Analyzing Immediate Effects of First Rib and Acromioclavicular Joint Primal Reflex Release in Individuals with Shoulder Pain and Mobility Dysfunction

Abstract

Background: Shoulder pain along with decrease range of motion is one of the most common musculoskeletal conditions seen in clinical practice. Although clinical practice in shoulder conditions describes only physical therapy study treatment directed to shoulder.

Objectives: The present study has aimed to find out the immediate effects of first rib and AC joint release in individuals with shoulder pain and mobility dysfunction.

Methods: Fifty participants were taken , reporting of shoulder pain and checked for the presence of first rib and AC joint dysfunction. Based on which two groups with twenty-five subjects were taken in each and received a single session of PRRT for the patients in experimental group whereas the control group was followed by conventional protocol of shoulder exercises. Outcome measures used were NPRS and ROM (flex.; Abd.; IR; ER). Pre and post intervention readings were taken in both the groups.

Results: on comparing between groups, experimental group was better than the control group which was statistically significant (Þ< 0.005)

Conclusions: The use of PRRT resulted in decreasing pain, increasing ROM & shoulder function. The PRRT concluded to be very useful in decreasing symptoms as an immediate effect. However, future research on multiple sessions should be done on a large sample size.