Effect of Spencer Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation in Adhesive Capsulitis

Abstract

Background: Adhesive Capsulitis in the shoulder characterized as a self-limiting situation that lasts only while it
has also been described as a 24 week long-term impairment caused by a chronic condition. SMET is a widely used
method to restore normal ROM and reduce pain. PNF aims to improve joint synchronization, movement control,
and mobility.
Purpose: This study focuses on the effect of Spencer Muscle Energy Technique and Proprioceptive Neuromuscular
Facilitation for reducing pain and disability in Adhesive Capsulitis.
Materials and Methods: A total of 40 participants were selected based on inclusion and exclusion criteria from
Eyan Healthcare Foundation during the period of November 2022 to July 2023. They were split into two groups,
with 20 Participants receiving Spencer Muscle Energy Technique and 20 Participants receiving Proprioceptive
Neuromuscular Facilitation. Subjects with age of 40-70 years, with or without diabetes and pain or stiffness on
shoulder were included and Subjects with recent trauma, injury around the shoulder were excluded in the study.
All the subjects underwent pre-test measurement with Shoulder Pain and Disability Index (SPADI) and the same
repeated for post-test measurement at the end of 4 weeks.
Results: By statistical analysis there is a significant difference between the two groups. The Spencer group displays
a greater difference than the PNF group when comparing mean differences of the two groups using SPADI.
Conclusion: The study concluded that subjects who underwent Spencer Muscle Energy Technique are found to
be more effective in reducing pain and disability than Proprioceptive Neuromuscular Facilitation in Adhesive
Capsulitis.