The Effectiveness of Modified Posterior Capsular Stretching VS Grade 3 Maitland Mobilization Among Patients with Periarthiritis Shoulder A Quasi Experimental Study

Abstract

Introduction: Periarthiritis shoulder (PA) is a condition marked by pain, stiffness, and restricted mobility in the shoulder joint. This study aimed to compare the effectiveness of Modified Posterior Capsular Stretching and Grade 3 Maitland Mobilization in treating patients with Periarthiritis shoulder (PA).

Methods:  The study utilized a quasi-experimental, non-randomized clinical design. Ninety participants aged 40-60 with mild to moderate PA were allocated into two groups. Group 1 received four weeks of modified posterior capsular stretching with hot pack application, while Group 2 underwent four weeks of Grade 3 Maitland mobilization with hot packs. Pain levels, range of motion (ROM), and DASH functional outcomes were assessed before and after treatment.

Discussion: Both interventions significantly improved pain reduction, ROM, and function. However, Grade 3 Maitland mobilization demonstrated superior results to modified posterior capsular stretching. The Maitland group showed statistically greater improvements in shoulder flexion, extension, abduction, adduction, and internal and external rotation.

Conclusion: Both treatments were similarly effective in enhancing overall function, as measured by the DASH questionnaire. The Maitland technique produced superior and more consistent outcomes, particularly for pain relief and ROM gains. These findings highlight the importance of considering physical and psychological factors when managing this condition.