Comparative Effect of Spencer Technique Versus Mulligan's Technique for Subjects with Frozen Shoulder-A Single Blind Study

Khyathi, P.; Babu, K. Vinod; Kumar, N. Sai; .D, Asha

doi:10.15621/ijphy/2015/v2i2/65255

Cited by 7 publications

(8 citation statements)

References 6 publications

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“…In the frozen shoulder, the mobility of the joint is affected, and physiotherapy helps in improving the range by various methods, namely Maitland, Kaltenborn, and Mulligan's mobilizations [ 3 ]. Spencer’s technique is a mobilization technique that consists of seven-step techniques that are used to improve mobility and reduce the stiffness of the joint [ 4 ]. The patient with a frozen shoulder mainly complains of stiffness and pain in the shoulder joint.…”

Section: Introductionmentioning

confidence: 99%

An Integrated Physical Therapy Using Spencer’s Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report

Phansopkar¹,

Qureshi²

2023

Cureus

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A frozen shoulder is a painful condition characterized by pain and stiffness. In frozen shoulder, the capsule of the joint gets inflamed, leading to pain that limits shoulder movement and thereby affects shoulder functions. There are three stages of frozen shoulder, and the symptoms differ according to the stage. Physiotherapy plays an important role in the management of a frozen shoulder. The Spencer technique is a seven-step technique that is used to treat shoulder movement restrictions. In this case report, we present the case of a 57-year-old male shopkeeper by occupation with a right frozen shoulder with complaints of pain and stiffness around the shoulder region and reduced range of motion (ROM) for more than six weeks. Physiotherapy rehabilitation was given to the patient using Spencer’s technique along with standard management for three weeks. Significant improvement in range of motion, decrease in pain, and functional disability, i.e., shoulder pain and disability index (SPADI), were seen post-rehabilitation and were sustained when evaluated at the end of the second, third, and sixth months.

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Section: Introductionmentioning

confidence: 99%

An Integrated Physical Therapy Using Spencer’s Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report

Phansopkar¹,

Qureshi²

2023

Cureus

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“…Frozen shoulder (FS), also known as adhesive capsulitis (AC), is a soft tissue disorder that causes pain, stiffness, and a progressive loss of active or passive range of motion in the glenohumeral joint [1]. The shoulder joint capsule, which is inflamed, thick, and stiff connective tissue that surrounds the shoulder joint [2].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of frozen shoulder is 2% in the general population, where 10%-29% of those with diabetes are prone to this problem [6]. FS affects significantly more women than males, and it occurs more frequently in the non-dominant arm [1]. This condition mostly affects adults between the ages of 40 and 60, and it only rarely affects those under the age of 40.…”

Section: Introductionmentioning

confidence: 99%

“…This condition mostly affects adults between the ages of 40 and 60, and it only rarely affects those under the age of 40. About 12% of those affected get symptoms on both sides, indicating a genetic tendency [1].…”

Section: Introductionmentioning

confidence: 99%

“…The majority of the force is applied at the very end range of motion. Stretching the tissues, increasing lymphatic flow, and generating greater joint circulation are all part of this approach [1]. Apart from these manipulative techniques, there is strong evidence that ultrasound can be used as a therapeutic modality in the treatment of frozen shoulders [20,21].…”

Section: Introductionmentioning

confidence: 99%

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Comparative effect of Gong’s mobilization and Spencer technique to manage frozen shoulder

Prasanth¹,

M²,

Sreedharan³

et al. 2022

Physiother Quart.

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Introduction. Physical therapy plays a significant role in managing frozen shoulder (FS), and it includes applying manual mobilization techniques to reduce pain, restore the extensibility of the shoulder capsule and increase range of motion (ROM). Objective: To compare the effectiveness of Gong's mobilization (GM) and Spencer technique (ST) in reducing pain, functional disability, and improving shoulder ROM on FS patients. Methods. A pre-and-post-test experimental study design was adopted, where thirty patients (n = 30) diagnosed with unilateral FS were selected and randomized into two groups of 15 using a simple random technique. Subjects in experimental group 1(EG-I) received ST technique and ultrasound therapy (US), with Codman's pendular exercise (CPE). Whereas experimental group II (EG-II) received GM technique and US, with CPE. The intervention lasted five days and consisted of one session every day. Three variables were assessed to study the treatment effectiveness both at the pre-intervention and at the end of the first week: (i) pain intensity as measured by the Visual Analogue Scale; (ii) shoulder ROM as measured by a goniometer (abduction, flexion, and medial rotation (MR)); and (iii) functional disability as measured by SPADI (Shoulder Pain Disability Index). Results. The EG-II showed a better reduction in pain intensity (mean difference (MD) of 0.87), SPADI (MD of 7), and increase in shoulder ROM (MD: 'abduction': 15.76; 'Flexion': 15.67; 'MR': 10.33) than the EG-I at 0.05 levels of significance. Conclusions. Gong's mobilization was found to be more effective than Spencer's technique with ultrasound therapy and CPE in treating patients with FS.

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Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis

Satpute

Reid

Mitchell³

et al. 2021

Journal of Manual & Manipulative Therapy

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Objective: To assess the effects of mobilisation with movement (MWM) on pain, range of motion (ROM) and disability in the management of shoulder musculoskeletal disorders.Methods: Six databases PubMed (MEDLINE), CINAHL, SPORTDiscus, PEDro, Cochrane library, and Scopus were searched for randomized control trials (RCTs). The ROB 2 tool was used to determine risk-of-bias and the quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Meta-analyses were performed for the sub-category of frozen shoulder and shoulder pain with movement dysfunction to evaluate the effect of MWM in isolation or in addition to exercise therapy and /or electrotherapy when compared with either no treatment, exercise therapy, electrotherapy alone or other types of manual therapy Results: Out of twenty-five studies, twenty-one were included in 8 separate meta-analyses for pain, ROM, and disability in the 2 sub-categories of shoulder disorders. For frozen shoulder, the addition of MWM significantly improved pain (SMD -1.23, 95% CI -1.96, -0.51), I 2 =89%), flexion ROM (MD -11.73, 95% CI -17.83, -5.64, I 2 =82%), abduction ROM (mean difference -13.14, 95% CI -19.42, -6.87, I 2 =85%) and disability (SMD -1.50, 95% CI (-2.30, -0.7, I 2 =89%). For shoulder pain with movement dysfunction the addition of MWM significantly improved pain (SMD -1.07, 95% CI -1.87, -0.26, I 2 =86%), flexion ROM (mean difference -18.48, 95% CI-32.43, -4.54, I 2 =90%), abduction 4.84, I 2 =97%) and disability (SMD -0.88, 95% CI -2.18, 0.43, I 2 =92%). The majority of studies were found to have a high risk of bias. Where appropriate, the clinical significance of the pooled differences was compared against Minimal Clinically Important Difference values.Discussion: MWM in addition to other forms of physiotherapy is associated with improved pain, mobility and function in patients with a range of shoulder musculoskeletal disorders including frozen shoulder. The effects were clinically meaningful for flexion and abduction ROM. However these findings need to be interpreted with caution due to the high levels of heterogeneity among included studies and inclusion of studies with a high risk of bias. The reasons for high levels of heterogeneity and risk of bias are explored.

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Comparative Effect of Spencer Technique Versus Mulligan's Technique for Subjects with Frozen Shoulder-A Single Blind Study

Cited by 7 publications

References 6 publications

An Integrated Physical Therapy Using Spencer’s Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report

An Integrated Physical Therapy Using Spencer’s Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report

Comparative effect of Gong’s mobilization and Spencer technique to manage frozen shoulder

Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis

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