Effect of Visceral Manipulation in Obese Older Adults with Frozen Shoulder

Abstract

BACKGROUND
Clinically frozen shoulder syndrome is defined as painful restrictions of both active & passive shoulder movements, particularly external rotation a diagnostic feature. Visceral manipulation (VM) is a fascial mobilization technique based on the body's natural motion that targets specific organs. Any restriction in tissues & organs leading to vascular, neural, musculoskeletal, or pulmonary dysfunction. Therefore, the musculoskeletal system limits the worsening as a result of visceral restrictions which will help reduces the intensity of the discomfort. The main physiotherapy protocol consists of electrotherapy, mobilization, and myofascial release are also physiotherapy treatments for frozen shoulder.
OBJECTIVES
To see the efficacy of visceral manipulation in the frozen shoulder in older obese subjects to reduce pain and a change in increased range of motion.
OUTCOME MEASURE
Disabilities of the arm shoulder and hand (DASH) was taken as the primary outcome in accordance with the BMI index, Manual muscle testing, and Numerical pain rating scale. The secondary outcome measure is the range of motion.
RESULT
In our study, it was found that Pain was reduced in both PVM and VM, the Range of motion for shoulder flexion and abduction was improved after VM, and Abduction along with Internal rotation improved through PVM.
CONCLUSION
Our study concludes that Visceral Manipulation is an effective mode of rehabilitation for patients with frozen shoulder as it decreases the intensity of pain with a significant change in the Range of Motion.