Spencer's Muscle Energy Technique Along With Strain Counter Strain in Adhesive Capsulitis.
Adhesive Capsulitis
About this trial
This is an interventional treatment trial for Adhesive Capsulitis focused on measuring adhesive capsulitis, spencer muscle energy, strain counterstrain
Eligibility Criteria
Inclusion Criteria:
- Patients clinically diagnosed with unilateral adhesive capsulitis.
- Patients who had restricted ROM (loss of 25% or greater relative to non-
- involved shoulder in one or multidirectional).
- Stage 2 and 3 of frozen shoulder.
- Diabetic patients diagnosed with frozen shoulder.
Exclusion Criteria:
- A history of major shoulder injury or surgery.
- Other disorders possibly influencing existing shoulder symptoms e.g. cervical neuropathy.
- Paralysis or neurological changes of the affected upper limb.
- Fractures or open wounds;
- Degenerative, inflammatory, or infectious arthritis;
- History of intra-articular injection pain treatment.
- History of osteoporosis or malignancies in shoulder region
Sites / Locations
- Pakistan Railway General Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Spencer Muscle energy technique with conventional Physiotherapy
Strain counter strain along with conventional Physiotherapy and Spencer Muscle energy technique
shoulder extension with elbow flexion. shoulder flexion with elbow extension. circumduction with compression circumduction with distraction shoulder abduction and internal rotation with elbow flexion. shoulder adduction and external rotation with elbow flexion stretching tissue and pumping fluids with the arm extended: therapist interlocks his fingertips over the deltoid muscle, patient's hand was placed over the therapist shoulder, and the therapist slowly moved the arm away from the shoulder and released. During all the movements patient is asked to use their muscle energy against the slight resistance offered by the therapist for 6-8 sec. conventional therapy Joint mobilization Exercise therapy: Self stretching and strengthening exercises
Palpate surrounding and opposing tissues to locate tender point for both shoulder abduction and external rotation. Use one or two finger pads to monitor fasciculation and TP. Fine-tune position with rotation. Hold the POC (position of comfort) until fasciculation decreases significantly or ceases. Average positions hold time while pressure is 90 s to 3 min. Transient periods of brief tingling, numbness, and temperature changes might occur. Release tissue or joint slowly and reassess.