Efficacy of Scapular Movement with Mobilization in Patients with Shoulder Impingement

Scapular kinematic alterations have been demonstrated in subjects with impingement syndrome. These scapula movement alterations are believed to decrease the subacromial space by failing to move the acromion away from the humeral head during arm elevation resulting in increased compressive loads on the tendons of rotator cuff or long head of the biceps muscle. Mulligan's movement with mobilization (M.W.M) hypothesize that positional malalignment can be corrected with appropriate gliding. Thus this research investigates the efficacy of scapular movement with mobilization in patients with shoulder impingement.

Efficacy of scapular movement with mobilization in patients with shoulder impingement

Assess immediate effect of scapular movement with mobilization in shoulder impingement

Exploratory study

Scapula M.W.M was given to the patient, 10 repetitions thrice were repeated.

Visual analogue scale was used to assess pain, Range of Motion in Scaption plane was assessed by using Goniometer, Supraspinatus strength assessment was assessed in Scaption plane, Shoulder pain and disability index (SPADI) was assessed

Baseline data recorded for the outcome measures and post intervention data was statistically analyzed for the level of significance. Paired t-test was done for the same.

Significant differences were observed with respect to various outcome measures studied. Visual analogue scale Mean difference is 2.880,Standard deviation difference is 1.447,95% confidence interval difference is 2.283 to 3.477, (p<0.0001). Range of motion Mean difference is 21.28,Standard deviation difference 11.150,95% confidence interval difference is 25.886 to 16.682, (p<0.0001). Supraspinatus strength Mean difference is 4.40kgs, Standard deviation difference is 1.528, 95% confidence interval difference is 5.031 to 3.769 (p<0.0001) and Shoulder pain and disability index score (SPADI) Mean difference is 22.375, Standard deviation difference is 7.840,95% confidence interval difference is 19.139 to 25.611,(p<0.0001).

Scapular movement with mobilization proved to be effective in patients with shoulder impingement