Authors : Dr. Pushpdeep Singh; Tamanna; Dr. Gurbans Singh Gill; Dr. Shiny George Gill; Mohit Gera

Volume/Issue : Volume 11 - 2026, Issue 10 - October

Google Scholar : https://tinyurl.com/yevp8ppr

DOI : https://doi.org/10.38124/ijisrt/26Oct1595

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Background: Adhesive capsulitis is a painful shoulder condition associated with progressive restriction of active and passive glenohumeral movement. It can interfere with dressing, grooming, reaching, lifting, and sleep. Physiotherapy commonly combines education, therapeutic exercise, manual therapy, and symptom-modulating modalities. The relative contribution of mobilization and active exercise when each is combined with superficial heat remains clinically relevant.  Objective: To compare the effects of Maitland mobilization plus hot-pack therapy, active shoulder exercises plus hot-pack therapy, and hot-pack therapy alone on pain intensity and shoulder-related pain and disability over six weeks.  Methods: A comparative pre-test–post-test study included 60 participants aged 40–60 years with adhesive capsulitis. Twenty participants were included in each group. Group A received Maitland glenohumeral mobilization with hot-pack therapy; Group B received active or assisted shoulder exercises with hot-pack therapy; and Group C received hot-pack therapy alone. Treatment was scheduled five days per week for six weeks. Pain was assessed using a 0–10 Visual Analog Scale (VAS), and shoulder-related pain and disability were assessed using recorded SPADI totals. Within-group changes were assessed using paired-samples t-tests and post-treatment group means were compared using one-way ANOVA.

Keywords : Adhesive Capsulitis; Frozen shoulder; Maitland Mobilization; Active Shoulder Exercises; Hot-Pack Therapy; Visual Analog Scale; Shoulder Pain and Disability Index.

References :

1. 1. Johnson AJ, Godges JJ, Zimmerman GJ, Ounanian LL. The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. Journal of Orthopaedic & Sports Physical Therapy. 2007;37(3):88–99.
   2. Vermeulen HM, Rozing PM, Obermann WR, Le Cessie S, Vlieland TPMV. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Physical Therapy. 2006;86(3):355–368.
   3. Heald SL, Riddle DL, Lamb RL. The Shoulder Pain and Disability Index: the construct validity and responsiveness of a region-specific disability measure. Physical Therapy. 1997;77(10):1079–1089.
   4. Kelley MJ, Shaffer MA, Kuhn JE, et al. Shoulder pain and mobility deficits: adhesive capsulitis. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(5):A1–A31.
   5. Nicholson GG. The effects of passive joint mobilization on pain and hypomobility associated with adhesive capsulitis of the shoulder. Journal of Orthopaedic & Sports Physical Therapy. 1985;6(4):238–246. Bibliographic details require verification.
   6. Bulgen DY, Binder AI, Hazleman BL, Dutton J, Roberts S. Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens. Annals of the Rheumatic Diseases. 1984;43:353–360.
   7. Maitland GD. Treatment of the glenohumeral joint by passive movement. Physiotherapy. 1983;69(1):3–7.
   8. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 4th ed. Philadelphia: F.A. Davis Company; 2002.
   9. Tarang KJ, Neena KS. The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder/adhesive capsulitis: a systematic review. Journal of Back and Musculoskeletal Rehabilitation. Complete bibliographic details require verification against the original publication.
   10. Ansari N, Lourdhuraj I, Shah S. Effect of ultrasound therapy with end-range mobilization over cryotherapy with capsular stretching on pain in frozen shoulder. International Journal of Current Research and Review. 2012;4:68–73.