Effect Of Muscle Energy Technique Research Articles

Comparative Study of the Effectiveness of Muscle Energy Technique and Hold Relax Technique to Improve the Hamstring Flexibility in Patients with Lower Back Ache

Comparative Study of the Effectiveness of Muscle Energy Technique and Hold Relax Technique to Improve the Hamstring Flexibility in Patients with Lower Back Ache

The Effect of Muscle Energy Technique on Pain and Range of Motion in Patient with Knee Osteoarthritis

Osteoarthritis (OA) is a progressive degenerative joint disorder characterised by pain, stiffness, and limited range of motion (ROM). According to the World Health Organization (WHO), OA is one of the main causes of decreased quality of human life worldwide. Muscle Energy Technique (MET) is a treatment used to treat OA. This study aimed to determine the effect of MET on pain and ROM in knee OA patients. This research used a type of pra experimental research. The research group consisted of 15 patients with knee OA by purposive sampling who received the MET technique once a week for 4 weeks. Pain was measured by the Numeric Rating Scale (NRS), while a goniometer was used for evaluating the ROM of knee flexion and extension. There was a significant decrease in the average pain score before (4.7/10) and after (3.4/10) MET administration. LGS knee flexion increased by 7 degrees, while LGS knee extension decreased by 1.4 degrees. Statistically, MET positively reduces pain and increases ROM in knee OA (p<0.05). MET is one of the recommended techniques for health workers and physiotherapists in particular, in the management of reducing pain and increasing ROM for patients with knee OA

Effect of myofascial release and muscle energy technique on patients with chronic neck pain: a scoping review.

To identify the effects of muscle energy techniques and myofascial release in patients with chronic neck pain. To conduct a literature search and identification; PRISMA-ScR guidelines were followed. Relevant articles were searched for from the following medical and health sciences electronic databases: PubMed, EBSCOhost, CENTRAL of the Cochrane Library, and the Physiotherapy Evidence-Based Database (PEDro). Patients with chronic neck pain were eligible for the scoping review. Seven articles were included in this review. This scoping review found that there is heterogeneity in the prescription of MFR and MET and a greater tendency to check three major physical dimensions (pain, range of motion, and disability). Various studies have opted for distinct intervention regimens, resulting in disparities in the frequency of weekly interventions, which can range from biweekly to five times a week. These inconsistencies may lead to perplexity among practitioners, as each intervention modality demonstrates favorable outcomes for individuals with persistent cervical discomfort. Moreover, a significant proportion of research projects have employed the numeric pain rating scale (NPRS) and visual analog scale (VAS) for data quantification. According to results, majority of the studies were focused on pain and missing components of range of motion and quality of life. Work-related factors can act as risk factors for chronic neck pain. Future investigations should adopt a comprehensive methodology and incorporate QoL assessments of quality of life.

To Compare the Effect of Muscle Energy Technique and Mckenzie Exercises on Pain, range of Motion and Disability among Patients with Sacroiliac Dysfunction

Abstract: Sacroiliac joint dysfunction is a state of malalignment position of pelvic bone. Prolonged asymmetrical weight bearing, produce abnormal load on the lumbar and thoracic spine, which gradually become the source of increasing pain in low back area. Various manual techniques and therapeutic modalities are effective in the treatment of sacroiliac joint dysfunction. However, more sophisticated studies are still required, which justify the result and treatment.

To Study Effects of Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation on Computer Users Suffering from Neck Pain : A Comparative Study

Prolonged use of computers during daily work activities and recreation is often cited as a cause of neck pain. Neck pain and computer users are clearly connected due to extended periods of sitting in a certain position with no breaks to stretch the neck muscles. Pro-longed computer use with neck bent forward, will cause the anterior neck muscles to gradually get shorter and tighter, while the muscles in the back of neck will grow longer and weaker. These changes will lead to development of neck pain. METHODOLOGY: A total 40 subjects were selected for study. They were divided into 2 groups 20 in each. Group A was given Muscle Energy Technique, And Group B was given Proprioceptive Neuromuscular Facilitation .Treatment was given 5 days per week, for 6 weeks. Outcome measure in form of NPRS ,And NDI were recorded on 1st day before treatment and after 6 weeks. RESULT: Group A and B showed significant improvement in all three outcome measures within group (P>0.05). Between Group A and B were significant (p>0.05). So, three groups were shows significant difference. CONCLUSIONS: The results of this Comparative study indicated that the treatment in all three Groups (Muscle Energy Technique And Proprioceptive Neuromuscular Facilitation) are effective in participants with Computer Users Suffering From neck pain on pain and functional disability. However, MET was found to be superior to Proprioceptive Neuromuscular Facilitation alone in participants with Computer Users Suffering From neck pain.

Effects of MET and Joint Mobilization on Pain Reduction and Shoulder Tightness in Athletes: A Systematic Review of Randomized Controlled Trials

Purpose: This study aims to evaluate the effects of muscle energy technique (MET) and shoulder joint mobilization on pain and shoulder stiffness in athletes. Materials and methods: A thorough search was done from April 2013 to April 2023 in the Cochrane Library, PubMed, PEDro, and Google Scholar. Data extraction required access to the whole texts of all research that might have been pertinent. Results: In total, 298 articles of RCT were discovered following the key phrase search. After removing duplicates, abstracts of the remaining 28 examining articles revealed that 18 did not match the requirements, leaving ten articles to be included. Conclusion: This study came to the conclusion that the muscle energy method and shoulder joint mobilization enhance range of motion (ROM) and lessen discomfort in athletes with tight shoulders.

Effectiveness of Muscle Energy Technique and Strengthening Exercises by KOOS in Knee Osteoarthritis Strengthening Exercise in Reducing Pain to Improve Functional Activity Measured by KOOS in Knee Osteoarthritis

Background: According to 2012 data, the prevalence rate of OA in both rural and urban India was ranging from33% to 46% of the older adult population where females were more affected than men. Participants with knee OAfrequently need to perform strengthening exercises since they have weaker muscles due to decreased physicalactivity and pain tolerance.Purpose: The Purpose of the study is to find out the efficacy of Muscle energy technique and strengthening exercisein pain management to improve ROM in knee osteoarthritis.Materials and methods: This study included a sample of 196 between the age group of 45- 60 years were takenfrom Shri Shakthi’s centre for pain relief and rehabilitation according to selection criteria for this experimentalstudy which was divided into two groups, strengthening exercise group (n=98) and muscle energy techniquegroup (n=98) . Interventions were given as 5 sessions a week and continued for 2 weeks.Study period: March 2023 to July 2023.Result: The Pre-test and post-test values were analysed, pain score was decreased and functional outcome wasimproved significantly in strengthening exercise groups when compared to muscle energy technique.Conclusion: The study shows that strengthening exercise for osteoarthritis of the knee in older adults is moreeffective than muscle energy technique.

Effect of Muscle Energy Technique versus Graston Technique on non-specific neck pain

Background: Numerous researches have been carried out in order to determine the most effective physical therapy strategy for treating nonspecific neck pain (NSNP). Purpose: To contrast between the outcomes of Graston Technique (GT) and Muscle Energy Technique (MET) on both pain intensity and functional disability in patients with NSNP. Methods: Forty-two (30 males and 12 females) patients with NSNP divided randomly into three groups: Group A: received Graston Technique and traditional physiotherapy treatment (TPT), Group B: received muscle energy technique and TPT, and Group C: received TPT only. Intervention lasted for 12 sessions (3 per week). At the start and finish of the fourth week, a visual analogue scale was used to quantify pain intensity and a neck disability index (NDI) questionnaire was used to measure functional disability. Results: There were significant mean effects of time (pre/post) and intervention group (Graston, MET, conventional) and significant interaction on pain and disability (p<0.05). MET group had higher changes in the pain than both Graston and control groups (p<0.05). However, no significant differences among groups in the functional change. Conclusion: GT and MET had similar effects on the function in patients with NSNP, but MET had higher effects on reducing pain. Antecedentes: Numerosas investigaciones se han llevado a cabo con el fin de determinar la estrategia de fisioterapia más eficaz para el tratamiento del dolor de cuello inespecífico (NSNP). Propósito: contrastar los resultados de la Técnica de Graston (GT) y la Técnica de Energía Muscular (MET) tanto en la intensidad del dolor como en la discapacidad funcional en pacientes con NSNP. Métodos: Cuarenta y dos (30 hombres y 12 mujeres) pacientes con NSNP divididos aleatoriamente en tres grupos: Grupo A: recibieron técnica de Graston y tratamiento de fisioterapia tradicional (TPT), Grupo B: recibieron técnica de energía muscular y TPT, y Grupo C: recibieron TPT solamente. La intervención tuvo una duración de 12 sesiones (3 por semana). Al inicio y al final de la cuarta semana, se utilizó una escala analógica visual para cuantificar la intensidad del dolor y un cuestionario de índice de discapacidad del cuello (NDI) para medir la discapacidad funcional. Resultados: Hubo efectos significativos de tiempo (pre/post) y grupo de intervención (Graston, MET, convencional) e interacción significativa sobre el dolor y la discapacidad (p<0,05). El grupo MET tuvo mayores cambios en el dolor que los grupos Graston y control (p<0,05). Sin embargo, no hubo diferencias significativas entre grupos en el cambio funcional. Conclusión: GT y MET tuvieron efectos similares sobre la función en pacientes con NSNP, pero MET tuvo efectos más altos sobre la reducción del dolor.

Comparing Muscle Energy Technique and Kaltenborn-Evjenth Orthopaedic Manual Therapy: A Study on Effectiveness in Treating Chronic Low Back Pain

Background: Chronic Low Back Pain (CLBP) is a prevalent condition globally, affecting quality of life and work efficiency. Traditional treatment methods often fall short in providing long-term relief, highlighting the need for alternative therapeutic approaches. Objective: The objective of this study was to compare the effectiveness of Muscle Energy Technique (MET) and Kaltenborn-Evjenth Orthopedic Manual Therapy (KEOMT) against conventional treatment methods in reducing pain and improving mobility in patients with CLBP. Methods: This randomized control trial involved 120 patients with CLBP from Sargodha, who were divided into three groups: Control Group (conventional treatment), Group A (MET), and Group B (KEOMT). All treatments were administered over a period of six months, with interventions carried out for four weeks totaling 12 sessions. Baseline and post-intervention measurements included pain scale (VAS), Flexion and Extension Range of Motion (ROM) using a Goniometer, and the Oswestry Disability Index (ODI). Data were analyzed using ANOVA and SPSS version 25. Results: All groups showed significant improvements post-treatment. The Control Group's pain scale decreased from 6.63 ± 0.925 to 4.68 ± 1.206, Group A from 6.70 ± 0.939 to 2.75 ± 0.899, and Group B from 6.77 ± 0.891 to 3.00 ± 1.038. Flexion ROM increased in the Control Group from 40.80 ± 3.023 to 42.10 ± 3.003, in Group A from 40.78 ± 2.684 to 44.97 ± 1.804, and in Group B from 40.53 ± 2.746 to 44.90 ± 1.751. Similar trends were observed in Extension ROM and ODI scores. The improvements in Groups A and B were significantly greater than in the Control Group (P=0.00). Conclusion: Both MET and KEOMT were found to be more effective than conventional treatment in reducing pain and improving ROM in patients with CLBP. These findings suggest that MET and KEOMT could be incorporated as part of the standard physical therapy regimen for CLBP, offering potentially more effective and lasting relief.

The Immediate Effects of Muscle Energy Technique in Chronic Low Back Pain Patients with Functional Leg Length Discrepancy: A Randomized and Placebo-Controlled Trial.

This study was conducted to determine the effect of muscle energy technique (MET) on pelvic alignment, leg length, pain, and fatigue in chronic low back pain (CLBP) patients with leg length discrepancy (LLD). Forty-two CLBP patients with LLD volunteered to participate and were randomly assigned to the MET group (n = 21) and placebo group (n = 21). The intervention group performed three METs with 5 s of isometric contraction and 30 s of rest once, and the placebo group performed three times the placebo-MET, maintaining the same posture as the MET group without muscle isometric contraction. X-ray equipment, tape measure, and visual analog scale were used to evaluate pelvic alignment, leg length, pain, and fatigue before and after each intervention. In comparison pre- and postintervention, only the MET group showed significant changes in pelvic alignment, leg length, pain, and fatigue (p < 0.05). In comparison between groups, there were significant differences in all variables (pelvic alignment, leg length, pain, fatigue) (p < 0.05). The results of this study confirmed the therapeutic effect of MET for improving pelvic alignment, functional LLD, pain, and fatigue in CLBP patients with functional LLD. Future research is needed to evaluate the long-term effect on more chronic low back pain patients.

Effectiveness of muscle energy technique on the range of motion, flexibility, and function in musculoskeletal disorders: Systematic review and meta-analysis

OBJECTIVES: Muscle energy technique (MET) is a voluntary contraction of a patient’s muscle in a predetermined direction, at varying levels of intensity. Its commonly used as a treatment option in musculoskeletal rehabilitation. This study aims to investigate the effectiveness of MET in the treatment of people with musculoskeletal injuries with particular emphasis on flexibility, range of motion (ROM), and function. METHODS: Scopus (via Science Direct), CINAHL via (EBSCO), Embase (via OvidSP), PubMed, and PEDro were searched using specified keywords to select randomized controlled trials that assessed the effect of MET on flexibility, ROM, or function in patients with musculoskeletal disorders. Two authors extracted all related information from the included trials and presented them in an excel spreadsheet. Two other authors independently conducted the quality assessment. Meta-analysis was performed where homogeneity (similirty regarding population and outcomes) was sufficient and required data were available. RESULTS: A total of 42 studies were included. Yet, twelve joined the meta-analysis where six comparisons were conducted. Of them, four comparisons were composed of two trials, one comparison consisted of six, and another one was composed of four. No statistically significant differences were observed between MET and other comparators regarding function and ROM, especially in patients with low back or neck pain. MET was statistically significantly better than control or sham interventions on the flexibility of patients with sacroiliac joint (SIJ) problems. CONCLUSIONS: MET can produce better flexibility than placebo and control interventions in patients with SIJ problems. MET is not better than other interventions regarding function and ROM. Although the existence of multiple trials testing the effectiveness of MET, there is obvious heterogeneity. There is no sufficient evidence to reliably determine the clinical effect of MET in practice.

COMPARATIVE EFFECTS OF MUSCLE ENERGY TECHNIQUE AND COUNTERSTRAIN TECHNIQUE ON PAIN, FUNCTION STATUS AND SATISFACTION LEVEL IN PLANTER FASCIITIS PATIENTS

Objective: To compare the effects of muscle energy technique and counterstrain technique on pain, functional status and satisfaction level in patients with planter fasciitis.&#x0D; Methods: This randomized clinical trial was conducted from May to November 2022. Total 66 patients were recruited using purposive sampling technique. Clinically diagnosed patients of plantar fasciitis of age 20-60 years, both gender and history of pain?4 weeks were randomly allocated into two groups. Muscle energy technique was applied to group A and Counterstrain technique was given to Group B with routine physiotherapy. Outcomes measure were Visual Analog Scales for pain, Foot and Ankle Ability Measure for functional level and Patient Satisfaction Questionnaire-18 for satisfaction level. Assessment was conducted at baseline, 1st and 2ndweek. Independent t-test and RM-ANOVA was used for between and within-group differences with p?0.05 was significant.&#x0D; Results: The results showed no significant difference between Group A and Group B in pain (p=0.245), functional status (ADL: p=0.862, Sport: p=0.092) and satisfaction level (p=0.108). However, significant within-group difference was observed with pain (p=0.000), functional status (p=0.000) and general satisfaction level (p=0.000).&#x0D; Conclusion: Muscle Energy and Counterstrain Technique are equally beneficial in decreasing pain, enhancing functional status and patient satisfaction level in plantar fasciitis patients.&#x0D; Keywords: Counterstrain Technique; Functional Status; Foot and ankle ability measure; Muscle energy technique; Pain; Planter fasciitis; Satisfaction Level; Visual analog scale

Muscle energy technique to reduce pain and disability in cases of non-specific neck pain: A systematic review and meta-analysis of randomized controlled trials

BackgroundTo investigate the effectiveness of muscle energy technique (MET) for treatment of non-specific neck pain (NSNP). MethodsA literature search was performed using electronic databases from their inception until October 2023 for randomized controlled trials (RCTs) that investigated the effects of MET on NSNP. A change in pain intensity and reduced disability were the primary and secondary outcomes, respectively, standardized using Hedges’ g. A random effects model was used for data pooling. ResultsThis study included 26 RCTs comprising 1170 participants. The results showed that MET significantly reduced pain intensity (Hedges' g = −0.967 95 % CI = −1.417 to −0.517, p < 0.001). However, subgroup analysis revealed that this significant benefit was observed only when MET was combined with other treatments and not with MET monotherapy. MET also reduced disability (Hedges’ g = −0.545, 95 % CI = −1.015 to − 0.076, p = 0.023). Meta-regression analysis showed that an increase in treatment duration/session per week contributed to greater pain reduction. No adverse events were reported following the MET. ConclusionsIn conclusion, our meta-analysis suggests MET's potential effectiveness within a combined treatment for NSNP. However, the evidence's low certainty is likely influenced by bias and study variations. To strengthen these findings, future research should focus on higher-quality clinical trials, longer follow-up periods, and prediction interval presentations.

Muscle Energy Technique Effects On Pain, Cervical Range of Motion, and Functional Disability

An unfavorable sensory or emotional encounter connected to actual or potential tissue injury is referred to as neck pain, and it affects the region of the neck between the superior nuchal line and the first thoracic spinous process. Mechanical neck pain often commences insidiously and is of multifactorial etiology, causing disability and clinical symptoms. It is a comparative study where 30 male and female subjects were assessed and identified with Mechanical Neck Pain, recruited for the study, and randomly divided into two groups with 15 subjects in each group. Outcome measures were the Visual Analogue Scale (VAS), goniometer, and neck disability index (NDI). Pre-Test and Post-Test were carried out for both groups and analyzed using paired 't-tests and independent 't-tests in an IBM SPSS statistics 26 software. This study aimed to compare the effectiveness of muscle energy technique with conventional therapy vs. kinesio taping with conventional therapy in chronic mechanical neck pain, cervical range of motion, and functional disability of the neck. KT provides sensory feedback, tension, and afferent stimulation to reduce pain and improve ROM. It also helps in lymphatic and vascular flow and corrects misaligned structures. Muscle energy technique and Kinesio taping showed significant improvement in VAS, Goniometer, and NDI in mechanical neck pain patients, making them suitable for inclusion in mechanical neck pain treatment.

Efficacy of Muscle Energy Technique alone and in combination with Interferential Therapy for the Treatment of Non-specific Low Back Pain

Non-specific back pain is one of the prevalent musculoskeletal disorders in general population worldwide and also a major contributor of days lost from the work. It is considered one of the major causes of financial burden on the healthcare. Objective: To compare the effectiveness of muscle energy technique alone and in combination with interferential therapy in the management of non-specific back pain. Methods: After getting the review ethical committee approval from The Neurocounsel Clinics, current RCT was initiated from 21 May, 2023 to 20 September 2023 and registered at ClinicalTrails.gov under NCT06098053. Sample size was calculated by Epitool which came 30. Simple random sampling technique was used to randomize participants into two equal groups. Group A was given muscle energy technique and group B was given muscle energy technique plus interferential therapy. 2 sessions/week for 4 &amp; half weeks. Evaluation was done at pain numeric scale &amp; EQ-5D-5L (QoL). Pre and post-test analysis was done by use of SPSS version 21 and level of significance was kept p&lt;0.05. Results: The mean age in group A was 31.40±10.91 whereas in group B it was 26.93±11.69. Mann Whitney U test showed significant difference (p&lt;0.05) between groups on the basis of PNS and insignificant difference (p&gt;0.05) between groups on the basis of QoL. Conclusions: It was concluded from the results of this study that MET and IFT are more effective in alleviating patient’s pain but are equally effective in improving quality of life in patients suffering from non-specific back pain.

EFFICACY OF MUSCLE ENERGY TECHNIQUE ON SHOULDER ADHESIVE CAPSULITIS POST MASTECTOMY

Background: Shoulder pain, disability and impaired movements are frequently reported complication in post- mastectomy patients. Most individuals who have had a mastectomy suffer from adhesive capsulitis, which causes shoulder pain and impairment. Aim: The current study was conducted to investigate the effectiveness of Muscle energy technique (MET) on shoulder adhesive capsulitis post mastectomy. Patients and methods: The present work was carried-out on sixty patients with adhesive capsulitis after mastectomy who participated in this study, they were aged from 40 to 60 years. The individuals were recruited from National Cancer Institute, Cairo University. They were randomized into 2 groups; every group included 30 patients. Group (A) (study group): were givenMET5 days per week for eight weeks as well as their traditional physiotherapy program (Mobilization exercises, stretching of the Posterior capsule, as well as Range of motion (ROM) exercises). Group (B) (control group):received only the conventional physical therapy program, 5 days per week for eight weeks. Visual analogue scale (VAS) was utilized to measure the shoulder pain. Goniometer was utilized to evaluate shoulder ROM. Shoulder pain and disability index (SPADI) was utilized to evaluate shoulder function. All assessments were conducted pretreatment as well as post treatment. Results: In both Groups A and B, post-treatment VAS as well as SPADI scores were significantly lower than pre-treatment scores (p &lt; 0.001). the percentage of change of VAS as well as SPADI in Group A was 68.28% and 71.88% respectively, while it was, 45.76% and 54.4% in group B respectively. In both groups, post-treatment shoulder flexion, abduction, as well as lateral rotation were all significantly higher than pre-treatment values. Shoulder flexion, abduction, as well as external rotation all increased by 128.25, 75.76, and 99.95% in group A, whereas they increased by 97.58, 59.9, and 89.38% in group B, respectively. Pretreatment comparisons showed no statistically significant differences among the groups. Post-treatment comparisons between the two groups showed that VAS and SPADI scores were significantly lower in Group A compared to Group B (p &lt; 0.001). Shoulder flexion, abduction, as well as external rotation were significantly improved in group A than in group B after treatment (p &lt; 0.001). Conclusion: adding MET in rehabilitation program can improve the shoulder pain, ROM as well as function in adhesive capsulitis management Postmastectomy.

Effects of Muscle Energy Technique on Pain and Range of Motion in Chronic Low Back Pain Subjects with Lateral Flexion Restriction

Effects of Muscle Energy Technique on Pain and Range of Motion in Chronic Low Back Pain Subjects with Lateral Flexion Restriction

Effectiveness of muscle energy techniques and friction massage in hamstring tightness amongst young athletes of Pakistan

Background: compromised hamstring flexibility is a risk factor to sports-related injuries, as muscular tightness is believed to reduce athletic performance. Different muscle energy techniques and friction massage are commonly practiced by manual therapists to improve hamstring flexibility. Objectives: To compare the effectiveness of muscle energy technique and friction massage in hamstring tightness among young athletes in Pakistan Methodology: A randomized controlled trial was conducted at Helping Hand Institute of Rehabilitation Sciences (HHIRS), Mansehra, and Neurological Orthopaedic and Sports Injury Services Mansehra (NOSIS). A total of n=60 young athletes between 18-25 years with hamstring tightness and limited straight leg raise range of motion (&lt;110⁰) were included in the study. The non-probability purposive sampling was used for data collection then the participants were randomly divided into Group A (n=20) received Post facilitation stretch (PFS), group B (n=20) received post-isometric relaxation (PIR), and Group C (n=20) which received deep friction massage through electronic massager. The athletic performance of the participants was assessed using the YMCA sit and reach test (S&amp;RT) for flexibility, agility run test (ART) for agility, vertical jump test (VJT) for explosive power, and 100-meter run test (RT) for speed and explosive power at baseline, 10th day, and 20th day of the intervention. Results: The participants had a mean age of 21.55±2.05 years. The result showed that participants who received PFS showed significant (p&lt;0.05) results as compared to PIR and FM after the 10th day, regarding VJT (p=0.006), ART (p=0.015), S&amp;RT (p&lt;0.001) and 100m RT (p&lt;0.001). After the 20th day, PFA showed better results than PIR and FM after the 10th day. The participant who received FM showed less improvement than the remaining two groups but statistically significant p&lt;0.05. Conclusion Muscle energy techniques, particularly PFS and PIR, proved effective in enhancing athletic performance parameters, including vertical jump, agility, and flexibility, among young athletes with hamstring tightness. These findings support their use in sports rehabilitation and injury prevention. Keywords: friction massage; hamstring tightness; manual mobilization technique; muscle energy technique; soft tissue mobilization post isometric relaxation; post facilitation stretch. Clinical Trail Number: NCT03680300

Effectiveness of Muscle Energy Technique and Manipulation in The Management of Non-Specific Backache; A Randomized Control Trial

Backache is the most common musculoskeletal impairment in general population worldwide. Objective: To evaluate the effectiveness of MET and manipulation in the management of non-specific backache. Methods: After getting the REC approval from The Neurocounsel Clinic, Islamabad this study was initiated. Duration of study was 6 months from September 20, 2022 to March 19, 2023. Simple convenient sampling technique was done for data collection and total 30 patients of both genders between age of 18-50 years old who had backache due to mechanical cause or had no comorbidity of any kind. Those patients who had a) Lumber disc disease, b) Spondylolisthesis, c) previous back surgery, d) cardiac disease, e) pain &lt;3 on NPRS, f) Parkinson disease were excluded. Two equals (n=15 each) were formed named as group A (MET) and group B (Manipulation). 3 sessions/ week for 3 weeks were given to each group along with heating pad (10minutes). SPSS version-22 was used for data analysis. NP test was used for between groups analysis and level of significance was kept p&lt;0.05. Results: The mean age of patients in group A was 28.25 ± 5.53 whereas of group B it was 34.73 ± 10.66. Between groups analysis revealed that there was no significant difference (p&gt;0.05) between both groups. Conclusions: It was concluded from the result of current study that both MET and manipulation are equally effective in the pain reduction and QoL enhancement in NSLBP sufferers.

Effects of Muscle Energy Technique versus Shoulder Mobilization on Pain and Function in Patients with Subacromial Pain Syndrome

Abstract Background Subacromial pain syndrome is most leading cause of disability that includes the wide spectrum of disorders including subacromial tendinopathy, partial or full thickness tear of rotator cuff and subacromial bursitis. The manual therapy interventions for this condition are still debatable. Aim To evaluate the comparative effects of muscle energy technique (MET) versus posterior shoulder mobilization with movement (MWM) on pain, function and shoulder range of motion in patients with subacromial pain syndrome. Method Patients diagnosed with subacromial pain syndrome were recruited in this pragmatic parallel double blinded randomized clinical trial. The sample was selected through non-probability convenient sampling technique. Forty patients out of 56 meeting the eligibility criteria were equally divided into two groups, MET group (n = 20) and MWM group (n = 20), through a randomization web service. Data were collected at baseline and after successful completion of a six week trial treatment. Pain severity was measured by using a numeric pain rating scale, shoulder disability was measured by using the Shoulder Pain and Disability Index (SPADI) and ranges of motion were measured by using goniometry. Data was analyzed through SPSS 24. Results Outcome measures including pain, disability and shoulder range of motion were significantly (p ≤ 0.05) improved in both groups after the intervention. When comparing both groups, pain score was U = 82.0 (p ≤ 0.001) and disability score was t = –2.913 (p ≤ 0.006) favoring MET. Conclusion Both MET and MWM were effective for symptomatic management in this sample of 40 patients with subacromial impingement syndrome. MET seems to show some superior effects as compared to MWM.