Effect of Physiotherapy Treatment in Tertiary Care Hospital on Functional Disability in Frozen Shoulder Patients

Abstract

Background: Frozen shoulder was introduced as Adhesive capsulitis by Naviesar in 1947. It commonly occurs between 40 and 70 years and is more common in females than males. Bilateral movements occur in 10-40 % of cases. It is mostly seen in patients with Diabetes mellitus. Patients with frozen shoulders are managed by Physiotherapy, medications (NSAIDs), corticosteroid injection, Arthrography infiltration, and manipulation. If not managed conservatively, surgical options are also available. The symptoms of the Frozen Shoulder can be reversed after the treatment has been taken. So, it is important to check whether the physiotherapy treatment is beneficial from a long-term perspective or not. Materials and Methods: A total of 37 patients participated in this study, 20 were females and 17 were males. Previous demographic and assessment data of these patients were recorded. Patients who were undergoing treatment were called to the Physiotherapy OPD and their pain, range of motion, and SPADI scale were assessed- A statistical analysis of comparison of previous and present scores was done by using a computerized method. Results: Statistical analysis showed significant improvement in pain and SPADI score in pre and post-test periods (p values of Visual analogue scale were 0.0628 for at rest, 0.009 for on activity, and 0.0033 for SPADI. Range of motion was not showing significance (p-value is more significant than 0.05), it was maintained throughout during pre and post-test periods. Conclusion: In statistical analysis, Pain and SPADI assessment showed significance, and Range of motion did not show significance in the pre and post-test. Hence, we conclude that treatment taken in Tertiary care hospitals is effective in patients with Frozen shoulders in a long-term perspective.