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Importance of Manual Joint Mobilisation in Periarthritis Shoulder – A Physio360 Approach.

  • Writer: PHYSIO 360
    PHYSIO 360
  • Aug 2
  • 2 min read

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INTRODUCTION:

Periarthritis shoulder, commonly referred to as frozen shoulder or adhesive capsulitis, is a condition marked by pain, stiffness, and significant restriction in both active and passive range of motion (ROM) in the shoulder joint. At Physio360, our expert physiotherapists use advanced manual joint mobilisation techniques as a cornerstone in the rehabilitation of this condition.


What is Manual Joint Mobilisation?

Manual joint mobilisation is a highly skilled, hands-on therapy technique performed by the physiotherapists at Physio360 Chennai. It involves graded passive movements applied to the shoulder joint to restore mobility, reduce pain, and improve overall joint function.


How Physio360 Uses Mobilisation in Frozen Shoulder Treatment.

  1. 🔹 Relieves Capsular Tightness – Mobilisations at Physio360 help loosen the contracted joint capsule to restore motion.

  2. 🔹 Restores Normal Shoulder Mechanics – We focus on specific joint glides to improve arthrokinematics.

  3. 🔹 Reduces Shoulder Pain – Mobilisation techniques stimulate joint mechanoreceptors to suppress pain signals.

  4. 🔹 Enhances Range of Motion – Regular mobilisation sessions at Physio360 enable faster functional recovery.



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Techniques Used at Physio360 for Periarthritis Shoulder.

  • Posterior glide – Effective for improving flexion and internal rotation

  • Anterior glide – Used for restoring external rotation and extension

  • Inferior (caudal) glide – Enhances abduction and general joint mobility

  • Scapular mobilisation – Optimises shoulder blade movement and shoulder mechanics


Evidence-Based Benefits from Physio360.

  • At Physio360 Clinic, we incorporate Grade III and IV Maitland mobilisations to increase ROM and reduce shoulder pain.

  • Our therapists also apply Kaltenborn sustained stretches, proven effective for releasing capsular restrictions.

  • When combined with customised physiotherapy exercises, our joint mobilisation techniques ensure faster, long-lasting results.



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Why It Works: The Physio360 Insight.

Mobilisation activates Type II mechanoreceptors that help:

  • Reduce muscle tension and guarding

  • Improve proprioception and neuromuscular control

  • Normalise joint function through better feedback mechanisms


What Physio360 Recommends.

  • Treatment is based on the stage of frozen shoulder (freezing, frozen, thawing).

  • High-grade mobilisations are used cautiously in the frozen and thawing stages for maximum results.

  • At Physio360 Chennai, all joint mobilisation is followed by targeted stretching, strengthening, and posture correction exercises to maintain improvements.


Final Thoughts from Physio360

Manual joint mobilization is not just a technique—it’s a therapeutic solution. At Physio360, we understand that each frozen shoulder case is unique. Our approach focuses on relieving pain, restoring mobility, and empowering our patients to return to their normal lives without surgery or long-term medication.


REFERENCE AND RESEARCH ARTICLE :

1.Manual therapy and exercise for adhesive capsulitis: a systematic review with meta-analysishttps://pmc.ncbi.nlm.nih.gov/articles/PMC10566414/.


2.Which method for frozen shoulder mobilisation: manual posterior capsule stretching or scapular mobilization https://pmc.ncbi.nlm.nih.gov/articles/PMC6737560/

 
 
 

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