There are some limitations to this study’s findings.
Firstly, participants were patients attending the orthopedic
and physiotherapy departments of a general hospital, with a specific limitation of HBB; hence, results may not be
generalized to all shoulder impairments and disorders.
Secondly, a control group was not included; so it is not
possible to identify whether improvements in the exercise/
hot pack group were due to natural resolution. However, as
the MWM-with-exercise group also received this treatment,
the additional improvements seen in this group over the
exercise group can be attributed to MWM. Thirdly,
participants were followed up for 3 weeks only. Long-term
follow up is required to evaluate the sustained effects of this
intervention. Despite this, we found that participants were
able to achieve substantial improvements in movement,
achieving functional range of internal rotation in the