Clinical Research Directory

Inclusion Criteria: \- All the patients refferd from orthopaedic surgeon with diagnosis of adhesive capsulitis. Patients will be included in this study if they fulfil the following criteria 1. Case diagnosed with adhesive capsulitis, both primary and secondary. 2. Both males and females of the age group 40 to 60 years. 3. Limited active and passive movement of the shoulder joint movements, as well as difficulties with ADLs. 4- The onset of symptoms between 3 to 12 months. 5. Unilateral adhesive capsulitis. Exclusion Criteria: * 1\. History of shoulder surgery or manipulation under anaesthesia, local corticosteroid injection administration to the affected shoulder within the last 6 months, 2. Neurological deficit affecting the shoulder function during daily activities, 3. Pathology of the shoulder joint other than adhesive capsulitis including rotator cuff tear, tendonitis at the shoulder and neck region, malignancies, history of trauma or accidental injuries of the upper limb. 4- Other pathological conditions including, a history of stroke, history of mastectomy and coronary artery bypass grafting (CABG). 5\. Rheumatoid arthritis, osteoporosis, or disorders of the cervical spine, elbow, wrist or hand.