Effects of combining both mobilization with movement and spencer’s technique in diabetic adhesive capsulitis patients

Abstract

Adhesive capsulitis causes pain, stiffness and motion restriction in the shoulder joint and it is due to the adhesions in the glenohumeral joint capsule. First line treatment is conservative treatment by medications and physical therapy. It includes exercises, manual mobilization techniques and electrotherapeutic modalities for relieving pain and to gain full range of motion. The objective of the study was to compare the combined effects of Mulligan’s MWM and Spencer’s MET with MWM, Spencer’s MET and conventional therapy individually. A RCT was conducted for 6 months in THQ hospital Gujar Khan. 44 patients with mean age (55.57±7.422) meeting inclusion criteria were included. Participants were randomly allocated into 4 groups that are combined, MWM, Spencer and conventional group. Conventional treatment was given in all four groups and combined group received both the MWM and Spencer’s technique. 3 sessions/week was given for 4 weeks. Outcome measures used were VAS, SPADI and goniometry. ANOVA was done for inter group analysis, post hoc test was done for between group analysis. There was a significant difference (p-value 0.000<0.05) in outcome measures SPADI and ROMs Flexion and Abduction of combined group as compared to the rest of three.