Effect of Gong’s Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis

• Main Authors: Yuvarani Gopinath, Santhosh Krithika Seenivasan, Senthil Nathan Celambakkaam Veeraraghavan, Rajalaxmi Viswanathan, Mohan Kumar Govindaraj
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2018-09-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: range of motion; shoulder pain and disability index; visual analog scale
• Online Access: https://jcdr.net/articles/PDF/12021/34725_CE[RA1]_F(SHU)_PF1(AJ_AP)_PN(AP).pdf

Introduction: Adhesive capsulitis is a self-limiting condition of unknown aetiology. It is characterised by painful and limited active and passive range of motion. Women are more commonly affected than men. This condition is defined as spontaneous onset of pain and limitation of shoulder range of motion. Manipulation, soft tissue mobilisation techniques, electrotherapy have proved effective in reducing pain, improving the range of motion, thereby increasing the functional ability of shoulder. Aim: The present study focuses on the effectiveness of Gong’s mobilisation versus muscle energy technique on pain and functional ability of shoulder in phase II adhesive capsulitis. Materials and Methods: The present cross-sectional study included 50 subjects with the history of adhesive capsulitis (phase II) selected based on the inclusion and exclusion criteria. They were randomly allocated into two study groups. The duration of the treatment intervention was 6 sessions per week for the duration of two weeks. The Gong’s mobilisation (Group A) pull was maintained for about 10-15 seconds and a rest period of 5 seconds was given. This technique was performed for about 2-3 minutes. Maitland’s grade 3 and 4 was performed to increase the range which was then followed by sustained stretch at grade 4 for about 5-7 seconds. Muscle energy technique was applied for 5 repetitions per set, 5 sets per session, 1 session per day, 5 days a week for 2 weeks with each repetition maintained for the duration of 7–10 seconds. The outcome measures for the range of motion was goniometer, pain was assessed by using VAS, functional ability by Shoulder Pain And Disability Index (SPADI), after six sessions of treatment for about two weeks. Results: The post-test mean value of range of motion for Group A was 155.56 and for Group B it was 135.40. The mean post test value for VAS for Group A was 2.12 and Group B it was 3.24. The post mean value for SPADI in Group A was 25.28 and Group B 34.80. Based on the above data analysis it is evident that Group A showed significant improvement than Group B. This implies that Gong’s mobilisation is more beneficial in improving ROM, reducing pain, improving functional ability. Conclusion: The present study concludes that Gong’s mobilisation is more effective than muscle energy technique in subjects with phase II adhesive capsulitis.