Effectiveness of spiral ladder for the treatment of shoulder limitation of motion among frozen shoulder patients in two affiliated hospitals of DLSU-CPT

Date of Completion

2002

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Shoulder Injuries, Physical Treatment

Abstract

This study presented the use of spiral ladder for the treatment of limitation of motion among stage II frozen shoulder patients. This research aimed to see if a medication of the conventional finger ladder would result in significant improvement as to limitation of motion of the shoulder joint in all three anatomical planes of motion: flexion, abduction and external rotation. The design of which aims to incorporate shoulder motions particularly, internal and external rotation to flexion and abduction, since the conventional shoulder ladder can only address motions of flexion and abduction. Patients from Andres Bonifacio Memorial hospital and Dr. Jose P. Rizal Memorial Hospital who were diagnosed to have stage II frozen shoulder were selected from which 4 respondents were made available for the study. Together with their prescribed management finger ladder exercises were done through the use of the spiral ladder. Range of motion measurements and pain scale of the patients were taken before and after a month use of the spiral ladder. Measurement of the shoulder range of motion taken after a month study revealed an increased in all shoulder motions and a decreased in shoulder pain. Although there was an increase in all shoulder motions, significant improvements were only noted for active external rotation and internal rotation and passive flexion, external rotation and internal rotation. There was no significant decrease in pain scale noted. The experiment suggests that the spiral ladder is an effective rehabilitation apparatus because it has successfully increased all motions of the shoulder and decreased pain among the 4 patients. For future studies, it is recommended that more patients should be included. Also, the effectiveness of the spiral ladder in increasing range of motion and decreasing pain scale against other modalities should be measured, furthermore the effect of spiral ladder in improving ROM among other shoulder pathologies. Finally, in all future studies it is recommended that. an adjustable frame be attached to the spiral ladder to accommodate taller patients.

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