COMPARATIVE EFFECT OF SPENCER TECHNIQUE VS GONG MOBILIZATION ON ROM AND FUNCTIONAL DISABILITY AMONG ADHESIVE CAPSULITIS PATIENTS
Main Article Content
Keywords
Adhesive capsulitis, Gong mobilization, ROM, Spencer technique
Abstract
Background: Adhesive capsulitis (AC) patients experience a progressive loss of shoulder mobility and functional disability. Scientific research indicates that Gong's mobilization and spencer technique has an immediate positive impact on improving shoulder mobility and functional disability.
Objective: To determine comparative effect of Spencer technique vs Gong mobilization on Rom and functional disability among adhesive capsulitis patients.
Methods: A randomized clinical trial was conducted .Data was gathered from Allied hospital Faisalabad ,Civil hospital Faisalabad and Faisal hospital Faisalabad. Simple random sampling techniques used. 34 sample size was calculated .40-55 year male /female having adhesive capsulitis , previous episode of shoulder stiffness and pain lasting more than three months were included .Participants with shoulder subluxation , upper limb fracture and Congenital abnormalities of Shoulder were excluded.2 intervention groups were made .Group A participants undergone spencer technique and group B received gong mobilization. SPADI questionnaire utilized to find out functional disability and goniometer utilized to find ROM. Study ran Feb 2024 to June 2024 . Version 25 of SPSS was employed for statistical analysis.
Results: Revealed Post-intervention SPADI total scores significantly decreased in both groups, with Group A reporting 60.381±15.327 and Group B reporting 49.500±9.076 with p-value was .007 indicating a significant difference post-intervention. Group B generally exhibited larger mean improvements in ROM compared to Group A as evidenced by the greater magnitude of changes in most movements with significant p value <0.01.
Conclusion: Both intervention showed significant improvement on shoulder ROM and shoulder functional disability but gong mobilization showed more superior results comparatively.
References
2. Millar NL, Meakins A, Struyf F, Willmore E, Campbell AL, Kirwan PD, et al. Frozen shoulder. Nature reviews Disease primers. 2022;8(1):59.
3. Brindisino F, Girardi G, Crestani M, Fiore A, Giovannico G, Garzonio F, et al. Effectiveness of electrophysical agents in subjects with frozen shoulder: a systematic review and meta-analysis. Disability and Rehabilitation. 2023:1-22.
4. Seher Z, Goher N, Hamid A, Latif U, Bukhari A, Rafique H, et al. Prevalence of Adhesive Capsulitis Among Diabetics and Non-Diabetics with Shoulder Pain in General Population: Prevalence of Adhesive Capsulitis. Pakistan Journal of Health Sciences. 2023:67-71.
5. Brindisino F, Struyf F. Terminology, definition, and prognosis of a frozen shoulder. Frozen Shoulder: Elsevier; 2024. p. 39-49.
6. Georgiannos D, Markopoulos G, Devetzi E, Bisbinas I. Adhesive Capsulitis of the Shoulder. Is there Consensus Regarding the Treatment? A Comprehensive Review. The open orthopaedics journal. 2017;11:65-76.
7. Celik D. Comparison of the outcomes of two different exercise programs on frozen shoulder. Acta orthopaedica et traumatologica turcica. 2010;44(4):285-92.
8. Salwa F, IBRAHIM OI, MOHAMED AS, Walid RM. Comparative study of the combined effect of therapeutic exercises and mobilization between stage II and stage III frozen shoulder. The Medical Journal of Cairo University. 2020;88(September):1531-7.
9. Sheridan MA, Hannafin JA. Upper extremity: emphasis on frozen shoulder. Orthopedic Clinics. 2006;37(4):531-9.
10. Phansopkar P. Impact of Spencer Technique on Pain, Range of Motion, and Functional Disability in Patients With Frozen Shoulder: A Pilot Study. Cureus. 2024;16(1).
11. Curcio JE, Grana MJ, England S, Banyas PM, Palmer BD, Placke AE, et al. Use of the Spencer technique on collegiate baseball players: effect on physical performance and self-report measures. Journal of Osteopathic Medicine. 2017;117(3):166-75.
12. Phansopkar P. An integrated physical therapy using spencer’s technique in the rehabilitation of a patient with a frozen shoulder: a case report. Cureus. 2023;15(6).
13. Binder A, Bulgen D, Hazleman B, Roberts S. Frozen shoulder: a long-term prospective study. Annals of the rheumatic diseases. 1984;43(3):361-4.
14. Kariya G, Dhage P, Deshmukh NS. “Gongs Mobilization “Approach for Frozen Shoulder. Cureus. 2022;14(10).
15. Ramalingam V, Suganthirababu P, Abathsagayam K, Srinivasan V, Alagesan J. Comparing the Effects of Maitland Mobilization Technique Versus Exercise with Therapeutic Ultrasound in Adhesive Capsulitis. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.
16. Babu SKR, Ramalingam V, Swetha K. Effect of Gong's Mobilization Versus Conventional Physiotherapy Among Type II Diabetic Patients With Adhesive Capsulitis. Cureus. 2024;16(6).
17. Cunningham G, Charbonnier C, Lädermann A, Chagué S, Sonnabend DH. Shoulder motion analysis during Codman pendulum exercises. Arthroscopy, sports medicine, and rehabilitation. 2020;2(4):e333-e9.
18. Shrestha M, Joshi DD. Effect of gong’s mobilization on pain, range of motion and disability in frozen shoulder: A pilot study. International Journal of Healthcare Sciences. 2020;8(1):203-6.
19. Prasanth S, Sreedharan S, Subbarayalu A, Shahul P. Comparative effect of Gong’s mobilization and Spencer technique to manage frozen shoulder. Physiotherapy Quarterly. 2022;31(3):57-64.
20. GoPinath Y, SeenivaSan SK, Veeraraghavan SNC, Viswanathan R, Govindaraj MK. Effect of Gong's Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis. Journal of Clinical & Diagnostic Research. 2018;12(9).
21. Ramteke J, Nagulkar J. To study the effectiveness of Gong’s mobilization versus conventional therapy on shoulder pain, abduction and medial rotation ROM in patients with stage II Frozen Shoulder. International Journal of Applied Research. 2020;6(7):408-14.