Effect of Anterior Humeral Head Reposition Tape to Increase Shoulder Elevation in Subjects with Frozen Shoulder “A Quasi Experimental Trial”

Saima, Zahid and Wajida, Parveen and Atif, Dustgir (2017) Effect of Anterior Humeral Head Reposition Tape to Increase Shoulder Elevation in Subjects with Frozen Shoulder “A Quasi Experimental Trial”. Journal of Riphah college of Rehabilitation Sciences, 5. pp. 3-7. ISSN 2226-9215 e-ISSN: 2410-888X JRCRS

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Abstract

Background: Frozen shoulder syndrome is characterized by pain and progressive loss of both active and passive shoulder movements due to uncertain etiology. About 2.0 to 5.0% of the general population and 40 to 60-year-old age group are affected by frozen shoulder as most common cause of shoulder disability. Mostly, in its idiopathic form, the condition is more common in women than in men. Objective: To determine the evidence based treatment of choice for mid-range elevation limitation in subjects with frozen shoulder. Methodology: A Quasi Experimental study of six months duration from September 2015 to February 2016. The study was conducted, at Amin Medical Complex Sialkot, Syed Medical Centre, Sialkot and Riphah Rehabilitation Centre. The study was completed in 6 months from September 2015 to February 2016 after the approval from research ethical committee of Riphah college of Rehabilitation Sciences (RCRS). Nonprobability convenient sampling technique was used to enroll the patients. A pre-defined inclusion and exclusion criteria was used to screen the patients. The sample size of 50 participants was included in the study. Patients were randomly divided into two groups (A & B). Each group was allocated with 25 patients. Group A was treated with Mobilization with movement (MWM) with anterior humeral taping while in group B only MWM Technique was used. Both groups were treated 4 times over 2 weeks. Data was collected before first treatment as baseline and was compared with Post-Treatment. Results: The mean age of the subjects that participated in both treatment groups was 47.34 ± 6.49 in group A and 43.11 ± 3.87 in group B. The mean reduction in pain at the end of treatment was 3.99 ± 1.43 in group A compared to 1.49 ± 0.78 in group B (p < 0.05). Similarly, there was mean improvement of 23.34 ± 10.34, 29.54 ± 6.43 in abduction and flexion respectively in group A (p < 0.05). However, there was less improvement in abduction and flexion (15.45 ± 4.99 & 11.32 ± 6.47 respectively) in Group B (p value < 0.05). Conclusion: The study concludes that anterior humeral head reposition tape in combination with MWM is an effective treatment when treating the patients with frozen shoulder to improve shoulder abduction, flexion and for pain relief

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