The Effect of Posterior Versus Anterior Glide Joint Mobilization on External Rotation Range of Motion of Patients with Shoulder Adhesive Capsulitis

<p><strong>Study Design:</strong> Repeated measures, randomized comparison of two treatment groups.</p> <p><strong>Objective:</strong> To compare effectiveness of two manual therapy procedures, posterior and anterior glide joint mobilization, for improving external rotation in patients with adhesive capsulitis of the shoulder.</p> <p><strong>Background:</strong> Joint mobilization procedures are often used by physical therapists to treat the accessory motion impairments associated with shoulder adhesive capsulitis. However opinions differ regarding the value of posterior versus anterior glide mobilization. especially for improving external rotation.</p> <p><strong>Methods and Measures:</strong> Subjects with idiopathic adhesive capsulitis exhibiting a specific external rotation range deficit, were randomly assigned to one of two treatment groups. For six sessions, all subjects received ultrasound, joint mobilization, and upper body ergometer exercise. Subjects in Group 1 were treated with posterior glide mobilizations and subjects in Group 2 were treated with anterior glide mobilizations. External rotation range was measured initially and after each treatment session and compared within and between groups. Data were analyzed using repeated measures factorial ANOVA and independent t-tests.</p> <p><strong>Results:</strong> Following six treatment sessions, subjects who received posterior glide mobilizations showed a statistically significant improvement (<em>p</em>< .001) in external rotation range of 31.2° whereas subjects receiving anterior glide mobilizations showed only a mean improvement of 3.0° (<em>p</em> = .68).</p> <p><strong>Conclusions:</strong> Posterior glide joint mobilization was significantly better than anterior glide joint mobilization for increasing external rotation range in just six treatment sessions for subjects with idiopathic adhesive capsulitis with a specific ROM deficit.</p>

Name thesis:degree_name

Doctor of Physical Therapy (DPT)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Physical Therapy Sciences

Year

2005

Author dc:creator

• Johnson, Andrea J.

Contributors dc:contributor

• Grenith Zimmerman
• Jospeh Godges
• Lee Ounanian

• Physical Therapy
• Shoulder -- injuries; Shoulder Joint -- injuries; Joint Diseases; Physical Therapy -- methods.

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/877

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-2014