.001), external rotation (p=0.001) and internal rotation (p=0.001)] and Shoulder pain and disability index (SPADI) score(0.004). No significant changes was observed in the strength outcome.
Conclusion(s): Two sessions of visceral manipulation for the liver may be beneficial in improving the right shoulder mobility, pain and disability.
Implications: Visceral manipulation will be an effective adjunct technique for integrating with physiotherapy in treating specific musculoskeletal conditions and pain.
Funding, acknowledgements: Self Funding
Keywords: Visceral manipulation, Adhesive capsulitis, shoulder pain
Topic: Musculoskeletal
Did this work require ethics approval? Yes
Institution: Fortis Hospital, Mohali, Punjab, India
Committee: Institutional Ethics Committee
Ethics number: ECR/28/Inst/PB/2013/RR-19
All authors, affiliations and abstracts have been published as submitted.
