A comparative study on effectiveness of muscle energy technique versus Cyriax’s deep friction technique in adhesive capsulitis

Abstract

Introduction and Aim: Adhesive capsulitis occurs commonly among middle aged and elderly populations which is typically consist of stiffness in both active and passive range of motions, pain and difficulty in performing normal activities of living. The aim of the study was to compare the efficacy between muscle energy technique and Cyriax technique coupled with mobilisation technique in reduction of pain and in improving the range of motion and functional ability in subjects with adhesive capsulitis. Materials and Methods: 30 subjects were randomly assigned for the experimental study by the selection criteria and separated into two groups: group A –Mobilisation technique with muscle energy technique and group B – Mobilisation technique with Cyriax’s deep friction technique. The period of intervention was 5 sessions per week for three weeks. The therapy progression was evaluated by goniometry and SPADI Scores day prior to treatment and 21 days after treatment. Results: The analysis showed that the both treatment groups showed improvement comparing pre and post treatment, while group A showed significant difference compared to group B in pain relief, range of motion and functional disability. Statistically comparing the mean values of all the outcome scores of the two treatment groups has showed group A as more efficient than group B at p- value less than 0.001. Conclusion: The current study concluded that the muscle energy technique with mobilisation technique shows more improvement than the Cyriax’s deep friction technique with mobilisation technique. It shows a better combination therapy for the treatment of Adhesive Capsulitis. Keywords: Cyriax’s deep friction technique; muscle energy technique; adhesive capsulitis.