EFFICACY OF KINESOTAPING AS AN ADJUNCT TO POSITIONAL STREATCHING OF CORACOHUMERAL LIGAMENTS IN PATIENTS WITH PRIMARY ADHESIVE CAPSULITIS

Pradeep shankar, Sai Krishnan, Renukadevi .M, Nirnay Gowda Harish Pai

Abstract


Adhesive capsulitis is a condition of uncertain aetiology characterized by a progressive loss of both active and passive range of motion of shoulder. Approximately 2-3 % of adults aged between 40-65 years develop adhesive capsulitis with greater occurrence in women than man. The Etiological factors contributing for  primary adhesive capsulitis  is iopathic in nature. However the pathological changes in primary adhesive capsulitis has been proposed by many researchers, According to Desai the primary area of pathology in adhesive capsulitis is Coracohumeral ligament (CHL) and rotator interval. Various physiotherapy intervention has being applied to adhesive capsulitis of shoulder  not considering importance of primary pathology of coracohumeral ligament and scapula dyskinesis effect on adhesive capsulitis. So the study is proposed to find the efficacy of kineso tape adjunct to positional streatching of CHL against only CHL  positional stretching in adhesive capsulitis. Methodology;  Subjects fulfilling the inclusion criteria were randomly divided into two group’s Group A and Group B, twenty subjects in each group. Each subject underwent assessment to predict the base line values of parameters like VAS, and ROM and DASH SCORE. Level of inferior angle of scapula with respect to T7 level noted in neutral standing position.  Group A underwent treatment with positional stretching for CHL alone while Group B subjects were treated with kinesio tape in addition to positional stretching of CHL. The subjects received 3 sessions of treatment per week for 4 weeks. Result shown highly significant improvement in all parameter pre and post of each group. Between group CHL positional streatching with Kineso tape  shown significant improvement in all parameter than only CHL positional streatching. Conclusion;  kinesotape with CHL positional stretching  is effective in overcome pain and disability in patient suffering from adhesive capsulitis.


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