Comparative Effects Of Dynamic Stretching And Mulligan’s Mobilization On Pain And Range Of Motion In Diabetic Adhesive Capsulitis: The Mediating Roles Of Physiotherapy, Nutrition And Psychological Factors
Keywords:
Adhesive Capsulitis, Mulligan’s Mobilization, Dynamic Stretching, Range of Motion, Pain, disability, ultrasound therapy (UST), moist heat packAbstract
Background: Adhesive capsulitis, commonly known as frozen shoulder, is a debilitating condition marked by shoulder pain and restricted range of motion (ROM). This study investigates the comparative effectiveness of dynamic stretching and Mulligan’s mobilization in managing adhesive capsulitis.
Objective: To compare the effectiveness of dynamic stretching and Mulligan’s mobilization on pain reduction and improvement in ROM among patients with adhesive capsulitis.
Methods: A randomized controlled trial was conducted on 40 participants aged 40–50 years with diagnosed adhesive capsulitis. Participants were randomized into two groups: the experimental group received Mulligan’s mobilization, ultrasound therapy (UST), and moist heat pack (MHP); the control group received dynamic stretching, UST, and MHP. Pre- and post-treatment assessments over 4 weeks included Visual Analogue Scale (VAS), Shoulder Pain and Disability Index (SPADI), and goniometric measurement of ROM.
Results: Both groups showed significant improvements in VAS, SPADI, and ROM (p<0.001). However, the experimental group exhibited greater improvements in all outcome measures compared to the control group, suggesting a superior effect of Mulligan’s mobilization.
Conclusion: Mulligan’s mobilization, when combined with adjunct therapies, is more effective than dynamic stretching in reducing pain and improving ROM in adhesive capsulitis. It should be considered a primary intervention in physiotherapy protocols for frozen shoulder.
