Mobilization techniques in subjects with frozen shoulder syndrome: randomized multiple-treatment trial.
OBJECTIVE
The purpose of this study was to compare the use of 3 mobilization techniques--end-range mobilization (ERM), mid-range mobilization (MRM), and mobilization with movement (MWM)--in the management of subjects with frozen shoulder syndrome (FSS).


METHODS
Twenty-eight subjects with FSS were recruited.


METHODS
A multiple-treatment trial on 2 groups (A-B-A-C and A-C-A-B, where A=MRM, B=ERM, and C=MWM) was carried out. The duration of each treatment was 3 weeks, for a total of 12 weeks. Outcome measures included the functional score and shoulder kinematics.


RESULTS
Overall, subjects in both groups improved over the 12 weeks. Statistically significant improvements were found in ERM and MWM. Additionally, MWM corrected scapulohumeral rhythm significantly better than ERM did.


CONCLUSIONS
In subjects with FSS, ERM and MWM were more effective than MRM in increasing mobility and functional ability. Movement strategies in terms of scapulohumeral rhythm improved after 3 weeks of MWM.
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Jing-lan
JL
Yang
Chein-wei
CW
Chang
Shiau-yee
SY
Chen
Shwu-Fen
SF
Wang
Jiu-jenq
JJ
Lin
D000328:Adult; D000368:Aged; D001696:Biomechanical Phenomena; D026241:Exercise Movement Techniques / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000503:physiopathology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology; D012785:Shoulder Joint; D013577:Syndrome; D016896:Treatment Outcome