COMPARATIVE EFFECT OF SPENCER TECHNIQUE VERSUS MULLIGANS TECHNIQUE FOR SUBJECTS WITH FROZEN SHOULDER A SINGLE BLIND STUDY
DOI:
https://doi.org/10.15621/ijphy/2015/v2i2/65255Keywords:
MWM, Mulligan’s mobilization, Spencer technique, frozen shoulder, pain, shoulder mobility, functional disability, mobilization, adhesive capsulitis, periarthritisAbstract
Background: Among many interventions for subjects with frozen shoulder, mobilization techniques are the important techniques of intervention. However the opinions about efficacy of mobilization techniques differ. Hence, the purpose of this study to compare the effectiveness of Mulligan’s mobilization with movement with that of Spencer technique on improving pain, abduction and external rotation ROM and functional disability in subjects with frozen shoulder.
Method: An experimental study design, 40 subjects with unilateral frozen shoulder were randomized into 2 groups with 20 subjects each in Mulligan and in Spencer group. Subjects in Mulligan group received Mulligan mobilization with movement (MWM) and subjects in Spencer group received Spencer technique and conventional exercises was given for both the groups. The duration of intervention was one treatment sessions per day for five days. Outcome measurements such as pain using VAS, shoulder abduction and external rotation ROM using goniometer and functional disability using SPADI were measured before and after five days of intervention.
Results: Analysis using paired ‘t’ test and wilcoxon signed rank test found that there is a statistically significant improvement (p<0.05) in pain, shoulder mobility and functional disability within the groups. Comparative analysis using independent ‘t’ test and Mann Whitney U test found that there is no statistically significant difference in improving pain between MWM and Spencer group. However MWM group found significantly greater improvement in shoulder mobility and functional disability comparative with Spencer technique.
Conclusion: It is concluded that both MWM and Spencer technique are shown to have short term effect on improving pain, shoulder mobility and functional disability. However, MWM was found clinically more effective with greater percentage of improvement on improving shoulder abduction, external rotation ROM and functional disability than Spencer technique in subjects with frozen shoulder.
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