Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2019
  • Volume: 13
  • Issue: 1

To compare the effect of home based program and supervised occupational therapy program in adhesive capsulitis patients with diabetes mellitus

1Assistant Professor, Department of Rehabilitation Sciences, Jamia Hamdard, New Delhi, India

2Professor and Head of Department Department of Rehabilitation Sciences, Jamia Hamdard, New Delhi, India

3Professor and Head of Department Department of Orthopaedics, Jamia Hamdard, New Delhi, India

*Corresponding Author: Dr. Deepshikha Gupta, Assistant Professor, Department of Rehabilitation Sciences, Jamia Hamdard, New Delhi, Mobile: 9650823750 Email: otdeepshikha93@gmail.com

Online published on 18 January, 2019.

Abstract

Adhesive Capsulitis is most common in patients with Diabetes Mellitus. It limits the daily activities of the patient by causing pain around their shoulder and reducing range of motion (ROM) of their joints. Therapeutic exercises are given in institution as well as at home as home program. But there are patients who are unable to attend clinic regularly due to low economic condition, lack of time, jobs and household chores. The purpose of this study is to assess the efficacy of supervised Occupational Therapy programme and home programme in patients of Adhesive Capsulitis with Diabetes Mellitus.

35 subjects were taken and assessed at the beginning and re-evaluated at the end of 4 week rehabilitation program, using the following:

Shoulder pain and disability index (SPADI)

Universal Goniometer for range of motion of shoulder

Occupational therapy evaluation performa

Though patients of both the groups showed no significant difference in mean value of any of the variables which means both supervised OT as well as home based OT are equally effective in bringing the improvement in adhesive capsulitis patients in terms of pain and ROM but the mean disability score of subjects of supervised OT group (12.32) was found to be better than those doing exercises at home (18.90) which means to have more improvement in shoulder disability, supervised OT is better than the home program.

The findings of the study suggests that home based occupational therapy program is as effective as supervised occupational therapy program in institute for adhesive capsulitis patients with diabetes mellitus, but to have better improvement in shoulder disability supervised OT is better than home based exercise program.

Keywords

Adhesive Capsulitis, Diabetes Mellitus, Supervised OT program, Home Based OT program