“Short term effect of spencers muscle energy technique on frozen shoulder patients attending at CRP, SAVAR”

Abstract

Background: Frozen shoulder is the common, idiopathic, self-limiting condition with characterized by severe pain and stiffness on both active and passive shoulder ROM. Spencer muscle energy technique is one of the most commonly used osteopathic manual therapy procedure used in shoulder conditions. There are very few studies on the effect of Spencer’s muscle energy technique on pain, ROM and shoulder disability in frozen shoulder patients. This study is conducted to find out the actual effect of this technique on frozen shoulder patients. Method: Participants of aged 25-60 years with frozen shoulder were randomly allocated to experimental and control group (N = 20 each) which received Spencer’s MET and conventional treatment of CRP respectively, performed for 4 session. Outcome measures were pain intensity in NPRS, ROM of shoulder and SPADI score which were measured in both groups at two periods [pre and post treatment (immediately after completion of 4 sessions)]. Results: There was a statistically significant reduction in pain intensity with p value 0.000, t=26.1 on paired sample t test in experimental group and p value 0.000, W=-4.06 on Wilcoxon Sign Rank Test in control group. Comparison between groups in Two tailed Mann Whitney U Test indicate experimental group receiving Spencer’s MET improved much better than control group receiving conventional treatment in terms of pain intensity in NPRS scale with p value <0.001 and U=82. There was statistically significant improvement in shoulder flexion, abduction, internal rotation and external rotation ROM in both experimental group and control group on paired sample t test. Comparison between group on Independent sample t test indicate that control group receiving conventional treatment improved much better than experimental group receiving Spencer’s MET on shoulder ROM. There was statistically significant improvement in SPADI score in both experimental group and control group on paired sample t test. Comparison between group on Independent sample t test indicate that experimental group receiving Spencer’s MET improved much better than control group receiving conventional treatment with p value 0.006 and t=-2.913 in terms of SPADI score.vi Conclusion: Both Spencer’s MET and conventional treatment protocol has significant results on reducing pain, improving ROM and reducing shoulder disability but when comparing between groups Spencer’s MET was more effective on reducing shoulder pain whereas conventional treatment was more effective on improving shoulder ROM. Keywords: Spencer’s MET, conventional treatment, frozen shoulder, ROM, disability, pain.