Effects of Subcapsularis Neuro Muscular Reduction (NMR) in Adhesive Capsulitis

Abstract

Background: To determine the effects of
Subscapularis Neuromuscular Reduction (NMR) in
Adhesive Capsulitis patients on pain, Range of
Motion (ROM) and Quality of life.
Methods: In this randomized controlled trail
patients with freezing and frozen stage of Adhesive
capsulitis and limited range of movement were
included. Patients were randomly divided into
control (Group A) and experimental group (Group
B). The patients of Group A were treated with
conventional physical therapy treatment protocol
and patients of group B were treated with
subscapularis neuromuscular reduction along with
conventional physical therapy. The patient outcome
measures were assessed using numeric pain rating
scale (NPRS), SPADI (shoulder pain and disability
index) and ranges via goniometry. Data was
analyzed by SPSS 21.
Results: Both group showed significant
improvement, but the end value comparison showed
significant difference. NMR (Neuromuscular
Reduction) on Subscapularis muscles improved the
pain, ROM and Patient functional status more as
compared to the conventional physical therapy
group. The NPRS mean value for control group was
2.90±1.09 and mean value for experimental group
was 2.05±1.10with p value of 0.021 while the mean
value of SPADI for control group was33.52±9.96 and
for experimental group was 26.72±8.00 with p value
of 0.026.
Conclusion: Treatment groups showed
improvement by reducing pain, improving range of
motion and functional status but neuromuscular
reduction of subscapularis muscles was found to be
more effective.