Effects of Gong’s Mobilization in the Side-lying Position on Shoulder Abduction

Gong, Wontae; Park, Giduck; Kim, Chang-Sook

doi:10.1589/jpts.24.307

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…In general, intra-articular steroid injections, capsular distension, and joint mobilization therapy are known to be effective in the treatment of AC. While, joint mobilization techniques improve the mobility of the joint and soft tissues 16 ) , researchers have reported different results with regards to pain management. Steroid injection therapy is very effective for pain reduction, but results in a relatively small improvement in ROM.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Intensive Mobilization Techniques Combined with Capsular Distension for Adhesive Capsulitis of the Shoulder

2014

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[Purpose] The aim of this study was to determine the synergistic effect of intensive mobilization techniques combined with capsular distension for patients with adhesive capsulitis (AC). [Subjects] The subjects were 53 patients with AC (mean age, 56.0 ± 7.6 years). [Methods] Patients were randomized to one of four treatment groups: intensive mobilization after one steroid injection with capsular distension (IMSID); intensive mobilization (IM); one steroid injection with capsular distension (SID); and general physical therapy only (GPT). The IMSID, IM, and SID groups also received general physical therapy for 20 minutes. All treatments were performed twice per week for 4 weeks. Patients were assessed using the Shoulder Pain and Disability Index (SPADI), Constant-Murley Shoulder Function Assessment Score (CS), Active Range of Motion (AROM), and Verbal Numeric Score (VNS). [Results] There were significant post-intervention differences in all the measured values in each of the groups, except for external rotation ROM in the SID group. The IMSID group showed the greatest differences among the groups. There were significant differences among the means of all the groups. [Conclusion] The most effective treatment for AC was the combination of the intensive mobilization and steroid injection with capsular distension, which helped to control inflammation, extend joint space, and recover ROM.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Intensive Mobilization Techniques Combined with Capsular Distension for Adhesive Capsulitis of the Shoulder

2014

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“…Conservative treatment includes medications, intra-articular injections, exercise programs, and physiotherapy modalities. While, joint mobilization techniques in rehabilitation programs improve the mobility of the joint and soft tissues, researchers have reported different results with regards to pain management consisting of exercises, massage, and physiotherapy modalities 5 , 6 ) . With respect to physiotherapy modalities, a variety of interventions are used; these include heat or ice applications, ultrasound (US), interferential therapy, transcutaneous electrical nerve stimulation (TENS), and laser therapies.…”

Section: Introductionmentioning

confidence: 99%

Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial

et al. 2016

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[Purpose] The aim of our study was to compare the initial effects of scapular proprioceptive neuromuscular facilitation techniques and classic exercise interventions with physiotherapy modalities on pain, scapular dyskinesis, range of motion, and function in adhesive capsulitis. [Subjects and Methods] Fifty-three subjects were allocated to 3 groups: scapular proprioceptive neuromuscular facilitation exercies and physiotherapy modalities, classic exercise and physiotherapy modalities, and only physiotherapy modalities. The intervention was applied in a single session. The Visual Analog Scale, Lateral Scapular Slide Test, range of motion and Simple Shoulder Test were evaluated before and just after the one-hour intervention in the same session (all in one session). [Results] All of the groups showed significant differences in shoulder flexion and abduction range of motion and Simple Shoulder Test scores. There were statistically significant differences in Visual Analog Scale scores in the proprioceptive neuromuscular facilitation and control groups, and no treatment method had significant effect on the Lateral Scapular Slide Test results. There were no statistically significant differences between the groups before and after the intervention. [Conclusion] Proprioceptive neuromuscular facilitation, classic exercise, and physiotherapy modalities had immediate effects on adhesive capsulitis in our study. However, there was no additional benefit of exercises in one session over physiotherapy modalities. Also, an effective treatment regimen for shoulder rehabilitation of adhesive capsulitis patients should include scapular exercises.

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“…Applying the criteria of Gong et al the patient is made to be in a lying position, while the affected arm is placed upwards to keep the patient's humerus upright, flexing the elbow 90 degrees, and abducting the shoulder 90 degrees [ 19 ]. The therapist later holds the patient's hand and applies anterior to posterior pressure to the humerus while keeping the elbow at a 90-degree angle.…”

Section: Methodsmentioning

confidence: 99%

Effect of Gong's Mobilization Versus Conventional Physiotherapy Among Type II Diabetic Patients With Adhesive Capsulitis

Kamani Raveendhra Babu,

Ramalingam

2024

Cureus

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Background: Adhesive capsulitis (AC) causes a spontaneous onset of discomfort and a progressive loss of shoulder mobility among type II diabetic patients. These patients experience severe loss of shoulder function, which impairs their day-to-day tasks and requires immediate care. According to scientific evidence, Gong's mobilization has an immediate effect on improving shoulder mobility. Therefore, the objective of this study is to determine the effectiveness of Gong's mobilization along with conventional physiotherapy in order to reduce pain and enhance the range of motion (ROM). Aim: This study aims to compare the effectiveness of Gong's mobilization and conventional physiotherapy for type II diabetic patients with AC. Methods: This experimental study included 32 participants between the ages of 40 and 60 years who were diagnosed with shoulder AC which followed type II diabetes. The participants were randomly allocated into two groups: the Gong's mobilization group and the conventional physiotherapy group. The participants in both groups received the intervention for four weeks. Outcome measures used for assessment before and after treatment were the Shoulder Pain and Disability Index (SPADI) and ROM. Data was analyzed using paired and unpaired t-tests. Results: This study's results suggested that there was a better improvement in the pre- and post-test mean values of SPADI and shoulder ROM (p < 0.001) in both groups following a four-week intervention. There was a statistically significant difference in the post-intervention results between the two groups (P <0.05), indicating that Gong's mobilization technique is more effective than conventional treatment. Conclusion: The study findings showed reduced discomfort, and improved ROM and SPADI scores after the intervention. Both the treatments (Gong's mobilization and conventional approach) applied to AC for type II diabetes patients were beneficial. However, Gong's mobilization technique is more effective in treating AC in fewer treatment appointments compared with conventional therapy.

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Effects of Gong’s Mobilization in the Side-lying Position on Shoulder Abduction

Cited by 4 publications

References 8 publications

The Effectiveness of Intensive Mobilization Techniques Combined with Capsular Distension for Adhesive Capsulitis of the Shoulder

The Effectiveness of Intensive Mobilization Techniques Combined with Capsular Distension for Adhesive Capsulitis of the Shoulder

Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial

Effect of Gong's Mobilization Versus Conventional Physiotherapy Among Type II Diabetic Patients With Adhesive Capsulitis

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