| dc.description.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. | en_US |
