Effect of Niel-Asher Technique vs Spencer Technique for Pain, Range of Motion and Functional Disability in Frozen Shoulder: A Randomized Clinical Trial.
IF 1.9 4区 医学Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
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引用次数: 0
Abstract
Background: Adhesive capsulitis, also known as frozen shoulder, is a painful and gradual loss of active and passive shoulder motion caused by fibrosis and contracture of the joint capsule. The Niel-Asher technique is a hands-on manual therapy used to treat adhesive capsulitis, while the Spencer technique focuses on mobilizing the glenohumeral and scapulothoracic joints.
Objective: The study aims to compare the effect of the Niel-Asher and Spencer techniques on frozen shoulder.
Method: A randomized clinical trial on 36 participants with frozen shoulder compared the Niel Asher technique (Group A) and the Spencer technique (Group B). Both groups underwent 10 sessions over 2 weeks, along with a hot moist pack and conventional therapy. Outcomes, including Shoulder Pain and Disability Index (SPADI), Visual Analog Scale (VAS),and Shoulder Range of Motion (ROM), were assessed at baseline and post-treatment after 2 weeks, to evaluate pain and functional abilities.
Results: The results showed significant improvement within the groups across all measured variables, Shoulder Pain and Disability Index (SPADI), Visual Analogue Scale (VAS), and Range of Motion (ROM) (P < .001). Group A and Group B showed greater improvement in pain intensity, decreased shoulder disability, and increased range of motion. No significant differences were found between groups for the outcome measures. Group B had a slightly better clinical response, as evidenced by larger effect sizes (Cohen's d).
Conclusion: Both the Niel-Asher and Spencer techniques are equally effective in improving pain, shoulder range, and functional disabilities, with no statistical difference between them (P ≥ .05).However, the Spencer technique is clinically more effective than the Niel-Asher technique in subjects with frozen shoulder.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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