Effects of Sleeper Stretch and Mobilizations With Movement in Patients With Adhesive Capsulitis

Adhesive capsulitis is a condition characterized by progressive declination range of motion at the glenohumeral joint due to tightness of capsule. The joint capsule and its surrounding connective tissue becomes stiffed, inflamed and shortened which in return causes decrease in range of motion that progress to chronic pain and stiffness. Adhesive capsulitis is a self-limiting disorder that resolves within 1-3 years.

Inclusion Criteria:Patients with Adhesive Capsulitis of stage 1 and 2.Patients with idiopathic adhesive capsulitis.Patients with unilateral involvement having painful stiff shoulder for 3 or more months without any shoulder trauma.Marked loss in active and passive Range of Motion (Abduction, external and internal rotation) minimum 50% compared to the unaffected side.1.5cm asymmetry on bilateral comparison during lateral scapular slide test.Exclusion Criteria:Patients with shoulder pain due to neurological abnormalities e.g. Hemiplegia.Patients with Rotator cuff injury or tear.Recent trauma to upper limb.Disorders of bones such as fractures, osteoporosis, glenohumeral arthritis.Cervical spondylosis or cervical radiculopathy.Any malignancy or tumor.Patients having any intra articular injection in the gleno-humeral joint during last three months.Patients with cardiovascular impairments