Effects of Scapular Mobilization on Upper Limb Function

Data will be collected from M.Islam teaching hospital Gujranwala and district health quarter Gujranwala .30 patients will be randomly assigned into two groups of equal numbers experimental and control group each with 15. Control group will receive conventional physical therapy program including ( heating to improve circulation and release muscle tension ,EMS ,stretching for stiff muscle, weight bearing, strengthening exercises and graduated active exercises)for 20 minutes along with activity based scapular mobilization( Codman pendulum exercises, ban wall apart, wall ball circles, scapular pushups and advance study wall pushups)for 20 minutes with 5 minute resting interval. Experimental group will be treated with manual scapular mobilization in upward rotation and downward rotation, adduction and abduction of scapula. Sets of 10 repetitions were applied with a rest interval of 30 seconds between set for 20 minutes, activity based scapular mobilization(Codman pendulum exercises, scapular pushups, band wall apart ,wall ball circles and advance study wall pushups) along with conventional physical therapy program(heating,EMS,stretching for tight muscles , strengthening exercises and graduated active exercises) for 25 minutes.

Inclusion criteria

• Age: between 6-9 years
• Diagnosed as obs. Erb's palsy
• Able to perform exercise
• Unilateral involvement of shoulder joint
• Unilateral active and passive movement of shoulder joint
• Both male and female involved
• Willing to participate

Exclusion criteria

• No history of surgery (arthroscopy, fixations)
• Any skin condition ( Allergies, infection)
• Local corticosteroids injections into the effected shoulder over last 3 months
• No present Fracture/ contractures
• Neurological disorders with muscle weakness in shoulder joint .