Maitland vs kaltenborn approach in improving pain and external rotation in adhesive capsulitis

Abstract

Adhesive capsulitis is one of the most common shoulder pathology which is more prevalent among women compared to men. It can be seen among the age group of between 40 to 60 years old. It is characterized as a self-limiting condition which causes pain and restricts active and passive Glenohumeral range of motion more than 25% in at least two directions. The most commonly affected motion is external rotation followed by abduction. The objective of this study was to compare the effectiveness between anterior glide of Maitland and posterior glide of Kaltenborn joint mobilization techniques on external rotation range of motion and pain among patients with adhesive capsulitis. This quasi-experimental study was conducted at Hospital Seberang Jaya physiotherapy department. A total number of 34 subjects were randomly assigned and were divided into group A (n=17) and group B (n=17). Maitland mobilization was given to group A and Kaltenborn mobilization was given to group B respectively along with ultrasound therapy for one session per week for 6 weeks after obtaining informed consent. Outcome measures used were Shoulder Pain and Disability Index (SPADI) and range of motion of external rotation of shoulder. Paired‘t’-tests was used to compare the pre-and post-intervention results in both groups and independent’s’-tests was used to compare groups. This study found that both Maitland and Kaltenborn approach group were effective in treatment for patients with adhesive capsulitis.