Original Research Article
Year: 2018 | Month: March | Volume: 8 | Issue: 3 | Pages: 133-137
Effect of Muscle Energy Technique on Pain and Function in Adhesive Capsulitis -An Interventional Study
Manmitkaur A Gill1, Bhavika P Gohel2, Sandhya K Singal3
1Senior Lecturer, M.P.T. Musculoskeletal Conditions, 3I/C Lecturer, M.P.T. Sports,
Department of Physiotherapy, Government Spine Institute and Physiotherapy College, Civil Hospital Campus, Ahmedabad-380016, Gujarat, India.
2M.P.T. Sports, Assistant Professor, C.U.Shah Physiotherapy College, Surendranagar.
Corresponding Author: Manmitkaur A Gill
Background: Frozen shoulder is defined as an idiopathic condition of the shoulder characterized by the spontaneous onset of pain in the shoulder with restriction of movement in every direction. Several studies have proved the effect of various electrotherapeutic modalities on adhesive capsulitis. Studies have also been done on effects of different manual techniques, but there are very few studies done on effect of muscle energy technique in adhesive capsulitis.
Aims and Objectives: To study the effect of Muscle Energy Technique on pain in adhesive capsulitis and to study the effect of Muscle Energy Technique on function in adhesive capsulitis.
Methodology: Ethical committee approval was taken prior to the study. Patients who were diagnosed with adhesive capsulitis and fulfilling inclusion and exclusion criteria were selected for the study after obtaining informed written consent. The patients were divided randomly in control group and interventional group. In control group patients received only conventional physiotherapy in the form of hot packs for 10 minutes, Codman’s exercise, finger ladder exercises, wand exercises, active exercises and capsular stretching. In interventional group patients were treated with MET for shoulder flexion, abduction and external rotation along with conventional treatment. The protocol for MET includes 5 repetitions/set, 3 sets/session, 1 session/day for 15 days. Treatment was given once a day for 15 days except Sunday to both groups. VAS score, shoulder ROM and shoulder pain and disability index was taken before and after the treatment in both groups.
Results: Non-parametric tests were used to analyze the data. Within the Group data was analyzed with Wilcoxon Signed Ranks Test. Between the Group data was analyzed with Mann Whitney U Test. Result was found to be significant, p value <0.001 for within group and between group VAS and ROM. Between group analysis revealed that percentage of improvement in pain and ROM in group B was greater than group A. Within group and between group analysis of SPADI revealed that it is not statistically significant, although it is significant clinically.
Conclusion: Conventional physiotherapy and MET along with conventional physiotherapy, both are individually effective in relieving pain, improving range of motion and functional ability in patients with adhesive capsulitis, but among these two, the group which received MET along with conventional physiotherapy is found to be more effective in relieving pain, improving range of motion and functional ability in patients with adhesive capsulitis.
Key words: Adhesive capsulitis, Muscle Energy Technique, Pain, Function.