The propose of the study will help the clinicians provide an evidence-based approach for the application of Spencer technique and acromioclavicular mobilization, an application of these techniques on pain, range of motion and functional disability of patients of frozen shoulder. So, that it can be determined which treatment is superior in terms of achieving better results in the management regime.
Male and female both are included
Age of 50-60 years
Unilateral frozen shoulder stage 2 with pain lasting for more than 1 month
Capsular pattern of motion restriction (lateral rotation, abduction, medial rotation)
Rotator cuff tear
Dislocation of shoulder
Shoulder subluxation
Upper limb fracture
Parallel
mobilization
Other interventionAcromioclavicular joint mobilization: * The patient is placed in the supine position and the upper limb is placed in a physiological position with the patient's arm clinging to the body and the hand on the abdomen, which causes the capsule to stretch less and the technique to be less painful. * The therapist placed the tips of his both thumbs on the anterior surface of the clavicle adjacent to the ACJ and spread his other fingers out for stability and his forearm was situated in line with the posterior movement at the ACJ. * ACJ mobilization was performed in up to 30-minute individual sessions by a single trained therapist. * The treatment techniques were anterior to posterior passive accessory glides of the distal end of the clavicle categorized from Grade III * Grade III is used at a large amplitude from the middle of the joint ROM to the start of the constraint. Grade III will apply for stimulating a stretching to relieve joint stiffness in a shorter tissue
traditional physical therapy
Other interventionSpencer technique: * The patient was resting on their side, with the affected shoulder raised. * In 7 separate movements, the therapist used the proximal hand to stabilize the shoulder girdle, while the distal hand applied force to the restrictive barrier of the shoulder. * Shoulder extension, circumduction with compression, shoulder flexion, circumduction with distraction, abduction, adduction with internal rotation, and glenohumeral pump were the exercises performed. * The patients were advised to employ their muscle energy technique against the small resistance provided by the therapist for 3-5 seconds throughout each movement. * Over the course 5 days a week, the exercise was repeated 3-5 times per session, with rest breaks.
Shoulder pain and disability index
SPADI is one of the most often used PROMs to evaluate pain and impairment in individuals with frozen shoulder. When used to measure shoulder problems, SPADI has demonstrated exceptional construct validity and reliability, primarily in patients who come with shoulder discomfort at the primary care level. The SPADI was created to assess the extent of shoulder pain and discomfort during everyday activities by the patients themselves. There are 13 components total, with 5 related to pain and 8 related to disability, components were rated using a visual analog scale. The responses are added up and converted into a composite score of 100, where 100 represents the highest level of shoulder discomfort and disability and zero represents the lowest level.
universal goniometer
The measurement of joint range of motion (ROM) is an essential procedure used in physical therapy, known as goniometry(22). Goniometry, the measurement of joint angles, traditionally performed with a universal goniometer (UG), is a commonly utilized assessment tool in monitoring problems of the musculoskeletal system, as well as the progression of rehabilitation interventions.
numeric pain rating scale
Numeric Pain Rating Scale (NRS-11), which is an eleven-point scale in which the end points are the extremes of no pain at all (score of 0) and the worst pain the patient has ever experienced (score of 10). NPRS-11 pain severity score of "4" is frequently given special significance in this regard, suggesting it as a potential threshold value for pain severity in clinical practice
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