The effect of Shoulder Proprioceptive Neuromuscular Facilitation with Scapular Stability Exercises on pain, range of motion and function in Adhesive capsulitis –A case study

Abstract

Background -Adhesive capsulitis is a nonspecific chronic inflammatory reaction of tissues in the Glenohumeral joint which causes synovial thickening. This Thickening results in limited range of motion (ROM) most commonly seen in Shoulder abduction and external rotation. The onset can be insidious or occur after an injury. Aim -The purpose of this case report is to describe proprioceptive neuromuscular facilitation with scapular stabilization exercise Interventions on pain, range and function for a patient with adhesive capsulitis. Case Description:-The patient was a 50-year-old right-handed male who presented with left Shoulder pain and limited range of motion (ROM) The diagnosis of adhesive capsulitis was determined following mechanism of Injury, past medical history, and physical therapy examination and evaluation. Intervention:-The patient was seen for a total of 12 physical therapy sessions over the Span of 3 weeks. Interventions included a proprioceptive neuromuscular facilitation, Scapular stabilization exercise including Scapular clock exercise,shoulder sling exercise and Lawnmower exercise .Outcome measures included ROM measurements, pain Ratings, the Shoulder Pain and Disability Index (SPADI) Conclusion -Proprioceptive Neuromuscular Facilitation with Scapular stability exercise were found to be effective interventions for a patient with adhesive capsulitis.