Annals of Medicine Research and Public Health (ISSN: 2995-5955) | Volume 3, Issue 2 | Research Article | Open Access DOI

Evaluation and Symptoms Related Diagnosis of Posterior Capsule Tightness on Various Shoulder Issues

Karthikeyan T*

Karthikeyan T1*, Savita Singh2, S Ravi3,Nishat Shamim4, Robina Shamim5

1Associate Professor, Dept of Physiotherapy, Gurugram University, Gurugram, Haryana, India

2Professor, Dept of Physiotherapy, Jagannath University, Bahadurgarh, Delhi-NCR

3Consultant, AIIMS, New Delhi

4ProjectTechnical Support III, AIIMS New Delhi

5Physiotherapist, District Leprosy Control Unit, West Champaran

*Correspondence to: Karthikeyan T 

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Abstract

Background: Evidence based study shown that posterior capsule flexibility is a precursor to shoulder problems. However, no study thus far has shown the influence of the flexibility of posterior capsule in different shoulder pathologies. The objective of the study to compare the role of posterior capsule tightness in different shoulder problems. Methodology which is used one-hundred-seventeen patients diagnosed with shoulder subacromial impingement syndrome (n=39), partial rotator cuff tear (n=26) or frozen shoulder (n=31) and 21 asymptomatic peers participated in the study. Horizontal adduction was assessed in side-lying position for posterior capsule tightness. Pain was measured via the visual analogue scale and shoulder range of motion and active total elevation was assessed with goniometer. Active internal rotation was determined by measuring the distance between T5 and the thumb. Results: It was found that the affected side of the posterior capsules of the patients with subacromial impingement syndrome (p<0.001), partial rotator cuff tear (p<0.001) and frozen shoulder (p<0.001) was stiffer than their healthy side. There were significant differences among groups in the level of tightness in the posterior capsule between the affected and the healthy sides (p<0.001). This present study which emphasized that the posterior capsule’s susceptibility to tightness is most evident in frozen shoulder among various shoulder issues.

Keywords:

Posterior capsule; Frozen shoulder; Subacromial impingement syndrome; Partial rotator cuff tear

Citation:

Karthikeyan T, Savita Singh, S Ravi,Nishat Shamim, Robina Shamim. Evaluation and Symptoms Related Diagnosis of Posterior Capsule Tightness on Various Shoulder Issues. Ann Med Res Pub Health. 2024;3(2):1-6.