Background: Joint mobilization is an effective intervention for adhesive capsulitis. Scapular Mobilization in shoulder adhesive capsulitis is used to decrease intra articular pressure by increasing mobility of the joint capsule and its surrounding soft tissue that results in a reduction of pain and increase range of motion and shoulder function. At the same time the use of mobilization with movement (MWM) for peripheral joints was also used clinically. This technique combines a sustained application of a manual technique 'gliding' force to a joint with concurrent physiologic motion of joint, either actively performed by the subject or passively performed by the therapist. So far there is no study which is done on comparison between both of these techniques. The aim of the study is to find out whether the scapular mobilization or mobilization with movement technique improve gleno-humeral range of motion and reduce pain in patients with shoulder adhesive capsulitis.Methods: 50 subjects with adhesive capsulitis were randomly divided in to two groups and one group was treated with mobilization with movement and another group treated with scapular mobilization technique. Each group consist 25 patients. Both groups were given hot packs and pendular exercises as conventional therapy procedures. Treatment was given 5 days a week for 3 weeks. Restricted joint range of motion and severity of pain were measured before and after treatment completion by using goniometer and SPADI pain score respectively.Result: Results of the present study revealed that there was a significant difference in SPADI pain score(%), AROM-GH-Flexion and AROM-GH-External rotation who were treated in group A(MWM) with mean being 44.00, 102.24 and 46.08 respectively compared to group B (SM) with mean being 54.00, 81.00 and 35.84 in 3 weeks. Comparisons between these three parameters used in two treatment techniques were extremely significant (p= 0.000 for all). Conclusion:On the basis of the results, it can be concluded that, the present study provided evidence to support the use of physical therapy regimen for shoulder adhesive capsulitis in the form of mobilization with movement and scapular mobilization in reduction of pain and improvement of glenohumeral range of motion in terms of SPADI pain scale(%) and AROM respectively. In addition results support that mobilization with movement showed better result as compared to scapular mobilization in 3 weeks.

Background: Cervical radiculopathy occurs annually in 85 out of 100,000 people. It is very disabling and interferes with the ADL of the patients. Many studies had shown the effectiveness of neural mobilization and TENS in reduction of pain and disability in patients with cervical Radiculopathy. But there are less documented studies that had shown the combined effect of neural mobilization and TENS and effectiveness of both over only neural mobilization in patients with cervical radiculopathy. Methods: 30 male and female subjects were assessed as cervical radiculopathy and selected for the study. This includes unilateral cervical radiculopathy. They were categorized randomly into two groups as group receiving neural mobilization and TENS (experimental group I) and group receiving only neural mobilization (experimental group II) with 15 patients in each group. Assessment was taken using VAS and NDI prior to treatment. Treatment was continued for 14 days and at the end of 14 days patients were reassessed using the same scales.Results: Group 1 receiving both the treatments had shown more significant reduction in pain and disability compared to Group 2 receiving only neural mobilization after 14 days of treatment.Conclusion: Both neural mobilization and TENS are effective in reduction of pain and disability in patients with cervical radiculopathy. And when compared, combined treatment is more effective than only neural mobilization.

Background: Healthy individuals, to ease and accomplish their activities of daily living they need flexible body without any tightness in the muscles, particularly those used for a definite function. Cooling soft tissues in a lengthened position after stretching has been shown to promote more lasting increases in soft tissue length and minimize post stretch muscle soreness. There are less documented studies which compared modified proprioceptive neuromuscular facilitation (PNF) stretch over passive manual stretch with cold application commonly after the interventions.Methods: Thirty high school going healthy students were divided into two groups-Group I received Passive Manual stretching (n=15) and Group II received modified PNF stretching (n=15) and both groups received cold application after the interventions for 10 minutes commonly for 5 days. ROM was taken on day 1, day 5 and day 7.Results: After day 7, Group II with Modified PNF stretching along with cold application showed a significant increase in range of motion tested with active knee extension test (AKET). Conclusion:Modified PNF stretching is considered to be the effective intervention in increasing and maintaining ROM in AKET over passive manual stretching with cold applications commonly after the interventions.