Efficacy of Three Directional Capsular Stretching Versus Angular Joint Mobilization in Patients with Frozen Shoulder: A Randomized Controlled Trial

Background: The evidence regarding efficacy of the new concept of Angular Joint Mobilization technique(AJM) is scare hence this study aimed to compare the effectiveness of AJM versus three dimensionalCapsular Stretching exercises (CS) in reducing shoulder pain, functional limitations, shoulder disability andin improving ROM of FS survivors.Methodology: A randomized controlled, parallel group design study was conducted on FS patients.Participants with the history of FS and aged 35 to 60 years were included however subjects with glenohumeralarthritis, trauma, infection or congenital abnormality of shoulder were excluded. Four outcome measureswere assessed including Numeric pain rating scale (NPRS), Simple Shoulder Test (SST), Shoulder Pain andDisability Index (SPADI) and goniometer. 50 volunteers were equally divided into AJM and CS group.Result: The mean comparison of post NPRS in AJM group was 3.4 and in CS group was 4.4, SST score inAJM was 10.4 and CS was 9.4, SPDAI and ROM in all the direction showed significant improvement inAJM as compared to CS group at p-value <0.05.Conclusion: AJM is significantly more effective in reducing shoulder pain, functional limitations andshoulder disability, also in improving ROM of FS patients as compared to CS.