Effects of Motor Control Exercise combine with PNF on Pain and Disability in patient with Frozen Shoulder

Frozen shoulder is a condition of uncertain aetiology, characterized by significant restriction of both active and passive shoulder motion that occur in the absence of a known intrinsic shoulder disorder. The condition was first clinically recognized as “periarthritis scapula-humeral” by Duplay in 1872. However, Codman in 1934 described it as frozen shoulder, indicating the possibility of developing shoulder stiffness and pain without the influence of external factors. “Adhesive capsulitis”, indicating a pathology in the glenohumeral capsule, was coined by Neviaser. Adhesive capsulitis is the leading cause of pain at the shoulder joint in middle aged and elderly persons. Adhesive capsulitis, another name for frozen shoulder, is a common ailment affecting the glenohumeral joint that causes the joint capsule to progressively swell and cause the shoulder to become stiff. In the general population, 2 to 5 percent of people are expected to have frozen shoulder at some point in their lifespan.**MATERIAL AND METHODOLOGY:**Study setting: This study will be conducted in the Department of Orthopedic Physiotherapy DR.APJ Abdul Kalam Collage of Physiotherapy, PMT-PIMS, LONI.•**Type Study:**Randomised Control Trial â€¢Source of data: Sample will be collected from Pravara Rural Hospital, Loni â€¢**Sample size:**50 â€¢Study Population: Patients with frozen shoulder â€¢**Study duration:**6 weeks Â·  **Material to be used:**Consent form, Data collection sheet

                    

Type and Duration of the treatment

Exercise duration

Exercise protocol

|Frozen shoulder exercise along with conventional therapy

Frequency:-5 days per week (5 Rep X 2 Set of each exercise)

Intensity :- 30 sec hold

Time:- 30 min

Type:- Frozen shoulder exercise

1.  Warm up exercise (5min)

i) Biceps stretch

ii) Triceps stretch

iii) Trapezius stretch

2. Exercise Protocol (20 min)

A)Frozen Shoulder exercises

i) Active range on motion for shoulder

ii) Finger ladder

iii) codman’s exercise

iv) shoulder isometrics

v) Wand Exercise

vi) TENS

vii) Ultrasound

3. Cool Down Exercise (5 min)

i)Pectoral stretching

Motor control exercise combined with PNF along with conventional treatment

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Component Motion Of PNF patterns for Shoulder

|Joints

D1 Flexion

D1 Extension

D2 Flexion

D2 Extension

|Shoulder

Flexion-adductionexternal rotatio

Extension-abductioninternal rotation

Flexion-abductionexternal rotation

Extension-adductioninternal rotation

|Scapula

Elevation, abduction,

upward rotation

Depression, adduction,

downward rotation

Elevation, abduction,

upward rotation

Depression, adduction

downward rotation

|Elbow

Flexion or extension

Flexion or extension

Flexion or extension

Flexion or extension

|Forearm

Supination

Pronation

Supination

Pronation

|Wrist

Flexion, radial

deviation

Extension, ulnar

deviation

Extension, radial

deviation

Flexion, ulnar

deviation

|Finger

Flexion, adduction

Extension,abduction

Extension,abduction

Flexion,adduction