Cyriax Friction Massage Technique Health Essay

Introduction
Shoulder girdle is a complex series of articulations that is important to many activities of day-to-day life. This status can impact on working life, leisure and general quality of life.A planetary lessening in shoulder map is called Periarthritis, mentioning to the existent attachment of the shoulder capsule to the humeral caput.
Periarthritis ( frozen shoulder ) is an insidious painful status with gradual limitation of all planes of motion in the shoulder. The causes of frozen shoulder are non to the full understood. It can be due to idiopathic or post-traumatic causes.Factors associated with adhesive capsulitis include female gender, age older than 40 old ages, injury, immobilisation, diabetes, thyroid disease, shot, myocardial infarction, the presence of autoimmune diseases, cervical spinal column upsets, automatic sympathetic dystrophy syndrome.Cyriax Friction Massage Technique Health Essay.  Idiopathic ( primary ) adhesive capsulitis is characterized by fibrosis of the capsule ensuing with progressive, painful loss of active and inactive shoulder gesture.
In Periarthritis shoulder, adhesions ( unnatural sets of tissue ) grow between the joint surfaces, curtailing gesture. There is besides a deficiency of synovial fluid, which usually lubricates the spread between the bone and socket to assist the shoulder joint move. The loss of motion is greatest for sidelong rotary motion than for abduction and median rotary motion ( Cyriax ‘s capsular form, Cyriax 1978
The natural class of a frozen shoulder is normally self-limiting. It is a disease that improves over an 18 to 24 month period. Multiple surveies have demonstrated an betterment with different types of intervention. Dominant arm engagement has been shown to hold a good forecast ; associated
Intrinsic pathology or insulin – dependent diabetes of more than 10 old ages are hapless predictive indexs.
STAGES OF PERIARTHRITIS SHOULDER
Reeve ‘s has described three phases of the disease:
Phase 1 ( PAINFUL STAGE )
This phase is chiefly characterized by hurting normally permanent 2-9months.
Generalized aching that is hard to nail.
Muscle cramps in the cowl muscle besides normally occur during this stage.
Increasing hurting at dark and at remainder.
The status progresses to one of terrible hurting accompanied by stiffness and reduced scope of gesture.
Phase 2 ( FROZEN STAGE )
Pain bit by bit subsides or less hurting.
Stiffness is marked enduring 4-12 months.
Restriction of motion.
Decreasing hurting at dark and at remainder.
Discomfort felt at utmost scopes of motion.
Phase 3 ( RECOVERY STAGE )
Decreased hurting
Marked limitation with slow, gradual addition of scope of gesture.
Recovery is self-generated but often uncomplete.
Frozen shoulder occurs much more normally in persons with diabetes, impacting 10 % to 20 % of these persons. Other medical jobs associated with increased hazard of frozen shoulder include Hypothyroidism, Hyperthyroidism, Parkinson ‘s disease, cardiac disease or surgery.Cyriax Friction Massage Technique Health Essay.  Frozen shoulder can develop after a shoulder is injured or immobilized for a period of clip. Attempts to forestall frozen shoulder include early gesture of the shoulder after it has been injured

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Pain due to frozen shoulder is normally dull or hurting. It can be worsened with attempted gesture. The hurting is normally located over the outer shoulder country and sometimes the upper arm. The prevailing characteristic of this upset is restricted gesture or stiffness in the shoulder. Patients enduring from this status can non travel the shoulder usually.Motion is besides limited when person else attempts to travel the shoulder for the patient.
Pathology
Synovial hypertrophy.
Reduced volume with a tight capsule.
Neo vascular proliferation.
Hyper vascular synovitis.
Capsular contraction and thickener.
No synovitis is seen and lessening in the thickness of the capsule.
Decreased volume of the gleno humeral articulation with restricted ROM.
Although the glenohumeral joint synovial capsule is involved, much of the disease procedure involves constructions outside the shoulder articulation, including the coracohumeral ligament, rotator interval, subscapularis musculotendinous unit, and the subacromial burse.
Although recovery is normally self-generated, intervention with Intra-articular corticoids and gentle but relentless physical therapy may supply a better result, ensuing in small functional via media. Physiotherapy interventions used for acute adhesive capsulitis include local heat, SWD, TENS, Ultrasound, Mobilizations and exercisings.
Need FOR THE STUDY
Periarthritis shoulder or frozen shoulder is among the common afflictions of shoulder articulation, impacting every bit much as 2 % of general population.Pain is the most distressing factor and it leads to functional damages, include trouble in dressing. Cyriax Friction Massage Technique Health Essay.
There was a demand to analyze about the effects of cyriax use and shortwave diathermy on painful phase of the periarthritis shoulder
STATEMENT OF THE PROBLEM
To analyze the: Efficacy of cyriax clash massage technique and conventional therapy in patients with painful phase of one-sided periarthritis shoulder ”
Aim OF THE STUDY
The aim of the survey was to measure the effectivity of Cyriax clash massage technique and conventional therapy in patients with painful phase of one-sided periarthritis shoulder ”
Hypothesis
Null Hypothesis:
The survey was carried out on the footing of the nothing hypothesis which could be stated as There is no important betterment in hurting and functional activities between cyriax clash massage technique and conventional physical therapy in patients with painful phase of one-sided periarthritis shoulder
Alternate Hypothesis:
The alternate hypothesis provinces have There is a important betterment in hurting and functional activities between cyriax clash massage technique and conventional physical therapy in patients with painful phase of one-sided periarthritis shoulder ”
REVIEW OF LITERATURE
Leah Steele, Hannah Lade, Stephanie McKenzie, and Trevor G. RussellInt J Telemed Appl. 2012 ; Physical therapists frequently assess and treat clients with shoulder hurting, and at that place exists considerable grounds of effectual physical therapy interventions for many shoulder upsets, with conservative physical therapy direction shown to supply up to an 88 % betterment in shoulder map in the long term.
Jing-lan Yang, Shiau-yee Chen, Ching-Lin Hsieh, BMC Musculoskeletal Disorder. 2012 ; 13: 46. Clinical attacks like mobilisation, stretching, and/or massage may diminish shoulder stringency and better symptoms in topics with stiff shoulders.
Nicola Crichton, D. Gould et al.2012. Visual Analogue Scale ( VAS ) is a measurement instrument that tries to mensurate a feature or attitude that is believed to run across a continuum of values and can non easy be straight measured.
Jose Orlando Ruiz.J Man Manip Ther. 2009 ; 17 ( 1 ) : 58-63. Assorted intervention attacks have been described for limited shoulder inactive scope of gesture ( ROM ) 5. These attacks include different signifiers of manual therapy, galvanism, active exercising, and several signifiers of inactive stretching5. The usage of inactive stretching of the shoulder capsule and soft tissues by agencies of mobilisation techniques has been recommended.
Jenna Godfry, Richard Humman ( 2009 ) the simple shoulder trial
demonstrated overall acceptable public presentation of shoulder.
U.-D. Reips and F. Funke ( 2008 ) there is grounds demoing that ocular parallel graduated tables have superior metrical features than distinct graduated tables, therefore a wider scope of statistical methods can be applied to the hurting measurings.
James P. Tasto, MD and David W. Elias, MD ( Sports Med Arthrosc Rev 2007 ; 15:216-221 ) .Cyriax Friction Massage Technique Health Essay.  The term ‘frozen shoulder ” is defined as a clinical status with restricted active and inactive scope of gesture ( ROM ) in
all waies, including flexure, abduction, and rotary motion
Pajareyak, et Al, 2004, concluded that physical therapy is effectual for patients with adhesive capsulitis.
Fusun Guler – Uysal, Erhankozanagils, Swiss medical hebdomadal 2004: 134: 353 – 358, indicates day-to-day mobilisations exercises provides faster and better response in the early stage of intervention in periarthritis shoulder.
Gules-Ursal F, Kozanoglu E, Swiss Med WKY.2004 Jun 12 ; 134 ( 23-24 ) ; 353A randomized, comparative survey on the early response of two methods of rehabilitation ( cyriax attack Vs conventional physical therapy ) in adhesive capsulitis concluded that the cyriax methods of rehabilitation provides as faster and better response than conventional physical therapy methods in the early stage of intervention in adhesive capsulitis.
Joshua Cleland, Christoper J Durall, and physical therapy for adhesive capsulitis, physical therapy Aug 2002: 88: 8: 450 -457, proposes that 6 months of physical therapy, Codman ‘s exercisings, and beef uping exercisings shows important betterments in active scope of gesture in patients with adhesive capsulitis.
Levy O, Rath E, A pitch D 2001, concluded that when hurting and restriction of inactive scope of gesture persist, soft use dramatically shortens the debilitating procedure.
Griggs SM, Ab n A, Green A, 2000, proved that patients with idiopathic Periarthritis shoulder can be successfully treated with a specific four way stretching exercising plan.
MATERIALS & A ; METHODOLOGY
Materials:
Mobilization bed and towel
Simple shoulder trial
Visual Analogue Scale
Shoulder appraisal signifier
Shortwave Diathermy unit
SELECTION CRITERIA
Inclusion standards:
Age group between 40-60 old ages.
Shoulder hurting of minimal 2 months continuance with no major shoulder injury.
Marked loss of active and inactive shoulder gesture.
Pain with gesture and a minimal ocular parallel graduated table ( VAS ) mark of 3 centimeter.
Normal findings on anteroposterior and alar sidelong radiogram of the glenohumeral articulation.
Willingness to take part in survey.
Exclusion standards:
Adhesive capsulitis secondary to rotator cuff tear.
Patient with OA and RA shoulder.
Dislocation and break in and around shoulder articulation.
Chronic instance of adhesive capsulitis.
Patients with history of intra articular steroid injectionas.
Poly arthritis or neurological disease or cervical neuropathy.
Medical conditions such as cardiac disease, infections, curdlings upsets.
Tumors around shoulder part.
Cervical rib.
Cervical Brachialgia
Cervical Spondylosis.
Parameters
Ocular parallel graduated table
Simple shoulder trial
Methodology
STUDY DESIGN:
A pre-test and post-test experimental survey design.
SAMPLE SIZE:
Thirty patients with adhesive capsulitis ( Stage 1 ) who comes under inclusion standards were taken for the survey.
Group 1 ( Experimental Group ) : Patients treated with cyriax clash massage technique.
Group2: ( Control Group ) : Patients treated with shortwave diathermy.
Both groups concluded their interventions with day-to-day place exercising plan.
Sampling:
The topics for this survey were selected through a convenient sampling technique.
STUDY Setting:
The survey was conducted in Department of Physiotherapy, Sri Ramakrishna Hospital, Coimbatore. All the participants were interviewed and examined to guarantee that the choice standards were fulfilled.Cyriax Friction Massage Technique Health Essay.  Such eligible topics were selected and they took portion in the survey after obtaining informed consent.
Study continuance:
The survey was carried out for 6 months.
Treatment continuance:
Both groups received intervention, for 1 month.
Experimental Group: Once in alternate days/week.
Control Group: Everyday one time except weekends.
Demographic informations of Experimental group:
Age group
Males
Females
Entire
40-50
02
03
05
50-60
01
01
02
60-70
01
03
04
70-80
02
02
04
Entire
06
09
15
Side Involved
Number
Right
08
Left
07
Entire
15
Demographic informations of Control Group:
Age group
Males
Females
Entire
40-50
01
03
04
50-60
01
02
03
60-70
02
04
06
70-80
01
01
02
Entire
05
10
15
Side Involved
Number
Right
06
Left
09
Entire
15
STATISTICAL TOOLS
Independent t trial was used to demo the effectivity of intervention between Group1 and Group2.
Independent T ” trial =
S=
Where,
S = Combined criterion divergence
= difference of mean of experimental group
= difference of mean of control group
= figure of topics in experimental group
= figure of topics in control group
Intervention Technique
CYRIAX MANIPULATION
Principle
Cyriax introduces transverse deep clash massage for soft tissue hurt and lesions.
Effectss of cyriax clash massage
Traumatic hyperemia which help measure hurting triping metabolites. Motion of the affected construction which prevents or destruct the adhesion and helps to optimise the quality of cicatrix tissue. Stimulation of the mechano receptor for which produces a quality of sensory nerve urge that stimulate the impermanent analgesia and besides assist the patient in motion exercisings.
Technique
Patient place should be in supine or high posing.
Therapist stands intervention side of the patient and holds the patient arm with one manus.Applying the clash force to the intervention country by utilizing the Middle and Index finger of the healer. Before and during the clash massage healer should give a mild grip by drawing the patients arm. No motion should happen between tegument and finger.
Short WAVE DIATHERMY
Definition
Diathermy is the application of high -frequency electromagnetic energy that is chiefly used to bring forth heat in organic structure tissues.
Dose
SWD with 220 V/50 Hz power beginning and 27.12 MHz oscillation frequence was applied to the therapy part.
Position of the patient
Patient ‘s place should be in supine and pad electrode should put antero-posteriorly in contra planar method.
In the 15 minute intervention continuance, we should inquire to the patient about heat and their comfy oftenly.
Free EXERCISES
Definition:
Free exercisings are those which are performed by the patient ‘s ain muscular attempts without the aid or opposition of external force, other than that of gravitation. Cyriax Friction Massage Technique Health Essay.
Objective exercisings – in which patient aims to achieve peculiar end ( Wall mounting exercisings /finger ladder exercising ) :
Face a wall about three quarters of an arm length off from it. Using merely your fingers ( non your shoulder musculuss ) , raise your arm up to shoulder degree. Perform sets of 10 to 20 exercisings at each session
Over head blocks:
Instruct the patient to keep one terminal of the rope by normal manus and other terminal by the affected manus, with the normal manus pull the rope and raise the involved appendage frontward ( flexure ) , out to the side ( abduction ) . The patient should non shrug the shoulder or tilt the bole. The patient place may be sitting, standing, or supine.
Patient utilizing a wand for ego assisted shoulder rotary motion:
T-Bar Abduction
Loosely grasp terminal of T-bar with involved manus and clasp longer terminal with uninvolved manus.Use uninvolved manus to raise involved arm outward to side of organic structure every bit far as tolerable, keep, so easy return to get down. Repeat 30 times.
T-Bar Extension
Loosely grasp terminal of T-bar with involved manus and clasp longer terminal with uninvolved manus. Use uninvolved manus to raise involved arm backward buttocks organic structure every bit far as tolerable, keep, so easy return to get down. Repeat 30 times.
T-Bar Flexure
Loosely grasp terminal of T-bar or broom stick with involved manus and clasp longer terminal with uninvolved manus. Use uninvolved manus to raise involved arm upward in forepart of organic structure every bit high as possible, keep, and easy lower. Involved arm may help hurting allows.Repeat 30 times.
Codman ‘s exercisings ( Pendular exercisings ) :
For soft distraction, no weight is used. The capable standing with the bole flexed at the hip about 90 grade. The arm, bents slackly downward in a place between 60 grade and 90 degree flexure.A pendulum or singing gesture of the arm is initiated by holding the patient move the bole somewhat back and Forth. Gestures of flexure, extension, and horizontal abduction, adduction and circumduction can be done.Increase the discharge of gesture as tolerated.
Mariners wheel exercisings:
This height – adjustable, wall -mounted wheel is designed to exert the whole arm: the shoulder, the forearm, and the carpus. The user grasps the wheel ‘s horizontal grip and their arm goes through 360A° of rotary motion with the wheel. This device has a opposition control so as the user ‘s strength and scope of gesture improves the trouble of the exercising can be increased for progressive rehabilitation. The exercising besides encourages sidelong motion in the arm.
Towel stretch:
Take a 3 pes long towel, hold on it with both custodies, and keep it in the horizontal place. Use the upper, good arm, to draw the affected arm toward the lower back. This can be repeated with the towel at a 45A° angle. Cyriax Friction Massage Technique Health Essay. Perform sets of 10 to 20 stretches at each session.
Shoulder brace exercisings
Shoulder 90A° of abduction, elbow 90A° flexure inquire the patient to
Protract and abjure the shoulder, full arm should travel forepart and back.
SIMPLE SHOULDER TEST FOR GROUP I
S.No
Pre trial
Post trial
Difference
1
19
63
44
2
33
71
38
3
38
84
48
4
29
71
42
5
25
69
44
6
30
75
45
7
29
75
46
8
19
70
51
9
33
84
51
10
31
82
51
11
30
80
50
12
38
84
46
13
4o
84
44
14
36
82
46
15
26
80
54
SIMPLE SHOULDER TEST FOR GROUP two
s.no
Pre trial
Post trial
Difference
1
22
49
27
2
33
50
17
3
35
55
20
4
29
58
29
5
30
59
29
6
30
58
28
7
29
58
29
8
26
53
27
9
33
61
28
10
35
60
25
11
30
59
29
12
38
58
20
13
35
60
25
14
28
55
27
15
19
42
23
VISUAL ANALOGUE SCALE FOR GROUP 1
S.NO
Pre trial
Post trial
Difference
1
6
2
4
2
8
4
4
3
8
3
5
4
7
3
4
5
9
5
4
6
7
4
3
7
7
4
3
8
6
2
4
9
9
5
4
10
8
3
5
11
8
4
4
12
6
3
3
13
7
2
5
14
6
2
4
15
6
2
4
VISUAL ANALOGUE SCALE FOR GROUP 2
S.NO
Pre trial
Post trial
Difference
1
6
2
4
2
8
6
2
3
7
5
2
4
7
5
2
5
9
7
2
6
8
5
3
7
6
4
2
8
9
7
2
9
8
6
2
10
9
7
2
11
7
4
3
12
6
4
2
13
6
4
2
14
8
6
2
15
7
5
2
Data Analysis and Interpretation
Analysis OF PRE TEST VALUES OF SIMPLE SHOULDER Trial
Trial
Cyriax clash massage Vs Short wave diathermy with free exercising
Pre trial
Mean value
Group 1
Group 2
30.4
30.13
Independent T trial
0.18
P value and its
significance
P valueE?0.05 is insignificance
The deliberate pre test’t ‘ value between group1 and group2 was 0.18 and the critical value was 1.701, which states that there is a no important difference between two groups.
Analysis OF PRE TEST VALUES OF SIMPLE SHOULDER Trial
Analysis OF POST TEST VALUES OF SIMPLE SHOULDER Trial
Trial
Cyriax clash massage Vs Short wave diathermy with free exercising
station trial
Mean value
Group 1
Group 2
76.93
55.66
Independent T trial
2.083
P value and its
significance
P valueE?0.05 is insignificance
The deliberate station trial ‘t ‘ value between group1 and group2 was 2.083 and the critical value was 1.701which provinces that there exists a important difference between two groups.
Analysis OF POST TEST VALUES OF SIMPLE SHOULDER Trial
Analysis OF SIMPLE SHOULDER TEST WITH CYRIAX AND FREE EXERCISE
Trial
Group1
Cyriax clash massage with free exercising
Pre trial mean value
Post trial mean value
30.4
76.93
Independent T trial
18.44
P value and its
significance
P valueE?0.05 is insignificance
The student’t ‘ trial value for group1 ( Cyriax clash massage with free exercising ) was 43.09 and the critical value was 1.761 which provinces that there exists important difference the pre trial and station trial value group1. Cyriax Friction Massage Technique Health Essay.
Analysis OF SIMPLE SHOULDER TEST WITH CYRIAX AND FREE EXERCISE
Analysis OF SIMPLE SHOULDER TEST WITH SHORT WAVE DIATHERMY AND FREE EXERCISE
Trial
Group2
Short moving ridge diathermy with free exercising
Pre trial mean value
Post trial mean value
30.13
55.66
Independent T trial
14.67
P value and its
significance
P valueE?0.05 is insignificance
The student’t ‘ trial value for group1 ( short moving ridge diathermy with free exercising ) was 25.66 and the critical value was 1.761 which provinces that there exists important difference between the pre trial value and station trial value group2.
Analysis OF SIMPLE SHOULDER TEST WITH SHORT WAVE DIATHERMY AND FREE EXERCISE
Analysis OF VISUAL ANALOGUE SCALE OF PRE TEST OF TWO GROUP
Trial
Cyriax clash massage Vs Short wave diathermy with free exercising
Pre trial
Mean value
Group 1
Group 2
7.46
7.73
Independent T trial
0.77
P value and its
significance
P valueE?0.05 is insignificance
The deliberate pre test’t ‘ value between group1 and grou2 was 0.77and the critical value was 1.701, which states that there is no important difference between two groups.
Analysis OF VISUAL ANALOGUE SCALE OF PRE TEST OF TWO GROUP
Analysis OF VISUAL ANALOGUE SCALE OF POST TEST OF TWO GROUP
Trial
Cyriax clash massage Vs Short wave diathermy with free exercising
Post trial
Mean value
Group 1
Group 2
3.46
5.46
Independent T trial
5.68
P value and its
significance
P valueE?0.05 is insignificance
The deliberate station test’t ‘ value between group1 and grop2 was 5.68 and the critical value was 1.701 which provinces that there exists a important difference between two groups.
Analysis OF VISUAL ANALOGUE SCALE OF POST TEST OF TWO GROUP
Analysis OF VISUAL ANALOGUE SCALE OF GROUP 1
Trial
Group 1
Cyriax clash massage with free exercising
Pre trial mean value
Post trial mean values
7.46
3.46
Independent T trial
24.18
P value and its
significance
P valueE?0.05 is insignificance
The student’t ‘ trial value for group2 ( Cyriax clash massage with free exercising ) was 24.18 and the critical value was 1.761, which states that there exists important difference between the pre trial and station trial value of group.
Analysis OF VISUAL ANALOGUE SCALE OF GROUP 1
Analysis OF VISUAL ANALOGUE SCALE OF GROUP 2
Trial
Group 2
Short moving ridge diathermy with free exercising
Pre trial mean value
Post trial mean value
7.73
5.46
Independent T trial
14.83
P value and its
significance
P valueE?0.05 is insignificance
The student’t ‘ trial value for group1 ( Short wave diathermy with free exercising ) was 14.83 and the critical value was1.761, which states that there exists important difference between the pre trial and station trial value of group 2.
Analysis OF VISUAL ANALOGUE SCALE OF GROUP 2
Consequence
Effectiveness of Group1 ( Cyriax clash massage with free exercising ) is elicited by comparing the pre trial and station trial value Group2 ( shoulder map ) utilizing paired ‘t ‘ trial, the deliberate value is 18.44, where the critical value is 1.761.Since the deliberate value is greater than the critical value, there exists a important difference between the pre trial and station trial value ofGroup2
Effectiveness of Group2 ( Short wave diathermy with free exercising ) is elicited by comparing the pre trial and station trial of Group1 ( shoulder map ) utilizing paired ‘t ‘ trial ; the deliberate value is 14.67, where the critical value is 1.761.Since the deliberate value is greater than the critical value, there exists a important difference between the pre trial and station trial value of Group2
While comparing the station trial value of Group1 and Group2 utilizing independent’t ‘ , the deliberate value is,2.083 where the critical value is 1.761, which shows that there exists a important difference between the pre trial and station trial value of two groups
When comparing the average value of both the station trial, average value of Group1, 76.93 is greater than the station trial mean value of Group2, 55.66 which confirms that Group1 shows a important betterment than Group 2
Effectiveness of Group1 ( Cyriax clash massage with free exercising ) is elicited by comparing the pre trial and station trial value Group2 ( ocular parallel graduated table ) utilizing paired ‘t ‘ trial, the deliberate value is 24.18, where the critical value is 1.761.Since the deliberate value is greater than the critical value, there exists a important difference between the pre trial and station trial value ofGroup1
Effectiveness of Group2 ( Short wave diathermy with free exercising ) is elicited by comparing the pre trial and station trial of Group2 ( ocular parallel graduated table ) utilizing paired ‘t ‘ trial ; the deliberate value is 14.83, where the critical value is 1.761.Cyriax Friction Massage Technique Health Essay. Since the deliberate value is greater than the critical value, there exists a important difference between the pre trial and station trial value of Group2
While comparing the station trial value of Group1 and Group2 utilizing independent’t ‘ , the deliberate value is,5.68 where the critical value is 1.761, which shows that there exists a important difference between the pre trial and station trial value of two groups
When comparing the average value of both the station trial, average value of Group1, 3.46 is less than the station trial mean value of Group2, 5.46 which confirms that Group1 shows a important betterment than Group 2
This survey is fiend out the effectivity of cyriax clash massage technique and free exercising is bettering the hurting alleviation and functional activities as evidenced by ocular parallel graduated table and simple shoulder trial in painful phase of one-sided periarthritis shoulder ”
Discussion
This survey compares the effectivity of Cyriax technique and short moving ridge diathermy in topics with painful phase of one-sided periarthritis shoulder ”
Both groups were aimed cut downing hurting and increasing functional activities of shoulder articulation. This survey involves the pre trial and station trial with 15 patients. The variables taken in this survey includes,
Vessel
SIMPLE SHOULDER Trial
This survey was carried out on the footing of void hypothesis which could be stated as there is no important difference in hurting and map activities between Cyriax clash massage and short moving ridge diathermy in patients with painful phase of periarthritis of shoulder articulation.
Group 1 patients were treated with Cyriax attack and Group 2 patients were treated with Short wave diathermy. And both group besides receive the free exercising. Pre trial and station trial values of VAS and SIMPLE SHOULDER TEST were assessed.
The intra group analysis shown that calculated ‘t ‘ value of group1 is greater than group2. Hence we can accept the alternate hypothesis.
All statistical analysis showed that there was important betterment in group 1 who were treated with Cyriax clash massage technique and free exercising than in group 2 who were treated with short moving ridge diathermy and free exercising.
Decision
The statistical analysis done to compare the effectivity of Cyriax clash massage Technique and Short wave diathermy, in instance of painful phase of periarthritis Shoulder.
Independent’t ‘ value was used in this survey to prove the significance of pre and station intervention values of the patients.
Based on the statistical analysis, it was found that there was a important consequence in decrease in hurting, and increase in functional activities of shoulder at the terminal of the intervention with Cyriax clash massage technique than with Short wave diathermy. Cyriax Friction Massage Technique Health Essay.
So, the void hypothesis is rejected and alternate hypothesis is accepted saying that there was important difference in Cyriax clash massage technique with free exercising in bettering functional capacity for patients with one-sided Periarthritis shoulder.
From this survey, we conclude that, Cyriax clash massage technique free exercising is most effectual than Short moving ridge diathermy with free exercising in handling patients with painful phase of periarthritis.

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Restriction
The restriction to our survey may be that we do non hold the long- term follow up informations for our intervention groups.
Based on the literature informations reflecting no differences between any interventions in the long term, the survey was planned to seek for the velocity of recovery of two methods in the early stage.
In this survey, simple shoulder trial graduated table is taken for measuring the shoulder map. Detached scope of gesture is non carried out.
This survey was carried out to compare the consequence of Cyriax clash massage technique entirely.Other techniques of uses was non taken in to account.
Suggestion
Randomized controlled surveies of big survey populations are needed to clearly specify a standardised intervention algorithm in patients with different phases of periarthritis shoulder.
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