Comparison of Spencers Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation on Pain, Range of Motion and Functional Disability in individuals with Adhesive Capsulitis

NEED OF THE STUDY: â€¢ Muscle Energy Technique is a manual therapy that uses the gentle muscle contractions to relax and lengthen muscles and normalize joint motion.•  Spencer’s technique is an articulatory technique with seven different procedures used to treat shoulder restriction caused by Adhesive Capsulitis.

•  PNF stretch is a technique commonly used in clinical environments to enhance both active and passive ROM.

•  Hold-relax technique is aimed at relaxing tense muscles and restricted joints to make quick gains in ROM.

• Studies have shown that both the Spencer’s technique and PNF are used effectively in the treatment of Adhesive capsulitis.

However, there are no studies found in literature which compare the effects of these two methods of manual therapy.

AIM OF THE STUDY: â€¢  To compare the effect of Spencer’s Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation in individuals with Adhesive Capsulitis.

OBJECTIVES OF THE STUDY: â€¢ To see the effect of Spencer’s Muscle Energy Technique on Pain, Range of Motion and Functional Disability.

• To see the effect of Proprioceptive Neuromuscular Facilitation on Pain, Range of Motion and Functional Disability.

• To see the comparative effect of Spencer’s Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation on Pain, Range of Motion and Functional Disability.

 PROCEDURE:

After being approved by the ethical committee, according to inclusion and exclusion criteria 38 subjects will be divided into 2 groups. Informed consent will be taken. In both groups, pre and post data will be measured.

Group A: Spencer’s Muscle Energy Technique + Conventional treatment

•        Conventional therapy and Spencer’s Muscle Energy Technique both will be demonstrated to the subjects.

•        Spencer’s Muscle Energy Technique consist of:

1.     Extension with elbow flexed

2.     Flexion with elbow extended

3.     Circumduction with compression

4.     Circumduction with traction

5.     Adduction with External Rotation

6.     Internal rotation

7.     Distraction in abduction

•        Repetition: 5 repetitions per set, 5 sets per session, 1 session per day, each repetition maintained for the duration of 7-10 sec.

•        Conventional therapy

Group B: Proprioceptive Neuromuscular Facilitation + Conventional treatment

•        Conventional therapy and Proprioceptive Neuromuscular Facilitation both will be demonstrated to the subjects.

•        Proprioceptive Neuromuscular Facilitation

1.     Hold – Relax PNF Technique for Upper Extremity “flexion – abduction – external rotation” pattern.

•        Repetition: 8 repetitions per set, 2 sets per session, 1 session per day, each repetition maintained for duration of 5-10 sec.

•        Conventional therapy

Conventional therapy for both the groups includes,

1. Modality: hot pack (10 minutes)

2. Exercises:

•        Capsular stretching of shoulder joint.

•        Isometric strengthening exercise of flexor, extensor, abductors, adductors, external rotators, internal rotators.

•        Scapula stabilization exercise: open chain exercises of scapula stabilizers without weight and progression with light weight dumbbells in prone position.

•        Active free exercises using cane/wand.

•        All the Exercises were performed for all movements namely flexion/extension and abduction-adduction, external and internal rotation.

•        One sets of each 10-15 repetitions within pain-free range. (Total conventional treatment time is 30 minutes

d  Duration of treatment: 4 days/week for 4 weeks