Effectiveness Of Positional Stretching Of Coracohumeral Ligament In Addition To Ultrasound In Patient With Adhesive Capsulitis

  • Bikash Shrestha Physiotherapy, Nepal Police Hospital
  • Manisha Munikar Physiotherapy, Nepal Trauma Center


Introduction: Adhesive capsulitis is an idiopathic condition of the shoulder characterized by onset of pain and movement restriction and symptoms can last up to 2 years and longer. The primary goal of intervention is to improve ROM, pain and decrease disability. The objective of the study is to determine the combined effect of positional stretching of coracohumeral ligament and ultrasound therapy in patient with adhesive capsulitis.

Methods: 30 subjects were included in the study. Each subjectwas assigned into two groups. One group was treated with ultrasound followed by positional coracohumeral ligament stretching and another group was treated with ultrasound only. The duration of treatment was 3 to 4 weeks (10- 12 sessions) in both groups. Primary outcome measure included ROM and SPADI.

Results: Both groups showed significant improvement but in comparison of two groups, group A (ultrasound followed by positional CHL stretching) was more effective than group B (ultrasound only).

Conclusions: Addition of Positional coracohumeral ligament stretching and ultrasound is effective than ultrasound only in decreasing pain and improving ROM in Adhesive capsulitis.

Keywords: Adhesive capsulitis; Coracohumeral ligament; Positional stretching; ultrasound

Original Article