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Effect of Scapular Mobilization on Improvement of Shoulder Flexion Range in Erb's Palsy Children

Ahmed M Azzam

Objectives: The aim of this work was to show Effect of scapular mobilization on improvement of shoulder flexion in erbs palsy.

Method: Thirty children were enrolled in this study and randomly assigned into two groups; group A (scapular mobilization plus traditional physiotherapy program), and group B (traditional physiotherapy program only). Standard goniometer was used to detect and follow shoulder flexion in addition to stand and reach test. This measurement was taken before initial treatment and after 12 weeks of treatment. The children parents in both groups B were instructed to complete 3 hours of home routine program.

Results: Data analysis was available on the 30 Erb’s palsy children participated in the study. The mean value of shoulder flexion ROM test in both groups at baseline measurement (pre-treatment) was insignificant (p>0.05). By comparison of both groups there was significant improvement in shoulder flexion ROM post-treatment (p<0.05). The difference between pre and post treatment results was significant in both groups in favor of the study group (p=0.0079).

Conclusion: According the results of this study it can be concluded that the combined effect of physiotherapy training program in addition to scapular mobilization can be recommended in improvement shoulder flexion range of motion in erbs palsy children.