Comparative Evaluation of Muscle Energy Technique and Maitland Mobilization Technique on Functional Activity, Motion Range, and Pain in Subjects with Adhesive Capsulitis

Abstract

Background: Adhesive capsulitis is a well-known disorder associated with progressive stiffness and pain in the shoulder with unknown etiology or because of fibroblastic proliferation in coraco-humeral ligament and ro­tator interval anterior capsules needs to be checked.

Objective: The present study was conducted to comparatively evaluate the efficacy of the Maitland mobilization technique to muscle energy technique on functional activity, motion range, and pain in subjects with adhesive capsulitis.

Method and Subjects: In 26 subjects in the age range of 38-64 years were included and randomly divided into two groups of 13 subjects each were the group I was treated with Maitland mobilization technique and group II with muscle energy technique for 2 weeks. Functional activities were assessed with SPADI, for all shoulders ROM by goniometer, and pre and post pain scores by NPRS. The collected data were subjected to statistical evaluation and the results were formulated.

Results: Significantly better and comparable results were seen with the Maitland mobilization technique and muscle energy technique (p<0.001) concerning shoulder pain, range of motion, and disability index scores in subjects with adhesive capsulitis. On assessing the data and on the intergroup comparison, statistically insignificant clinical improvement was seen (p>0.05) for all assessed parameters.

Conclusion: The present study concludes that Muscle Energy Technique, as well as Maitland Mobilization Technique, had a better effect on improving functional activities, range of motion, and pain. However, the intergroup comparison showed statistically non-significant results.

Key Words: Adhesive Capsulitis, Maitland Mobilization Technique, Muscle Energy Technique, Numerical Pain Rating Scale, Range of Motion