Different Influence of End Range Mobilization and Mobilization With Movement on Improving Motional Scope of Non Specific Frozen Shoulder
Keywords:
End Range Mobilization, Mobilization With Movement, Scope of Movement, Goniometer.Abstract
Limited joints are loss of active and passive mobility capability of a body joint resulting in disruption of daily activities. Limitations of movement in all directions are characteristic of frozen shoulder sufferers. This study aimed to examine the effect of end mobilization and mobilization with movement on increasing the scope of joint motion in frozen shoulder patients in Faisal Islamic Hospital Makassar from April to June 2017. The research method was Quasi Experiment with design of Two Groups Pre test- Post test. Population were all frozen shoulder patients who get physiotherapy treatment in Faisal Islamic Hospital Makassar. Sampling technique was done by purposive sampling then obtained the number of samples of 16 respondents. Divided into 2 groups, group 1 is 8 respondents who are given intervention of end range mobilization and group 2 that is 8 respondents who are given mobilization with movement intervention. Based on Wilcoxon test result in treatment group I end range mobilization for abduction shoulder movement with p value = 0,008 and shoulder exorotation with p value = 0,020 and shoulder endorotation movement with p value = 0,025. While in the treatment group II mobilization with movement for abduction movement shoulder with p value = 0.008 and shoulder exorotation with p value = 0,011 and shoulder endorotation movement with p value = 0,023. Both treatment groups had an effect on increasing the scope of joint motion in frozen shoulder patients. Based on the result of Mann-Whitney difference test obtained abduction movement shoulder p-value = 0,013 (p <0,05) and for shoulder parsing movement equal to p-value = 0,023 (p <0,05).
Then there was the difference of effect between treatment I end range mobilization with treatment II mobilization with movement. But for endorotation movement shoulder got p-value = 0,074 which means there is no difference of influence between treatment I end mobilization range with treatment II mobilization with movement. It is concluded that mobilization with movement is more effective than end range mobilization in increasing the scope of joint motion for the limitations of shoulder abduction and shoulder exorotation in frozen shoulder patients. But for the limitations of shoulder endorotation there is no significant effect.
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