Efficacy of Mechanical Diagnosis and Treatment on Functionality and Capsular Thickness in Patients with Stage 2 Diabetic Adhesive Capsulitis.

Detailed demographic information, medical history, and baseline outcome measures will be collected from each participant to establish a comprehensive understanding of their condition. The participants in both with controlled (Group A1 and A2) and uncontrolled (Group B1 and B2) diabetic adhesive capsulitis groups will be assessed using the MDT assessment sheet. This will include history taking, observation of posture, range of motion testing, and repetitive movement testing and special tests. Groups A1 and B1, i.e., control groups 1 and 2, will be advised to follow exercise programs with conventional treatment (i.e. shoulder exercises, pamphlets will be given for the same) along with hot water fomentation as a home program. The participants in groups A2 and B2, i.e., experimental groups 1 and 2, will further be assessed according to the MDT approach.

Participants of all the groups would revisit the hospital to report changes the next day. The treatment would be modified if needed, or else he/she will be advised to continue until the symptoms diminish, i.e., pain and disability are decreased, and range of motion is increased. Pre-assessment and post-treatment outcome measures will be taken at 2 weeks to evaluate the effectiveness of the interventions. After completing the treatment, participants will be given a home exercise program for prophylaxis. Follow-up assessments will be conducted at 6 and 10 weeks, with outcome measures taken to evaluate the sustainability of treatment effects.