Comparing the Effectiveness of Maitland Mobilization Technique and Muscle Energy Technique on Pain, Range of Motion and Functional Activities in Adhesive Capsulitis

Parthiban, S (2018) Comparing the Effectiveness of Maitland Mobilization Technique and Muscle Energy Technique on Pain, Range of Motion and Functional Activities in Adhesive Capsulitis. Masters thesis, PSG College of Physiotherapy, Coimbatore.

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Abstract

BACKGROUND: Adhesive capsulitis is a self-limiting condition of unknown etiology characterized by painful limited active and passive glenohumeral range of motion of > 25% in at least two directions most notably shoulder abduction and external rotation. Adhesive capsulitis, commonly referred to as frozen shoulder, is associated with synovitis and capsular pattern of the shoulder joint and can be classified either primary or secondary. Adhesive Capsulitis is often more prevalent in women, individual’s 40-65years old, and in the diabetic population. Patients frequently have difficulty with performing overhead functional activities. OBJECTIVE: To compare the effects of Maitland Mobilization Technique and Muscle Energy Technique on pain, range of motion and functional activities in subjects with Adhesive Capsulitis. METHOD AND SUBJECTS: Among 34 subjects, 6 were excluded, the remaining 28 subjects age group 40-65years old, were retruited this study was a Quasi-experimental comparative design this was conducted at department of Orthopaedics & Department of Physical Medicine and Rehabilitation, PSG Hospitals, Coimbatore. By simple random sampling method. 14 subjects were selected in each group of intervention. Group A Maitland Mobilization Technique and Group B Muscle Energy Technique. Both the groups were treated 3 session / week for 2 weeks. All the subjects were measured for pain by NPRS, for all shoulder ROM by goniometer and functional activities by SPADI. Post-test assessment was done on 14th day. Data were analyzed by SPSS-20 to determine the effects of both the treatment regimens and compared with each other. RESULTS: Data analysis revealed that within group statistically significant difference within group Group A Maitland Mobilization Technique and Group B Muscle Energy Technique both groups showed significant (p < 0.001) improvement for all parameters. The Group A (Maitland Mobilization Technique) for the Pain Pre and Post-test mean value 77.428 and 1.357, “t” value is 5.229 (p < 0.001). Range of Motion-shoulder abduction he Pre and Post-test mean value 115 and 168.21, “t” value is 8.850 (p < 0.001). Range of Motion-shoulder external rotation the Pre and Post-test mean value 33.214 and 57.50, “t” value 5.375 (P < 0 0.001). For SPADI Pre and Post-test mean value 62.35 and 10.85. “t” value is18.666 (P < 0 0.001). The Group B Muscle Energy Technique for the Pain Pre and Post-test mean value 7.214 and 1.785, “t” values is 17.542 (p 0.01). Range of Motion- shoulder abduction Pre and Post-test mean value 117.5 and 163.92, “t” value is 8.140(p < 0.001). Range of Motion- shoulder external rotation Pre and Post-test mean value 35 and 54.285, “t” value is 7.380 (p < 0.01). For SPADI Pre and Post-test mean value 64.642 and 15.142, “t” values is 24.577 and (p < 0.01).But the between group analysis, it showed insignificant changes (p > 0.05) for all parameters. Group A and B Pain Post-test mean value 1.357 and 1.785, the “t” value is 1.191 (p = 0.245). Group A and B Range of motion shoulder abduction post-test mean value 168.21 and 163.92, the “t” values are 0.986 (p = 0.33). Group A and B Range of motion shoulder external rotation post-test mean value 57.50 and 54.285 the “t” test values is0.801 (p = 0.43). Group A and B SPADI Post-test mean value 10.85 and 15.142, the “t” value is 1.293 (p = 0.210). CONCLUSION: The study confirmed that addition of the Group A Maitland Mobilization Technique and Group B Muscle Energy Technique have proved their efficacy in relieving pain, improving ROM and improving functional activities. But comparing both groups was insignificantly changes over the pain, Range of Motion and functional activities.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271610245
Uncontrolled Keywords: Adhesive Capsulitis, Maitland Mobilization Technique, Muscle Energy Technique, Numerical Pain Rating Scale, Range of Motion, Shoulder Pain And Disability Index.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Ravindran C
Date Deposited: 16 Sep 2019 15:35
Last Modified: 20 Sep 2019 07:26
URI: http://repository-tnmgrmu.ac.in/id/eprint/11511

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