Additional effect of Trigger point therapy and Myo fascial release on second stage Frozen Shoulder among industrial workers.
Background and Purpose: Frozen shoulder is a common condition commonly affecting 2-5% of the industrial population typically between 40 and 60 years of age. Most of the studies were analysed the individual interventions and did not investigate the combination of interventions. The purpose of this study is to find two different forms of massage techniques Trigger Point therapy and Myofascial release in second stage of Frozen Shoulder to reduce pain and improve the Range of motion. Subjects: 30 subjects working in industry with unilateral second stage frozen shoulder lasting 3 months or more and 25% decrease in passive joint mobility relative to the non affected side were enrolled in this study. Methods: Subjects who were willing to participate in the study and to fulfil the inclusion and exclusion criteria were included in the study and they were divided into two Groups (A and B) randomly. Group A was treated with Trigger Point therapy, Myofascial release, Scapula Stabilization Exercises, and Interferential Therapy (IFT) and Group B were treated only with Scapula Stabilization Exercises and IFT. The duration of treatment was 4 weeks and they were assessed at baseline and after 4 weeks. Outcome measures included pain intensity by Visual Analog Scale (VAS) and Range of Motion (ROM) by goniometer. Results: Subjects in both Groups improved over 4 weeks after intervention. Significant (p ≤ 0.05) difference were found between both Groups after 4 weeks in VAS and ROM. But statistically (p ≤ 0.05) greater change scores were found in the Group A for VAS and ROM than Group B. Discussion and Conclusion: Group A and B was effective in reducing pain and improving the ROM in patients with second stage of Frozen Shoulder. However, subjects in Group A, who received Trigger Point therapy and Myofascial release showed better improvement in reduce pain and improve the ROM than Group B. In conclusion the treatment program consisting of Trigger Point therapy and Myofascial release may be more effective in reducing pain and improving the ROM in second stage Frozen Shoulder among industrial workers.
Grubbs N. Frozen shoulder syndrome – a review of literature. J Orthop Sports Phys Ther.1993;18(3):479-87.
Fareed DO, Gallivan WR. Office management of frozen shoulder syndrome: treatment with hydraulic distension under local anaesthesia. Clin Orthop. 1989; 242: 177-83.
Wadsworth CT. Frozen Shoulder. Phys Ther. 1986; 66(12): 1878-83.
Murnaghan JP. Frozen Shoulder. In: Rockwood CA, Matsen FA, editors. The Shoulder. 1st ed. Philadelphia:W.B. Saunders Co;1990. p. 837-62.
S. Terry Canale, James H. Beaty. Campbell’s Operative Orthopaedics.Vol 3;11th ed. Philadelphia, PA, 2007: 27-9.
Kesler RM. The Shoulder. In: Kesler RM, Hertling D, editors. Management of Common Musculo-Skeletal Disorders. Philadelphia: Harper and Row; 1983. p. 274-310.
Reeves B. The natural history of the frozen shoulder. Scand J Rheumatol: 1975; 4(4): 193-6.
Neviaser JS. Arthrography of the shoulder joint: study of the findings in Adhesive Capsulitis of the Shoulder. J Bone Joint Surg Am. 1962; 44(A): 1321–30.
Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, van Den Ende CH. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: A multiple-subject case report. Phys Ther. 2000; 80(12): 1204-13.
S. Terry Canale, James H. Beaty. Campbell’s Operative
Orthopaedics. Volume 3; 11th ed. Philadelphia, PA, 2007: 25-7.
Kelley MJ, McClure PW, Leggin BG. Frozen Shoulder:evidence and a proposed model guiding rehabilitation. Journal Of Orthopaedic And Sports Physical Therapy. 2009: 39(2):135-48.
Yang JL, Chang CW, Chen SY, Wang SF, Lin JJ. Mobilization techniques in subjects with frozen shoulder syndrome: randomized multiple treatment trial. Phys Ther. 2007; 87(10): 1307-15.
John Sherwin. Impact of massage therapy on treatment of adhesive capsulitis. Massage therapy foundation. 2012; 847-89.
Barnes JF. Myofascial Release: The search for excellence, a comprehensive evaluatory and treatment approach. Paoli, PA: Rehab Services. In Inc. & Myofascial Release Seminar 1990.
Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis.1872;.31(1): 69–71.
Grubbs N. Frozen shoulder syndrome – a review of literature. JOSPT 1993;18(3):479-87.
- There are currently no refbacks.
Copyright (c) 2017 Gopal Nambi, Walid Kamal
This work is licensed under a Creative Commons Attribution 4.0 International License.