International Journal of Science and Research (IJSR) ISSN (Online): 2319-7064 Index Copernicus Value (2015): 78.96 | Impact Factor (2015): 6.391 Volume 6 Issue 2, February 2017 www.ijsr.net Licensed Under Creative Commons Attribution CC BY Effect of Movement with Mobilization in Supraspinatus Tendinitis Diksha Uparkar 1 , Sandeep Shinde 2 1 BPTh, Krishna College of Physiotherapy, KIMSDU, Karad- 415110, Maharashtra 2 Assistant Professor, Krishna College of Physiotherapy, KIMSDU, Karad – 415110, Maharashtra, India Abstract: Introduction: Supraspinatus Tendinitis is an inflammation of tendon of supraspinatus muscle. It is overuse injury leads to improper functioning and muscle weakness. Manualmobilization techniques are beneficial likewise movement with mobilization (MWM) can be beneficial. Objectives: To determine the effect of MWM in patients with supraspinatus tendinitis and to compare the effect of MWM and conventional therapy in patients with supraspinatus tendinitis. Conclusion: 28 subjects of >30 years age, having Supraspinatus Tendinitis were recruited. They were allocated into 2 groups and treated with ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS) exercises, MWM for 5 sessions in a week for 4 weeks. Daily assessment was done; pre and post intervention outcomes were measured using Goniometry and Shoulder Pain and Disability Index (SPADI) Result: Both the groups showed improvement but there was significant improvement on SPADI Scale and ROM in group treated with MWM, US, TENS and exercises. Conclusion: MWM, Ultrasound, TENS and exercises are effective in management of Supraspinatus Tendinitis. Keywords: Supraspinatus Tendinitis, Movement with Mobilization, Shoulder Pain and Disability Index, Range of motion, Ultrasound, TENS 1. Introduction Supraspinatus tendinitis is an inflammation of tendon of supraspinatus muscle. It is a common condition that becomes more prevalent after middle age and common cause of shoulder pain [1],[2] Improper functioning and muscle weakness permit the humeral head to migrate superiorly, resulting in supraspinatus tendon impingement. Hypo-vascularity in the region proximal to the insertion of the supraspinatus tendon also may have implication in rotator cuff tendinopathy [3]. 2. Review of Literature Pamela Teys et al in July (2006) 5 .The Initial Effect of Mulligan Mobilization with Movement Technique on Range of Movement and Pressure Pain Threshold in Pain – Limited Shoulder This study was done to find out effect of shoulder MWM on ROM and PPT. This study was concluded that shoulder MWM may be useful manual therapy technique to apply for participant with a painful limitation of shoulder elevation in order to predominantly gain in initial improvement in ROM and PPT. Jing - Ian Yang et al in(2007) 9 . Mobilization Technique in Subject with Frozen Shoulder Syndrome: Randomized Multiple – Treatment Trial. This study was done to find out to comparing the effectiveness of ERM, MWM and MRM in subjects with frozen shoulder. Comparison of three different form of mobilization in two different groups and application of two or more treatment in single subject it is used to compare the effect of two or more treatment. This study was concluded that ERM and MWM were more effective than MRM in increase mobility and functional ability. 3. Material and Methodology Subjects who diagnosed as supraspinatus tendinitis were selected. Further they were screened clinically using various tests and diagnosis and were put in either of the groups Group A (Ice pack, Ultrasound, TENS, Mobility exercise, exercises) and Group B (Ice pack, Ultrasound, TENS, exercise and MWM) by simple random sampling using lottery method. Before proceeding to intervention a written consent was taken from subject. Ethical clearance was obtained from university’s institutional review board. Inclusion criteriawere both male and female, Age above 30 years. Exclusion criteria were subject having any other pathology other than supraspinatus tendinitis, Subjects undergone any shoulder surgery. Both groups were treated withUltrasound therapy, frequency-1MHz, intensity – 0.8W/cm 2 , for 7min, Cryotherapy for 10 min, Exercises, Codmans pendular exercises 10 repetitions each, Capsular Stretches30 sec hold, 5 repetitions, Shoulder mobility exercises[4]. Movement with Mobilization was used[5] as part of the evaluation to assess the effects it has on symptoms. If the MWM relieves or reduces the symptoms then only MWM was given. Pre-treatment outcome measure of functional disability using shoulder pain and disability index and shoulder range of motion using goniometer was recorded. Participants were divided into two groups by random allocation; Group A and group B, both groups was receive a baseline treatment (ultrasound therapy, cryotherapy, Capsular stretches and Codman pendular exercises). 4. Outcome Measure Subjects in both the Groups were evaluated pre and post treatment program using SPADI Scale and Range of Motion. Paper ID: ART2017768 673 improvement but there was significant improvement on SPADI Scale and ROM in group treated with MWM, US : MWM, Ultrasound, TENS and exercises are effective in management of Supraspinatus Tendinitis. Supraspinatus Tendinitis, Movement with Mobilization, Shoulder Pain and Disability Index, Range of motion, Ultrasound, Supraspinatus tendinitis is an inflammation of tendon of supraspinatus muscle. It is a common condition that becomes more prevalent after middle age and common cause Improper functioning and muscle weakness permit the humeral head to migrate superiorly, resulting in supraspinatus tendon impingement. Hypo-vascularity in the region proximal to the insertion of the supraspinatus tendon also may have implication in rotator cuff tendinopathy [3]. Pamela Teys et al in July (2006) .The Initial Effect of Mulligan Mobilization with Movement Technique on Range of Movement and Pressure Pain Threshold in Pain Limited Limited This study was done to find out effect of shoulder MWM on Subjects who diagnosed as supraspinatus tendinitis wer selected. Further they were screened clinically using various tests and diagnosis and were put in either of the groups Group A (Ice pack, Ultrasound, TENS, Mobility exercise, exercises) and Group B (Ice pack, Ultrasound, TENS, exercise and MWM) by simple random sampling using lottery method. Before proceeding to intervention a written consent was taken from subject. Ethical clearance was Inclusion criteria were both years. Exclusion criteria were subject having any other pathology other than supraspinatus tendinitis, Subjects undergone any shoulder surgery. Both groups were treated with therapy, frequency 1MHz, intensity Cryotherapy for 10 min, Exercises, 10 repetitions each, Capsular Stretches 5 repetitions, Shoulder mobility exercises[4