Effect of IFT with Anterior Glide versus Posterior Glide Joint Mobilisation Technique on Shoulder External Rotation Rom in Patients with Adhesive Capsulitis: Comparative Study

Abstract

Background: Adhesive capsulitis is a clinical diagnosis made from a history of the gradual onset of severe shoulder
pain with the progressive limitation of active and passive glenohumeral movements. The most significant loss of
movement is in the external rotation of the joint. Traditionally physical therapists have used an anterior glide of
the humeral head on the glenoid technique to improve external rotation range of motion a choice based on ‘convex
on concave’ concept of joint surface motion.
Aim & objective of the study: To compare the effect of IFT with anterior glide versus posterior glide joint
mobilization technique on shoulder external rotation ROM in patients with adhesive capsulitis.
Data Analysis and Results: This study results shows that there is statistically significant improvement in the
variables of shoulder pain and disability index (SPADI) and Shoulder External Rotation ROM between pre and post
mean values in both control and experimental group with p<0.05. The Post mean values of SPADI and Shoulder
External Rotation ROM in degrees with p values p<0.05 in Control group when compared to Experimental Group.
Conclusion: This study concluded that both anterior glide and posterior glide with Interferential therapy reduce
the pain and improve the external rotation range of motion in adhesive capsulitis. Meanwhile, interferential
therapy with anterior glide is more effective than the interferential therapy with posterior glide in reducing the
pain and improving the external rotation range of motion in adhesive capsulitis.