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Category: Volume 07 Issue 03 March 2019
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Title: Immediate Effect of Myofascial Release on pain and Shoulder Range of Motion in Periarthritis Shoulder

Authors: Paras Karia, Dr Bindu Sarfare (PT), Dr Snehal Ghodey (PT)

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.71

Abstract

Aim: To study immediate effect of Myofascial release in pain and shoulder ROM in Stage 1 Periarthritis shoulder.

Subjects and Method: Forty individuals with painful and restricted glenohumeral ROM were selected. Subjects who were willing to participate in study and fulfil inclusion and exclusion criteria were included and randomly classified into experimental group (n=20), which received therapy consisting of  Interferential therapy (IFT) (20 minutes),  Hot pack (10 minutes) and Myofascial release to Upper Trapezius, Infraspinatus, Teres Major and Deltoid for an approximate duration of 15 minutes, while that of control group (n=20) received treatment without MFR. Pain levels using NPRS and shoulder ROM using Universal Goniometer were assessed pre and post - interventions by a single blinded assessor.

Results: Both groups had extremely significant improvement in outcome measures. However, Experimental group showed better results than control group.

Conclusion: The combination of myofascial release along with conventional therapy was effective in alleviating pain and improving glenohumeral ROM immediately after a single intervention session

Keywords: Myofascial Release, Periarthritis shoulder

References

  1. Duplay ES. De la periarthrite scapulohumerale et des raideurs de l’epaule qui en son la consequence Arch Gen Med. 1872;20,513-542.
  2. Codman EA. The shoulder. Boston, Massachusetts: Thomas Todd Company; 1934.
  3. Yi – Fen Shih, Pei-Wen Lias and Chun- Shou Lee. The immediate effect of muscle release intervention on muscle activity and shoulder kinematics in patients with frozen shoulder: a cross-sectional, exploratory study.
  4. Reeves B. The natural history of the Frozen shoulder syndrome. Scand J. Rheumatol 1975; 4:193-6.
  5. Martin J. Kelly (DPT), Michael A. Shaffer (MSPT) et al J Orthop sports Phys Ther 2013;43(5):A1-A31. doi:10.2519/jospt.2013.0302 Adhesive Capsulitis: Clinical Practice guidelines by APTA.
  6. Carol J. Manhein Slack Incorpoated (2008) The Myofascial Release Manual Fourth edition, Introduction to myofascial release.
  7. Carle Bron, Jan Dommerholt, B. Stevenage, M. Sensing and Rob AB Ostendorp : High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain. Bron et al BMC Musculoskeletal Disorders (2011), 12:139.
  8. Gopal N., Walid Kamal M.A., Additional effect of Trigger point therapy and myofascial release on second stage frozen shoulder among industrial workers. Sanamed Aug 2017.
  9. Olivia Flannery, Hannan M. , James C. , Adhesive shoulder capsulitis: does thhe timing of manipulation influence outcome ? Acta Orthop Belg, 2007, 73, 21-25.
  10. Carolyn Kisner, Lynn Allen Colby, Therapeutic exs, foundation and technique 6th edition, 2012 ch 17, pg. 546-547.
  11. C.R Hand, N. A. Athanasou, T. Matthews, Henry Smith and A. J. Carr: The pathology of frozen shoulder, Journal of bone and joint surgery - British volume, vol 89-B, 2007 issue 7.928-932.
  12. Lippincott Williams and Wilkins. The Classic: loss of scapulohumeral motion (frozen shoulder). A.F. DePalma MD. Ann Surg 1952, 135:193-204.
  13. Fusum Guler -Uysal, Ekran Kozannoglu: Adhesive Capsulitis: Comparison of early response to two methods of rehabilitation in adhesive capsulitis, Swiss Med wkly 2004; 134; 353-358.
  14. Gordon CM, Andrasik F, Schleip R, Birbaumer N, Rea M. Myofascial Trigger Point release for treating chronic shoulder pain : a novel approach. J. Bodyw Mov Ther 2016; 20: 614-22.
  15. Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther 2009; 14: 531-8.
  16. Godges J., Mac Rae H, Longdon C, Tinberg C, MacRae P., The effects of two stretching procedures on hip ROM and gait economy. J. orthop sports Phys Ther. 1989; 10: 350-357.
  17. Carle Bron, Michael Sensing, JO LM Franssen and Rob AB Oostendorp : Treatment of myofascial trigger points in shoulder disorders by physical therapy: A randomized controlled trial BMC Musculoskeletal Disorders (2007), 8:107.
  18. Cynthia C. Norkin, D. Joyce White, Measurement of Joint Motion ; A Guide to Goniometry 3rd Edition JayPee Brothers Medical Publishers (P) Ltd (2004) : Upper Extremity testing- The Shoulder, Pg. No. 78-81.
  19. Farshid B. MD; Mohammed H. E. MD: Factors associated with pain, disability and quality of life in patients  suffering  from Frozen shouldrr. Arch bone joint surg (2016);4 (3) : 243-247.
  20. Griggs SM, Ann A, Green A. Idiopathic adhesive capsulitis. A prospective functional outcome study of non-operative treatment
  21. Neviaser, RJ, and Neviaser, TJ: The frozen shoulder: diagnosis and management. Clin Orthop 223:59-64,(1987).
  22. Pajareya K, Chadchavalpanichaya N, Painmanakit S, Kaidwan C, Puttaruksa P and Wongsaranuchit Y: Effectiveness of physical therapy with adhesive capsulitis: a randomised control trial, J Med Assoc Thai; 2004:87; 473-80.
  23. Salameh Bweir Al Dajah: Soft Tissue Mobilization and PNF Improve range of motion and minimize pain level in shoulder impingement. J. Physio. Ther. Sci. 26:1803-1805 (2014).
  24. Victoria Ryan, Hazel B., Catherine J. , and Jeremy S. Lewis : The pathophysiology associated with primary frozen shoulder : A systematic review, Ryan et al BMC Musculoskeletal Disorders (2016) 17:340.
  25. Kristin M. MSC ; Amanda S. E , EdD; Craig Elder, PhD; Andrea H., PhD: Myofascial release as a treatment for orthopaedic conditions : A Systematic review.  Journal of Athletic Training (2013), 48 (4): 522-527.

Corresponding Author

Paras Karia

Intern at MAEERs Physiotherapy College, Talegaon Dabhade, India