COMPARATIVE EFFECT OF SPENCER TECHNIQUE VS MULLIGAN MOBILIZATION ON ROM AND FUNCTIONAL DISABILITY AMONG ADHESIVE CAPSULITIS PATIENTS

Abstract

Background: Adhesive capsulitis characterized by pain and limited ROM and functional disability. Manual therapy techniques such as Spencer and Mulligan promote shoulder function by increasing of ROM and reliving pain.

Objective: To find effect of spencer technique vs mulligan mobilization on rom and functional disability among adhesive capsulitis patients

Methods: A randomized clinical trial was conducted 38 frozen shoulder subjects. Data was gathered from  Mian Munshi DHQ Teaching  hospital ,Govt. THQ Mian Meer  hospital Lahore on this basis of inclusion and exclusion criteria.2 intervention groups were made .Group A participants undergone    spencer  technique and group B  received Mulligan Mobilization SPADI  questionnaire  utilized to find out functional disability and goniometer utilized to find  ROM were utilized   as assessment tool. Study ran April 2024 October 2024. SPSS version 22 employed for statistical analysis.

Results: Revealed group B demonstrated superior outcomes compared to Group A, with reductions in SPADI pain in the QoL score for all three domains: physical health (p = .006, disability (p = .033), and total scores p = .007. Showed within-group comparisons has significant reduction in pain, disability and total scores for both groups, more so Group B (p < .001).  For shoulder ROM post-intervention Group B reported significantly improved flexion, extension, abduction, internal, and external rotations (p < .05) than Group A.

Conclusion: Conclusively both groups benefited in all parameters Although; Group B Mulligan Mobilization was more effective in pain and disability reduction and ROM improvement as compared to group B spencer technique.