EFFECTIVENESS OF MUSCLE ENERGY TECHNIQUE AND CAPSULAR STRETCHING IN PAIN REDUCTION AND IMPROVEMENT OF ROM AMONG PATIENT WITH ADHESIVE CAPSULITIS

Abstract

Adhesive capsulitis is painful condition in which both active or passive movement loss and formation of contractures of glenohumeral joint occur in this condition. Adhesive capsulitis commonly present in older population. In this study Muscle energy technique and capsular stretching used to treat adhesive capsulitis. In METs, Muscle contact isometrically by using his own energy. And  capsular stretching is a passive stretching used to lengthen up shortened soft tissue by using some external force. The main purpose of this study to compare the effectiveness of MET and capsular stretching among patient with adhesive capsulitis. Aims and Objectives: To compare the effectiveness of Muscle energy technique and capsular stretching in pain reduction and range of motion improvement  among patients with (primary) adhesive capsulitis. Methodology: A randomized clinical trial was performed .30 patients of adhesive capsulitis included in this study. Subjects were taken from Allied Hospital, MTH and Aziz Fatima Hospital. Subjects were divided into two groups A or B. Hot pack given to both groups for 10 minutes as a baseline treatment. Group A was given the Muscle Energy Techniques and Group B was given capsular stretching. The primary outcome was pain and ROM. The secondary outcome was shoulder pain and disability or Upper extremity functional scale. The measurements were performed at baseline, following three- weeks of intervention. Conclusion: Capsular stretching and muscle energy technique are effective in the management of frozen shoulder. Both techniques help to improve ROM and reduce pain in adhesive capsulitis patients. Both techniques showed better improvement in reduction of functional disabilities in adhesive capsulitis patients.