Session Type: Abstract Submissions (ACR)
Background/Purpose: To investigate the efficacy of mirror therapy (MT) combined with conventional physical therapy on shoulder range of motion (ROM), pain and quality of life in the patients with adhesive capsulitis.
Methods: Thirty patients who had painful and limited 1/3 of shoulder ROM for 2 -12 months and were diagnosed as adhesive capsulitis included in this randomised single blind controlled trial(RCT). Patients who had neurological disorders, cervical radiculopathy, rotator cuff ruptures, calcific tendinitis/bursitis, tumoral lesions, humerus fracture, history of intraarticular injections within 3 months, and previous physical therapy programme within 6 months were excluded. Patiens were randomised into two groups: 15 patients (12 female, 3 male, mean age 59.8±10.6) randomised as mirror group and 15 patients (9 female, 6 male, mean age 54.4±7.6) as control group. 10 session of physical therapy programme (TENS, infrared, ultrasound, codman exercises, shoulder ROM and streching exercises and home programme for 20 minutes twice a day) was applied both groups. After each physical therapy session, mirror therapy group performed ROM exercises( flexion, abduction, internal and external rotation for 30 times once a day) while watching unaffected shoulder movements with reflected side of the mirror. Control group performed active ROM exercises ( flexion, abduction, internal and external rotation for 30 times once a day) with non- reflected side of the mirror (The mirror has been placed midline of the patient’s body while exercises were performed). Patients were evaluated for pain (VAS with shoulder movement), function(UCLA), quality of life (SF-36) and active – passive ROM with goniometer before and after treatment.
Results: There was no significant difference between the groups according to age and disease duration. After treatment, pain in the mirror group was found significantly less than the control group (p<0,05). Shoulder function scores were significantly higher than the control group (p<0,05). Post-treatment measurements of active flexion, active abduction, passive flexion, passive abduction in the mirror group significantly were better than the control group (p<0,05). Physical functioning, physical and emotional role functioning and pain parameters of SF-36 were found better in mirror therapy group than the control group after the treatment. When we compared each group before and after treatment, we found that statistically significant reduction in shoulder pain and statistically significant improvements in shoulder function, active-passive ROM measurements and quality of life after treatment.
Conclusion: Mirror therapy combined with physical thearapy programme seems to be an effective treatment to reduce pain and to improve shoulder function, shoulder ROM and quality of life in the patients with adhesive capsulitis. In our opinion, mirror therapy which is a cheap, easy appliable and reliable method should be added to standart physical therapy programme in adhesive capsulitis.
M. C. Baskaya,
O. Kir Karatas,
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/the-effectiveness-of-mirror-therapy-in-patients-with-adhesive-capsulitis/