Efficacy between “Spencer Technique” and “Muscle Energy Technique” in Treatment of “Adhesive Capsulitis”

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Abstract

Background: Adhesive capsulitis is a painful and disabling condition of unknown etiology, in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint become inflamed and causes chronic pain with restriction. Although there are multiple ways to treat the disorder, there is a lack of evidence in indicating a specific technique to treat the disorder. In this study, we intend to check the efficacy of two different techniques in improving the range and function of the shoulder joint.Methodology: Thirty subjects were randomly allocated to two different groups. One group was administered with muscle energy technique (MET) and the other with Spencer technique. The pain intensity and disability of shoulder joint is evaluated with shoulder pain disability index. For range of motion for shoulder flexion, extension, abduction, adduction, internal rotation, and external rotation, Goniometry was used as an outcome measure.Results: The results are tabulated in terms of mean, standard deviation, variance, t-test, and P-value. Student t-test shows that there were statistically significant values for groups (P < 0.05). Variance test has been found to be significant at P < 0.05, Spencer technique is found to be more effective compare to MET.Conclusion: When applied to the patients, both MET and Spencer technique are found to be effective, in comparison using t-test, it is concluded that Spencer technique is more effective than MET.
“斯宾塞法”与“肌能法”治疗“粘连性囊炎”的疗效比较
背景:粘连性肩关节炎是一种病因不明的疼痛和致残疾病,患者肩关节周围的结缔组织发生炎症并引起慢性疼痛。虽然有多种方法可以治疗这种疾病,但缺乏证据表明一种特定的技术可以治疗这种疾病。在这项研究中,我们打算检查两种不同的技术在改善肩关节的活动范围和功能方面的功效。方法:30名受试者随机分为两组。一组采用肌肉能量技术(MET),另一组采用Spencer技术。采用肩痛失能指数评价肩关节的疼痛强度和失能程度。对于肩关节屈曲、伸展、外展、内收、内旋和外旋的活动范围,采用角度测量作为结果测量。结果:结果以均数、标准差、方差、t检验和p值表示。学生t检验显示组间差异有统计学意义(P < 0.05)。方差检验发现P < 0.05显著,Spencer技术比MET更有效。结论:应用于患者时,发现MET和Spencer技术均有效,通过t检验比较,得出Spencer技术比MET技术更有效。
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