Effectiveness of Muscle Energy Technique versus Capsular Stretching Among Patients with Adhesive Capsulitis

Introduction: Adhesive capsulitis is characterized by a painful, gradual loss of both active and passive glenohumeral motion resulting from progressive fibrosis and ultimate contracture of the glenohumeral joint capsule. Patients with Adhesive capsulitis have difficulties in everyday activities and shoulder pain disturbing sleep at night on the affected side. Different treatment approaches have been advocated for adhesive capsulitis, but there is not much scientific evidence to support the standard treatment. The purpose of this study is to establish best and efficient protocol for treatment of idiopathic adhesive capsulitis. Subjects : Total 30 subjects diagnosed as adhesive capsulitis Methodology: 30 subjects including both sexes between 40-60 years, Diagnosed adhesive capsulitis were selected and were assigned in two groups (A or B) with 15 subjects each. Group A received Muscle Energy Technique and conventional . Group B received capsular stretching and conventional . Both the groups were treated 6 times a week for 3 weeks. All the subjects were measured for pain by NPRS, for all shoulder movements by goniometer and SPADI on first day before starting treatment and after 3 week of treatment. Results: Statistical analysis was done using paired -t test and unpaired-t test. The outcome measures used were VAS, ROM, SPADI. The statistical analysis for both the groups was done by Paired t test within group and between groups. The statistical analysis showed extreme significance after the treatment for consecutive 3weeks with 5 sessions per week. There was a significant level of improvement in Range of Movement (ROM) NPRS and SPADI in group A when compared to group B .This implies that muscle energy techniques are more beneficial in improving ROM and decreasing functional disabilities. Conclusion: The Muscle Energy Technique is more effective in increasing Range Of Motion in patients with adhesive capsulitis along with conventional treatment in comparison to capsular stretchin