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Vol. 10 No. 4 (2022): 2022 Volume -10 - Issue 4

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November 10, 2022
Published
November 10, 2022

Effectiveness of spencer muscle energy technique along with conventional therapy on improving shoulder functions in the subjects with stage 2 adhesive capsulitis

https://doi.org/10.61096/ijamscr.v10.iss4.2022.401-426
Jagarlamudi hari kishore babu
Professor & HOD, Navodaya College of Physiotherapy, Raichur
Yateendra putcha
Professor, Wellness College of Physiotherapy, Osmanabad,

International Journal of Allied Medical Sciences and Clinical Research, Vol. 10 No. 4 (2022): 2022 Volume -10 - Issue 4

Abstract

Background and Objectives: Adhesive shoulder capsulitis or Arthrofibrosis commonly known as Frozen Shoulder, depicts a pathological process in which the body forms excessive scar tissue or adhesions in the capsule around the Glenohumeral Joint, leading to stiffness, pain and dysfunction. The objective of this study was to evaluate the significant difference between Spencer Muscle Energy Technique and Conventional Therapy in improving shoulder functions in subjects with Stage 2 Adhesive Capsulitis.
Design: Randomized pretest-posttest control group design
Methods: 30 subjects who fulfilled the inclusion and exclusion criteria were selected for the study and 15 subjects were randomly assigned to each of the two groups. Interventions conducted on the subjects were explained to them and written consent was taken from all the subjects with Stage 2 Adhesive Capsulitis. All the subjects were assessed for pain and disability of shoulder by SPADI, Range Of Motion by Universal Goniometry and pain by SF-MPQ. Group A (experimental) received Spencer Muscle Energy Technique along with Conventional Therapy and Group B (control) received Conventional Therapy. Pretest was conducted before the intervention in first week and posttest after 6 weeks of intervention.
Results: There were significant differences in pain (p=0.035>0.005) and disability (p=0.000<0.005) of SPADI, abduction (p=0.000<0.005), internal rotation (p=0.000<0.005), external rotation (p=0.000<0.005) in Range Of Motion and SF-MPQ (p=0.000<0.005) within the groups and no significant differences between the groups.
Conclusion: The result of this study showed that interventions given to both the groups showed improvement in SPADI, Range Of Motion and SF-MPQ, which revealed that the applied exercises had a positive effect on improving shoulder functions in subjects with Stage 2 Adhesive Capsulitis.

Keywords

Spencer Muscle Energy Technique, Adhesive Capsulitis, Conventional Therapy.
Jagarlamudi hari kishore babu, & Yateendra putcha. (2022). Effectiveness of spencer muscle energy technique along with conventional therapy on improving shoulder functions in the subjects with stage 2 adhesive capsulitis. International Journal of Allied Medical Sciences and Clinical Research, 10(4), 401–426. https://doi.org/10.61096/ijamscr.v10.iss4.2022.401-426
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References
  1. Patriquin DA. The evolution of osteopathic manipulative technique: the Spencer technique. J Am Osteopath Assoc. 1992;92(9):1139-46. doi: 10.7556/jaoa.1992.92.9.1134, PMID 1429074.
  2. Nicholas AS, Nicholas EA. Atlas of osteopathic techniques. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
  3. Neviaser RJ, Neviaser TJ. The frozen shoulder. Diagnosis and management. Clin Orthop Relat Res. 1987;22(223):59-64. doi: 10.1097/00003086-198710000-00008, PMID 3652593.
  4. St Clair P. Manipulative treatment of athletic injuries to joints. Hollywood, CA: Golden West Press; 1941.
  5. Spencer CH. Shoulder technique. J Am Osteopath Assoc. 1916;15:218-20.
  6. DiGiovanna E, Schiowitz S. An osteopathic approach to diagnosis and treatment. Philadelphia: J B Lippincott Publishers Co; 1991. p. 281-2.
  7. Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder: a long-term follow-up. J Bone Joint Surg Am. 1992;74(5):738-46. doi: 10.2106/00004623-199274050-00013, PMID 1624489.
  8. Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg. 2008;17(2):231-6. doi: 10.1016/j.jse.2007.05.009, PMID 17993282.
  9. Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis. 1984;43(3):361-4. doi: 10.1136/ard.43.3.361, PMID 6742896.
  10. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med. 2010;38(11):2346-56. 42. doi: 10.1177/0363546509348048, PMID 20110457.
  11. Uppal HS, Evans JP, Smith C. Frozen shoulder: a systematic review of therapeutic options. World J Orthop. 2015;6(2):263-8. doi: 10.5312/wjo.v6.i2.263, PMID 25793166.
  12. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med. 2008;1(3-4):180-9. doi: 10.1007/s12178-008-9031-6, PMID 19468904.
  13. Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc Rev. 2007;15(4):216-21. doi: 10.1097/JSA.0b013e3181595c22, PMID 18004221.
  14. Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med. 2010;38(11):2346-56. doi: 10.1177/0363546509348048, PMID 20110457.
  15. Neviaser JS. Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder. J Bone Joint Surg. 1945;27:211-22.
  16. Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995;77-B(5):677-83. doi: 10.1302/0301-620X.77B5.7559688.
  17. Zreik NH, Malik RA, Charalambous CP. Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence. Muscles Ligaments Tendons J. 2016;6(1):26-34. doi: 10.11138/mltj/2016.6.1.026, PMID 27331029.
  18. Chaitow L. Muscle energy technique. 4th ed. London: Churchill Livingstone Elsevier; 2013; P.-334.
  19. Boyle-Walker KL, Gabard DL, Bietsch E, Masek-VanArsdale DM, Robinson BL. A profile of patients with adhesive capsulitis. J Hand Ther. 1997;10(3):222-8. doi: 10.1016/s0894-1130(97)80025-7, PMID 9268913.
  20. Ryu KN, Lee SW, Rhee YG, Lim JH. Adhesive capsulitis of the shoulder joint: usefulness of dynamic sonography. J Ultrasound Med. 1993;12(8):445-9. doi: 10.7863/jum.1993.12.8.445, PMID 8411327.
  21. Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M. Frozen shoulder: MR arthrographic findings. Radiology. 2004;233(2):486-92. doi: 10.1148/radiol.2332031219, PMID 15358849.
  22. Griggs SM, Ahn A, Green A. Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment. J Bone Joint Surg Am. 2000;82(10):1398-407. doi: 10.2106/00004623-200010000-00005, PMID 11057467.
  23. Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL. Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res. 1997;15(3):427-36. doi: 10.1002/jor.1100150316, PMID 9246090.
  24. Lubis AM, Lubis VK. Matrix metalloproteinase, tissue inhibitor of metalloproteinase and transforming growth factor-beta 1 in frozen shoulder, and their changes as response to intensive stretching and supervised neglect exercise. J Orthop Sci. 2013;18(4):519-27. doi: 10.1007/s00776-013-0387-0, PMID 23604641.
  25. Bunker TD, Reilly J, Baird KS, Hamblen DL. Expression of growth factors, cytokines and matrix metalloproteinases in frozen shoulder. J Bone Joint Surg Br. 2000;82(5):768-73. doi: 10.1302/0301-620x.82b5.9888, PMID 10963182.
  26. Lho YM, Ha E, Cho CH, Song KS, Min BW, Bae KC, et al. Inflammatory cytokines are overexpressed in the subacromial bursa of frozen shoulder. J Shoulder Elbow Surg. 2013;22(5):666-72. doi: 10.1016/j.jse.2012.06.014, PMID 22999851.
  27. Hand GC, Athanasou NA, Matthews T, Carr AJ. The pathology of frozen shoulder. J Bone Joint Surg Br. 2007;89(7):928-32. doi: 10.1302/0301-620X.89B7.19097, PMID 17673588.
  28. Kabbabe B, Ramkumar S, Richardson M. Cytogenetic analysis of the pathology of frozen shoulder. Int J Shoulder Surg. 2010;4(3):75-8. doi: 10.4103/0973-6042.76966, PMID 21472067.
  29. Ling Y, Peng C, Liu C, Zhang N, Yue S. Gene polymorphism of IL-6 and MMP-3 decreases passive range of motion after rotator cuff repair. Int J Clin Exp Pathol. 2015;8(5):5709-14. PMID 26191285.
  30. Kim YS, Kim JM, Lee YG, Hong OK, Kwon HS, Ji JH. Intercellular adhesion molecule-1 (ICAM-1, CD54) is increased in adhesive capsulitis. J Bone Joint Surg Am. 2013;95(4):e181-8. doi: 10.2106/JBJS.K.00525, PMID 23426775.
  31. Raykha CN, Crawford JD, Burry AF, Drosdowech DS, Faber KJ, Gan BS, et al. IGF2 expression and b-catenin levels are increased in frozen shoulder syndrome. Clin Invest Med. 2014;37(4):E262-7. doi: 10.25011/cim.v37i4.21733, PMID 25090267.
  32. Watson RS, Gouze E, Levings PP, Bush ML, Kay JD, Jorgensen MS, et al. Gene delivery of TGF-b1 induces arthrofibrosis and chondrometaplasia of synovium in vivo. Lab Invest. 2010;90(11):1615-27. doi: 10.1038/labinvest.2010.145, PMID 20697373.
  33. Arkkila PE, Kantola IM, Viikari JS, Rönnemaa T. Shoulder capsulitis in type I and II diabetic patients: association with diabetic complications and related diseases. Ann Rheum Dis. 1996;55(12):907-14. doi: 10.1136/ard.55.12.907, PMID 9014585.
  34. Prodromidis AD, Charalambous CP. Is there a genetic predisposition to frozen shoulder? A systematic review and meta-analysis. JBJS Rev. 2016;4(2). doi: 10.2106/JBJS.RVW.O.00007, pii: 01874474-201602000-00004. PMID 27490134.
  35. Harris JD, Griesser MJ, Copelan A, Jones GL. Treatment of adhesive capsulitis with intra-articular hyaluronate: a systematic review. Int J Shoulder Surg. 2011;5(2):31-7. doi: 10.4103/0973-6042.83194, PMID 21897581.
  36. Wu CH, Chen WS, Wang TG. Elasticity of the coracohumeral ligament in patients with adhesive capsulitis of the shoulder. Radiology. 2016;278(2):458-64. doi: 10.1148/radiol.2015150888, PMID 26323030.
  37. Li JQ, Tang KL, Wang J, Li QY, Xu HT, Yang HF, et al. MRI findings for frozen shoulder evaluation: is the thickness of the coracohumeral ligament a valuable diagnostic tool? PLOS ONE. 2011;6(12):e28704. doi: 10.1371/journal.pone.0028704, PMID 22163326.
  38. Rundquist PJ, Anderson DD, Guanche CA, Ludewig PM. Shoulder kinematics in subjects with frozen shoulder. Arch Phys Med Rehabil. 2003;84(10):1473-9. doi: 10.1016/s0003-9993(03)00359-9, PMID 14586914.
  39. Mao CY, Jaw WC, Cheng HC. Frozen shoulder: correlation between the response to physical therapy and follow-up shoulder arthrography. Arch Phys Med Rehabil. 1997;78(8):857-9. doi: 10.1016/s0003-9993(97)90200-8, PMID 9344306.
  40. Lin JJ, Wu YT, Wang SF, Chen SY. Trapezius muscle imbalance in individuals suffering from frozen shoulder syndrome. Clin Rheumatol. 2005;24(6):569-75. doi: 10.1007/s10067-005-1105-x, PMID 15902524.
  41. Smith SP, Devaraj VS, Bunker TD. The association between frozen shoulder and Dupuytren’s disease. J Shoulder Elbow Surg. 2001;10(2):149-51. doi: 10.1067/mse.2001.112883, PMID 11307078.
  42. Saunders DG, Walker JR, Levine D. Joint mobilization. Vet Clin North Am Small Anim Pract. 2005;35(6):1287-316. doi: 10.1016/j.cvsm.2005.07.003, PMID 16260314.
  43. Hannafin JA, Chiaia TA. Adhesive capsulitis: A treatment approach. Clin Orthop Relat Res. 2000;372(372):95-109. doi: 10.1097/00003086-200003000-00012, PMID 10738419.
  44. Çelik D, Kaya Mutlu E. Does adding mobilization to stretching improve outcomes for people with frozen shoulder? A randomized controlled clinical trial. Clin Rehabil. 2016;30(8):786-94. doi: 10.1177/0269215515597294, PMID 26229109. -.
  45. OLA I, IBRAHIM SF. ABDEL-MAJID, comparative study of the combined effect of therapeutic exercises and mobilization between Stage II and Stage III frozen shoulder Med. J Cairo Univ. 2020;88(4, September):1531-7.
  46. Jivani RR, Hingarajia DN. Effect of Spencer muscle energy technique versus Maitland’s mobilization technique on pain, ROM and disability in patients with frozen shoulder: A comparative study. Int J Physiother Res. 2021;9(4):3928-36. doi: 10.16965/ijpr.2021.148.
  47. Jehaman I, Berampu Sabirin. Benefits of giving manual therapy and Codman pendular exercise on functional activities of Frozen shoulder patients. Jurnal Pengabdian Kepada Masyrakat e ISSN: 2775-2437 Edisi Juni 2021. Vol. 1(1).
  48. Almureef SS, Ali WM, Shamsi S, Al Zahrani MB. Effectiveness of mobilization with conventional physiotherapy in frozen shoulder: A systematic review. Int J Rec Innov Med Clin Res. 2020;2(4):22-9.
  49. Iqbal M, Riaz H, Ghous M, Masood K. Comparison of Spencer muscle energy technique and passive stretching in adhesive capsulitis: A single blind randomized control trial. J Pak Med Assoc. 2020;70(12(A)):2113-8. doi: 10.5455/JPMA.23971, PMID 33475581.
  50. Jumbo SU, MacDermid JC, Packham TL et al. Reproducibility: reliability and agreement parameters of the revised Short McGill Pain Questionnaire. 2nd version for use in patients with musculoskeletal shoulder pain. Health Qual Life Outcomes 18. Vol. 365; 2020.
  51. Ki-Suk park K-YJ. The effects of Spencer technique on the ROM, pain, function in patients with shoulder adhesive capsulitis. 2018;24(2):37-42.
  52. Curcio JE, Grana MJ, England S, Banyas PM, Palmer BD, Placke AE; et al. Use of the Spencer technique on collegiate baseball players: effect on physical performance and self-report measures’. Journal of Osteopathic Medicine. 2017;117(3):166-75. doi: 10.7556/jaoa.2017.031.
  53. Contractor ES, Agnihotri DS, Patel RM. Effect of Spencer Muscle Energy Technique on pain and functional disability in cases of adhesive capsulitis of shoulder joint. Int Arch Integr Med. 2016;3(8):126-31.
  54. Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017;9(2):75-84. doi: 10.1177/1758573216676786, PMID 28405218.
  55. Gutiérrez Espinoza HJ, Pavez F, Guajardo C, Acosta M. Glenohumeral posterior mobilization versus conventional physiotherapy for primary adhesive capsulitis: a randomized clinical trial. Medwave. 2015 September 22;15(8). English, Spanish. doi: 10.5867/medwave.2015.08.6267, PMID 26485477.
  56. Uppal HS, Evans JP, Smith C. Frozen shoulder: A systematic review of therapeutic options. World J Orthop. March 18 2015;6(2):263-8. doi: 10.5312/wjo.v6.i2.263, PMID 25793166.
  57. Jason JI, Sundaram S G, Subramani M V. Physiotherapy interventions for adhesive capsulitis of shoulder: a systematic review. Int J Physiother Res. 2015;3(6):1318-25. doi: 10.16965/ijpr.2015.198.
  58. Antonietti L, Luna N, Nogueira G, Ito A, Santos M, Alonso A et al. Reliability Index of inter- and intra-rater of manual goniometry and computerized biophotogrammetry to assess the range of motion of internal and external shoulder rotation. Medical Express. 2014;1(2):95-9. doi: 10.5935/MedicalExpress.2014.02.08.
  59. Shahbaz Nawaz Ansari et al., effect of ultrasound therapy with end range mobilization over cryotherapy with capsular stretching on pain in frozen shoulder – a comparative study. Int J Curr Res Rev. December 2012 / Vol 04.
  60. Kolber MJ, Hanney WJ. the reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. Int J Sports Phys Ther. 2012;7(3, June):306-13. PMID 22666645.
  61. Breckenridge JD, McAuley JH. Shoulder pain and disability index (SPADI). J Physiother. 2011;57(3):197. doi: 10.1016/S1836-9553(11)70045-5, PMID 21843839.
  62. Ewald A. Adhesive capsulitis: a review. Am Fam Phys. 2011;83(4):417-22. PMID 21322517.
  63. Hacer. Dogru et al., Effectiveness of therapeutic ultrasound in adhesive capsulitis. Joint Bone Spine. 2008;75:445.e45.
  64. Knebl JA, Shores JH, Gamber RG, Gray WT, Herron KM. Improving functional ability in the elderly via the Spencer technique, an osteopathic manipulative treatment: a randomized, controlled trial. J Am Osteopath Assoc. 2002;102(7):387-96. PMID 12138953.
  65. Patriquin DA. The evolution of osteopathic manipulative technique: the Spencer technique. J Am Osteopath Assoc. 1992;92(9):1134-46. doi: 10.7556/jaoa.1992.92.9.1134, PMID 1429074.
  66. Melzack R. The short-form McGill pain questionnaire. Pain. 1987;30(2):191-7, ISSN 0304-3959.3(12):e2029581. doi: 10.1016/0304-3959(87)91074-8, PMID 3670870
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