EFFECTS OF MOBILIZATION IN THE TREATMENT OF PATIENTS WITH ADHESIVE CAPSULITIS: INTEGRATIVE REVIEW

Abstract

Introduction: Adhesive capsulitis ("frozen shoulder") is characterized by pain and a progressive loss of active and passive range of shoulder movement. In physiotherapy, several resources are being used to treat it. However, high-quality randomized controlled trials and systematic reviews have supported the effectiveness of joint mobilization. Objective: To evaluate the effects of mobilizations in the treatment of patients with adhesive capsulitis by literature review. Methodology: This is a literature review study. The survey was carried out in September 2022, we selected  articles in English, Portuguese and Spanish, published the period 2017 to 2021in the following databases: PEDro, PubMed and Google Scholar. As a creteria for inclusion, it was used the descriptors “physiotherapy”, “adhesive capsulitis”, “manual therapy” with the Boolean operator “AND”.  It was found 20 articles and 8 of them were selected. Results and discussions: The literature present in the study analyzes mobilization techniques such as Mulligan, Maitland and Kaltenborn, associated or not with other resources. They had as points of analysis: pain, range of motion and functionality. Evaluated through Visual Analog Scale, Goniometry and Shoulder Pain and Disability Index. All techniques showed positive results at the points of analysis. However, comparative studies have emphasized a superiority of the Mulligan technique in relation to the others. Final Considerations: Literature proves the effectiveness of mobilizations in the treatment of adhesive capsulitis, with the effects of reducing pain, increasing shoulder range of motion and gaining functionality.