COMPARATIVE EFFICACY OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION (IASTM) VERSUS CAPSULAR STRETCHING IN IDIOPATHIC ADHESIVE CAPSULITIS: A STUDY AMONG DELHI-NCR PATIENTS.
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Keywords
Adhesive capsulitis, Frozen shoulder, IASTM, Capsular stretching, Physiotherapy, Shoulder mobility.
Abstract
Adhesive capsulitis, or frozen shoulder, is a disabling musculoskeletal disorder characterized by progressive pain and restricted mobility of the glenohumeral joint. The present study aimed to compare the efficacy of Instrument-Assisted Soft Tissue Mobilization (IASTM) and Capsular Stretching in patients diagnosed with idiopathic adhesive capsulitis in the Delhi-NCR region. Sixty participants aged 40–60 years were enrolled and randomly allocated into two intervention groups: Group A received IASTM, and Group B underwent standardized Capsular Stretching. Both interventions were administered for three weeks, with pre- and post-treatment evaluations on Days 0, 7, 14, and 21. Outcome measures included Range of Motion (ROM) assessed via goniometer, pain intensity measured by the Numeric Pain Rating Scale (NPRS), and functional performance evaluated using the Shoulder Pain and Disability Index (SPADI) and Shoulder Functionality Test (SST). Results indicated significant within-group improvements across all parameters (p < 0.05). Participants in the IASTM group demonstrated higher mean gains in flexion (from 98.42° to 139.22°), abduction (from 97.36° to 141.05°), and external rotation (from 31.25° to 59.75°) compared to the Capsular Stretching group (p < 0.05). The IASTM group also exhibited a greater reduction in pain (NPRS from 7.4 ± 1.2 to 2.1 ± 0.8) and disability (SPADI total from 76.2 ± 8.4% to 34.5 ± 6.9%). Correlational analysis confirmed a strong positive relationship between ROM gains and reduced SPADI scores (r = 0.78). These findings suggest that IASTM yields superior short-term functional recovery, pain reduction, and shoulder mobility restoration compared to traditional Capsular Stretching.
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Km Chetna
Masters Scholar, Institute of Applied Medicine and Research, Ghaziabad, UP. ck600691@gmail.com
Dr. Vaishali Chaudhary
Associate Professor, Institute of Applied Medicine and Research, Ghaziabad, UP. vaishali.chaudhary@iamr.ac.in
Dr. Rishabh Pathak
Research Assistant @ SCIS- JNU, New Delhi, Research Physiotherapist. (Neuroscientist), Brain Computer Interface – RecoveriX Trainer.drrishabhpathakresearch@gmail.com, r.pathak2501@gmail.com, https://orcid.org/0000-0002-8157-3390
(Prof.) Dr. Monika Sharma
Professor & Head of the Department, Institute of Applied Medicine and Research, Ghaziabad, UP. drmonikasharma05@gmail.com , https://orcid.org/000-0002-8805-4139
