EFFECTIVENESS OF NEUROMUSCULAR REDUCTION AND MUSCLE ENERGY TECHNIQUE OF SUBSCAPULARIS IN SUBJECTS WITH ADHESIVE CAPSULITIS: A COMPARATIVE STUDY

*Palleti Chandrika, Dr. Patchava Apparao, Dr. Ch. Ganapati Swamy and Dr. R. Geetha Mounika

ABSTRACT

Background and Objective: Adhesive Capsulitis of Shoulder is characterized by an insidious and progressive pain and loss of active and passive mobility in the glenohumeral joint. A shortened subscapularis muscle has been implicated as cause of limited motion. The objective of this study was to investigate the effectiveness of Neuromuscular Reduction and Muscle Energy Technique of Subscapularis in subjects with adhesive capsulitis. Methods: Prospective study design. This study includes 64 Subjects with mean age of40 to 60 years having a Clinical Diagnosis of Adhesive Capsulitis were randomly allocated in to 2 groups. Group I (n=32) were treated with NMR and Group II (n=32) were treated with MET along in conventional physiotherapy. Participants received the intervention 3 times a week for 6 weeks. The outcome measures of this intervention were measured in VAS for Pain, Universal Goniometer for Shoulder ROM and SPADI for Function. Results: Statistical analysis of the data revealed that within group comparison both groups showed significant improvement in all parameters, where as in between groups comparison there is no significant improvement in all parameters. Neuromuscular Reduction and Muscle Energy Technique are equally effective in this condition. Conclusion: After 6 weeks of intervention both the subscapularis NMR and MET intervention showed significant improvement on reducing Pain, improving Shoulder ROM, and Function. However, analysis between the groups suggest that both the interventions are equally effective and no exercise is superior to other.

Keywords: Adhesive Capsulitis, Neuromuscular Reduction, Muscle Energy Technique, Subscapularis Muscle, Shoulder Pain and Disability Index.