ADDITIONAL EFFECT OF TRIGGER POINT THERAPY AND MYO FASCIAL RELEASE ON SECOND STAGE FROZEN SHOULDER AMONG INDUSTRIAL WORKERS

Background and Purpose: Frozen shoulder is a common condition commonly affecting 2-5% of the industrial population typically between 40 and 60 years of age. Most of the studies were analysed the individual interventions and did not investigate the combination of interventions. The purpose of this study is to find two different forms of massage techniques Trigger Point therapy and Myofascial release in second stage of Frozen Shoulder to reduce pain and improve the Range of motion. Subjects: 30 subjects working in industry with unilateral second stage frozen shoulder lasting 3 months or more and 25% decrease in passive joint mobility relative to the non affected side were enrolled in this study. Methods: Subjects who were willing to participate in the study and to fulfil the inclusion and exclusion criteria were included in the study and they were divided into two Groups (A and B) randomly. Group A was treated with Trigger Point therapy, Myofascial release, Scapula Stabilization Exercises, and Interferential Therapy (IFT) and Group B were treated only with Scapula Stabilization Exercises and IFT. The duration of treatment was 4 weeks and they were assessed at baseline and after 4 weeks. Outcome measures included pain intensity by Visual Analog Scale (VAS) and Range of Motion (ROM) by goniometer. Results: Subjects in both Groups improved over 4 weeks after intervention. Significant (p ≤ 0.05) difference were found between both Groups after 4 weeks in VAS and ROM. But statistically (p ≤ 0.05) greater change scores were found in the Group A for VAS and ROM than Group B. Discussion and Conclusion: Group A and B was effective in reducing pain and improving the ROM in patients with second stage of Frozen Shoulder. However, subjects in Group A, who received Trigger Point therapy and M yofascial release showed better improvement in reduce pain and improve the ROM than Group B. In conclusion the treatment program consisting of Trigger Point therapy and Myofascial release may be more effective in reducing pain and improving the ROM in second stage Frozen Shoulder among industrial workers