Abhijit Dutta
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Effectiveness of Kaltenborn Posterior Glide and Coracohumeral Ligament Positional Stretching on External Rotation Range of Motion in Patients with Adhesive Capsulitis Sungjemmongla Walling; Abhijit Kalita; Abhijit Dutta
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14445

Abstract

Background:Adhesive capsulitis is a common and debilitating medical condition which is treated by varioussurgical and non-surgical treatments but there is no significant method universally. Physical therapists usevarious shoulder mobilization techniques to improve the ROM. Radiographic and surgical evidence presentstightened CHL to be a prime contributor to inadequate shoulder external rotation in individuals diagnosedwith adhesive capsulitis.Objective: To determine the combined effectiveness of Kaltenborn posterior glide and coracohumeralligament (CHL) positional stretching on external rotation in patients with adhesive capsulitis.Methods and Measures:A number of 30 subjects, both Male and Female with a primary diagnosis ofshoulder adhesive capsulitis by the physician were recruited. 15 subjects each were randomly assignedto Group-A(Experimental) and Group-B(control). All subjects received 6 therapy sessions consisting ofmoist heat, shoulder pendular and ROM exercises, Kaltenborn posterior glide and Coracohumeral ligamentpositional stretching in Group-A. Moist heat, shoulder pendular and ROM exercises in Group-B. Pre-testand post-test were carried out for both the groups and analysed using paired and independent t tests in anSPSS software.Results: The experimental group(Group-A) mean VAS score had decreased from 6.27 to 3.73, SPADI meanscore decreased from 0.534 to 0.380 and also Goniometer (Shoulder external ROM) showed an improvementfrom 29.2 to 35.33 but when intergroup analysis was done, it resulted in significance only for SPADI wherep < 0.05. Through this measure, we can state that the treatment protocol for group A had a significantimprovement in disability but not much on pain and ROM in patients with adhesive capsulitis.Conclusion: All the interventions has brought about some improvement in each group post-treatment basedon the mean score but its significance vary. So, this study can be concluded that, the treatment protocol,Kaltenborn posterior glide and CHL positional stretching could bring a significant difference with regard todisabilty but not much of difference in pain and ROM in patients with adhesive capsulitis.
A Study on Effectiveness of Corrective Exercise Over Conventional Exercises in Individuals Suffering from Trapezitis Mathew Lalruatliana; Abhijit Dutta
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15844

Abstract

Background: Neck pain prevalence varies widely on different studies. Poor ergonomic work habit suchas prolonged constrained work position with persistent neck or spine flexion may imply a risk factor.Maintaining poor posture for long periods of time can result in chronic muscular fatigue, discomfort orpain, leading to pathological effects like Trapezitis and permanent disability. Exercises has proved to bevery important for neck pain. Neck muscle exercises if given thus will prove to be beneficial in improvingstability of the neck muscle.Objectives: To compare the effectiveness of corrective exercise over conventional exercises in individualssuffering from Trapezitis.Methods: - It is a comparative experimental study.This study includes (N=40) subjects with neck painwithin age group of 25-45 years. They were randomly assigned into 2 groups (Group A and B). Group A had20 (N=20) subjects who are treated with Corrective exercises, Group B had 20 (N=20) who are treated withConventional exercises. The subjects were given intervention 5 days a week for 2 weeks.Result: Paired sample t-test was used for within group analysis. Independent sample t-test was done toanalyse between group variables. No significant difference was found in NDI (p<0.001), VAS (p <0.001)between Corrective and Conventional groups while within the groups all outcome measures shows significantdifference in bothbetween Corrective and Conventional groups(p=0.01).Conclusion: -This study concluded that both the treatment techniques,between Corrective and Conventionalwere effective in alleviating the pain in individuals suffering from Trapezitis.