Effectiveness of muscle energy technique and movement with mobilization in adhesive capsulitis of shoulder

Abstract

Background: Adhesive capsulitis is a clinical diagnosis made from the history of the gradual onset of severe shoulder pain with the progressive limitation of active and passive Glenohumeral movements. Muscles energy techniques helps to mobilize restricted joints by stretching hypertonic muscles, capsules, ligaments and fascia. Mobilization with Movement technique combines technique, with a sustained application of a manual technique “gliding” force to a joint with concurrent physiologic (osteo-kinematic) motion of the joint, either actively performed by the subject or passively performed by the therapist. Aim: To compare the effectiveness of Muscle energy technique versus Mulligan’s technique on improvement of pain, mobility and functional ability for subjects with ACSMethodology: 42 individuals with ACS were included and allocated to two groups (n=21). Groups were administrated with Muscle energy technique along with conventional therapy, Mobilization with Movement along with Conventional therapy and for 4 weeks (5 days per week). ROM, SPADI and NPRS were used to assess changes between baseline and post intervention.Result and Conclusion: The MWM (Group B) was associated with statistically significant greater change in ROM and SPADI score than MET (Group A) and. There was statistically significant change observed NPRS in both the groups: MWM along with Conventional therapy improves ROM of shoulder and functional disability in patients with Adhesive capsulitis.