Comparing Latissimus Dorsi Myofascial Release Plus Scapular PNF to Scapular PNF Alone for Reducing Pain and Improving Shoulder Movement in Stage II Adhesive Capsulitis

What this Trial Is About

Researchers are evaluating the effects of scapular proprioceptive neuromuscular facilitation PNF alone versus PNF combined with latissimus dorsi myofascial release in patients with stage II adhesive capsulitis. This condition involves capsular stiffness, pain, and limited shoulder movement. The study aims to compare pain, shoulder range of motion, and functional disability over a 6-week treatment period. Participants will be randomly assigned to one of two groups. The experimental group receives latissimus dorsi myofascial release for 10-15 minutes with sustained pressure holds of 90-120 seconds, followed by scapular PNF hold-relax technique posterior elevation-anterior depression pattern with 3 sets of 5 repetitions involving 5-7 second isometric contractions and 10-15 second stretches. The control group receives only the scapular PNF hold-relax technique with the same pattern and dosage. Both groups undergo treatment three times per week for 6 weeks. Participants pain intensity will be measured using the Numeric Pain Rating Scale, shoulder range of motion assessed with goniometry, muscle tightness evaluated by the latissimus dorsi length test, and functional disability tracked using the Shoulder Pain and Disability Index SPADI. Assessments occur from baseline to 6 weeks. The study uses single masking and randomized allocation, with data analyzed by IBM SPSS version 26. The total participation duration is 6 weeks.

Effect of Adding Latissimus Dorsi Myofascial Release to Scapular Proprioceptive Neuromuscular Facilitation on Pain, Disability, and Range of Motion in Adhesive Capsulitis