1M.P. Th, Musculoskeletal Sciences
2Principal & Professor, P.T. School & Center G.M.C. Nagpur
3Professor, P.T. School & Center G.M.C. Nagpur
To study and compare the effectiveness of deep transverse friction massage on supraspinatus as an adjunct to PNF (contract-relax, D2 flexion pattern) in idiopathic adhesive capsulitis of shoulder joint.
60 patients with clinical diagnosis of idiopathic adhesive capsulitis were randomly allocated to the two groups. Group A received PNF (contract-relax to shoulder internal rotators and adductors, D2 flexion pattern). Group B received DTFM on supraspinatus at tenoperiosteal and musculotendinous junction along with PNF. Both the group received six treatment sessions (alternate day) over a period of 2 week. The outcome was assessed in terms of pain on NPRS and Active External rotation at baseline abduction 90°and abduction ROM of glenohumeral joint on pre intervention, immediate post intervention, 3rd session and 6th session.
Both the groups were improved as regard to the pain on NPRS on 3rd and 6th session from pre intervention. Group B showed significant reduction in pain score with P < 0.05 on immediate post intervention and extremely significant at different time interval (From immediate post to 3rd and from 3 rd to 6 th session) with P <0.001.
Similarly both the groups showed significant improvement in active external rotation and abduction range of motion at 3rd and 6th session from pre intervention and also at different time interval (P<0.001).
However on between group comparisons, group B demonstrated significant reduction in pain score on NPRS and gain in active external rotation and abduction range of motion (P<0.001) on 3rd and 6th session and also at different time interval over group A.
The deep transverse friction massage provides faster response than PNF alone when given alternate day over a period of 2 weeks.
Deep transverse friction massage (DTFM), PNF
