ABSTRACT
Background: Frozen shoulder is defined as the painful and disabling condition with unknown etiology. It has a limited shoulder range of motion due to decreased capsular flexibility and altered muscle function. Assessment on the frozen shoulder is needed, and it is vital to know the alteration in scapular muscles in the shoulder range of motion during arm elevation. The intention of conducting this study is to reach conclusions of tightness of a muscle in the upper trapezius, pectoralis minor muscle, and frozen shoulder levator scapulae showing limited ranges. Methods: In this cross-sectional observational study, 50 subjects of age 30 and above were assessed for muscle length in the frozen shoulder and unaffected shoulder. Subjects with shoulder pain with frozen shoulder stage 2 and above are allotted into the affected shoulder, and unaffected shoulder; both groups were assessed. The following parameters were measured: ROM of the shoulder, SPADI ratings, short pectoral thickness, levator scapulae length, and upper trapezium muscle length. Results: Decreased shoulder flexion, extension, abduction, and limited rotations were the problems associated with frozen shoulder. Pearson correlation coefficient for PMI and LSI shows Positive Correlation r = 40.6% on the affected side. Pearson correlation for PMI and UTI shows Positive Correlation r = 13.4%. Pearson Correlation for LSI and UTI shows Positive Correlation r= 28.1% on the affected side. Conclusion: There was a correlation between upper trapezius, levator scapulae, and pectoralis minor muscle length. Most of the affected side shoulder showed the tightness in the pectoralis minor muscle.
ABSTRACT
Background: Serious, major meniscal fractures are the most common knee injuries. In the management of meniscal tears, physical therapy has shown positive results, and additional medication is required to reduce the effects of meniscal tears. This study aimed to evaluate the feasibility of the mulligan squeeze procedure in combination with conventional pain relief therapy and to increase the range of movement and functional ability of meniscal tear patients. The study aims at reviving pain, increasing ROM and stability, and improving the quality of their lives. Methods: In this randomized controlled trial, 40 patients were chosen and randomly assigned to two groups, A and B, clinically diagnosed with a meniscal tear. The Numeric Pain Rating Scale (NPRS), the Patient-Specific Functional Scale (PSFS), and knee range of motion were reported to determine the pain level and functional capability of the patients. Results: During the 4th and 6th week, all classes showed a significant gap (P<0.05). At the end of the 6th week, the standard variance and the overall analysis team t-test values were higher than the control group. Conclusion: The two teams showed significant progress for NRPS, ROM, and PSFS, but the experimental group showed more significant improvement in all the parameters.