Comparison of Restricted Movement Pattern Among Patients of Idiopathic, Diabetic and Traumatic Adhesive Capsulitis
AbstractAbstract | Restriction in adhesive capsulitis is known, however, pattern of restriction in different groups ofadhesive capsulitis is unknown and unclear. Self-administered questionnaire was undertaken to measure theavailable ROM among 60 patients of adhesive capsulitis divided in 3groups; idiopathic, diabetic and traumatic.Age of all subjects ranged from 40 to 75years. Standardized Goniometer was used to measure the rangesof shoulder. The data was collected and analyzed statistically by SSPS software. Study included 60 patientsof Adhesive Capsulitis consisting of three groups of idiopathic, diabetic and traumatic Adhesive capsulitis(20 each/group). Results regarding patterns of ranges in all groups showed that for flexion range of motionthere was non-significant difference between Idiopathic and Diabetic Group (p value 0.69), while betweenIdiopathic versus Traumatic and Diabetic versus Traumatic group it was significant (p value 0.04 and 0.017respectively). For extension range of motion, between Idiopathic and Diabetic Group, there was non-significant difference (p value 0.227), while it was significant for idiopathic versus traumatic and diabetic versus traumatic groups (p value 0.022 and 0.001 respectively). Results for abduction range of motion, there was non-significant difference for all groups i.e. idiopathic versus diabetic, idiopathic versus traumatic and traumatic versus diabetic groups (p value 0.085, 0.503 and 0.286 respectively), while for internal and external rotation groups of idiopathic versus diabetic and idiopathic versus traumatic all showed significant difference (p value 0.000) and non-significant for traumatic versus diabetic group (p value 0.151 and 0.326 respectively) for internal and external rotation). The study concluded that diabetic and traumatic groups of adhesive capsulitis followed cyriax ‘capsular pattern’ but in idiopathic group of adhesive capsulitis this pattern did not emerged.
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