A comparative study on the effect of paraffin wax therapy versus ultrasound therapy in combination of proprioceptive exercises and manual mobilization in diabetic subjects with adhesive capsulitis


  • Humaira Khanam, Julie Saji George, Balachandar, Yuvaraj Maria Francis


Adhesive capsulitis, Functional activity, Glenohumeral joint, Manual Mobilization, Pain, Paraffin wax therapy, Proprioceptive exercises, Range of motion, andUltrasound therapy


Purpose: Adhesive capsulitis is a painful and disabling condition in which the joint capsule and connective tissue surrounding the shoulder joint becomes inflamed, leading to down surge of mobility in the joint. This condition can be treated by diverse ways, but the physical therapy plays a vital role in improving the range of shoulder movements. The aim of this study is to compare the effect of paraffin wax therapy (PFW) withultrasound therapy (UST) in combination withProprioceptive exercises and manual mobilization(MM+P)on pain, shoulder range of movements (ROM) and functional status in diabetic individuals with adhesive capsulitis.

Materials and methods:About 66diabetic individuals with adhesive capsulitis in both sexeswere selected forthe study from the outpatient department of physiotherapy. The participants were divided into two groups. Group I - individuals wheretreated with paraffin wax therapy (PFW) for 12 minutes and followed by manual mobilization and proprioceptiveexercises (MM+P). Group II individualswere treated with ultrasound therapy (UST) for 12 minutes and followed by manual mobilization and proprioceptive exercises (MM+P).The pretreatment values of pain and functional status of the shoulder were assessed using SPA­DI scale and ROM was assessed using goniometer. This regimen was given for 5 sessions per week for 7 weeks and post regimen values were observed and compared between the groups.

Results:There was asignificant betterment in the shoulder range of movements, pain and functional status of the shoulder improved in individuals who underwent with PFW &(MM+P) than with UST&(MM+P). When comparing both the groups, Group I individuals showed better outcomes than Group II individuals (p< 0.05).

Conclusion:This study concludes that PFW& MM+P group showed effective remedial measure by increasing the ROM & functional activity of individual and decreasing the level of pain than with UST&(MM+P) in subjects with adhesive capsulitisof shoulder