Comparison of Kaltenborn mobilization technique and muscle energy technique on range of motion, pain and function in subjects with chronic shoulder adhesive capsulitis

Background: Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy...

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Published in:	Hong Kong physiotherapy journal Vol. 43; no. 2; pp. 149 - 159
Main Authors:	Pattnaik, Sandeep, Kumar, Pravin, Sarkar, Bibhuti, Oraon, Anil Kumar
Format:	Journal Article
Language:	English
Published:	World Scientific Publishing Company 01.12.2023 World Scientific Publishing
Subjects:	Adhesive capsulitis frozen shoulder Kaltenborn mobilization technique muscle energy technique Research Paper shoulder pain Kaltenborn mobilization technique frozen shoulder muscle energy technique shoulder pain Adhesive capsulitis
ISSN:	1013-7025, 1876-441X
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Abstract	Background: Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy technique (MET) are commonly used physiotherapeutic techniques for their treatment. To the best of our understanding, there was no study found to compare the effectiveness of one technique over another. Objective: The objective of this study was to compare the effectiveness of KMT and MET on the ROM, pain and function in subjects with chronic shoulder AC. Methods: In this single-centred, single-blinded quasi-experimental study with a pretest–posttest design 35 subjects were randomized into two groups: Group A ( n = 1 8 ) received KMT and Group B ( n = 1 7 ) received MET along with the moist hot pack (MHP), supervised exercises and home exercises common to both the groups. A total of 32 subjects completed the study with three dropouts. Subjects were evaluated before and after 10 treatment sessions for the outcomes, shoulder external rotation passive range of motion (ER-PROM) and abduction passive range of motion (ABD-PROM) using the universal goniometer, intensity of pain using the numeric pain rating scale (NPRS) and functional disability using the shoulder pain and disability index (SPADI). Results: Analysis of 32 subjects showed that both groups were homogenous at baseline. The within-group analysis showed significant improvement ( p < 0 . 0 5 ) in both groups related to all the outcomes. But when we compared the groups, Group B showed significant ( p < 0 . 0 5 ) improvement in NPRS and SPADI in comparison to Group A. However, there was non-significant ( p > 0 . 0 5 ) difference found in ER-PROM and ABD-PROM. Conclusion: Both KMT and MET are effective in improving ROM, pain and function but MET showed a significant reduction of pain and improvement in function in subjects with chronic shoulder AC, thus supporting its use as a physiotherapeutic treatment technique.
AbstractList	Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy technique (MET) are commonly used physiotherapeutic techniques for their treatment. To the best of our understanding, there was no study found to compare the effectiveness of one technique over another.BackgroundShoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy technique (MET) are commonly used physiotherapeutic techniques for their treatment. To the best of our understanding, there was no study found to compare the effectiveness of one technique over another.The objective of this study was to compare the effectiveness of KMT and MET on the ROM, pain and function in subjects with chronic shoulder AC.ObjectiveThe objective of this study was to compare the effectiveness of KMT and MET on the ROM, pain and function in subjects with chronic shoulder AC.In this single-centred, single-blinded quasi-experimental study with a pretest-posttest design 35 subjects were randomized into two groups: Group A (n=18) received KMT and Group B (n=17) received MET along with the moist hot pack (MHP), supervised exercises and home exercises common to both the groups. A total of 32 subjects completed the study with three dropouts. Subjects were evaluated before and after 10 treatment sessions for the outcomes, shoulder external rotation passive range of motion (ER-PROM) and abduction passive range of motion (ABD-PROM) using the universal goniometer, intensity of pain using the numeric pain rating scale (NPRS) and functional disability using the shoulder pain and disability index (SPADI).MethodsIn this single-centred, single-blinded quasi-experimental study with a pretest-posttest design 35 subjects were randomized into two groups: Group A (n=18) received KMT and Group B (n=17) received MET along with the moist hot pack (MHP), supervised exercises and home exercises common to both the groups. A total of 32 subjects completed the study with three dropouts. Subjects were evaluated before and after 10 treatment sessions for the outcomes, shoulder external rotation passive range of motion (ER-PROM) and abduction passive range of motion (ABD-PROM) using the universal goniometer, intensity of pain using the numeric pain rating scale (NPRS) and functional disability using the shoulder pain and disability index (SPADI).Analysis of 32 subjects showed that both groups were homogenous at baseline. The within-group analysis showed significant improvement (p<0.05) in both groups related to all the outcomes. But when we compared the groups, Group B showed significant (p<0.05) improvement in NPRS and SPADI in comparison to Group A. However, there was non-significant (p>0.05) difference found in ER-PROM and ABD-PROM.ResultsAnalysis of 32 subjects showed that both groups were homogenous at baseline. The within-group analysis showed significant improvement (p<0.05) in both groups related to all the outcomes. But when we compared the groups, Group B showed significant (p<0.05) improvement in NPRS and SPADI in comparison to Group A. However, there was non-significant (p>0.05) difference found in ER-PROM and ABD-PROM.Both KMT and MET are effective in improving ROM, pain and function but MET showed a significant reduction of pain and improvement in function in subjects with chronic shoulder AC, thus supporting its use as a physiotherapeutic treatment technique.ConclusionBoth KMT and MET are effective in improving ROM, pain and function but MET showed a significant reduction of pain and improvement in function in subjects with chronic shoulder AC, thus supporting its use as a physiotherapeutic treatment technique. Background: Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy technique (MET) are commonly used physiotherapeutic techniques for their treatment. To the best of our understanding, there was no study found to compare the effectiveness of one technique over another. Objective: The objective of this study was to compare the effectiveness of KMT and MET on the ROM, pain and function in subjects with chronic shoulder AC. Methods: In this single-centred, single-blinded quasi-experimental study with a pretest–posttest design 35 subjects were randomized into two groups: Group A ( n = 1 8 ) received KMT and Group B ( n = 1 7 ) received MET along with the moist hot pack (MHP), supervised exercises and home exercises common to both the groups. A total of 32 subjects completed the study with three dropouts. Subjects were evaluated before and after 10 treatment sessions for the outcomes, shoulder external rotation passive range of motion (ER-PROM) and abduction passive range of motion (ABD-PROM) using the universal goniometer, intensity of pain using the numeric pain rating scale (NPRS) and functional disability using the shoulder pain and disability index (SPADI). Results: Analysis of 32 subjects showed that both groups were homogenous at baseline. The within-group analysis showed significant improvement ( p < 0 . 0 5 ) in both groups related to all the outcomes. But when we compared the groups, Group B showed significant ( p < 0 . 0 5 ) improvement in NPRS and SPADI in comparison to Group A. However, there was non-significant ( p > 0 . 0 5 ) difference found in ER-PROM and ABD-PROM. Conclusion: Both KMT and MET are effective in improving ROM, pain and function but MET showed a significant reduction of pain and improvement in function in subjects with chronic shoulder AC, thus supporting its use as a physiotherapeutic treatment technique. Background: Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy technique (MET) are commonly used physiotherapeutic techniques for their treatment. To the best of our understanding, there was no study found to compare the effectiveness of one technique over another. Objective: The objective of this study was to compare the effectiveness of KMT and MET on the ROM, pain and function in subjects with chronic shoulder AC. Methods: In this single-centred, single-blinded quasi-experimental study with a pretest–posttest design 35 subjects were randomized into two groups: Group A ([Formula: see text]) received KMT and Group B ([Formula: see text]) received MET along with the moist hot pack (MHP), supervised exercises and home exercises common to both the groups. A total of 32 subjects completed the study with three dropouts. Subjects were evaluated before and after 10 treatment sessions for the outcomes, shoulder external rotation passive range of motion (ER-PROM) and abduction passive range of motion (ABD-PROM) using the universal goniometer, intensity of pain using the numeric pain rating scale (NPRS) and functional disability using the shoulder pain and disability index (SPADI). Results: Analysis of 32 subjects showed that both groups were homogenous at baseline. The within-group analysis showed significant improvement ([Formula: see text]) in both groups related to all the outcomes. But when we compared the groups, Group B showed significant ([Formula: see text]) improvement in NPRS and SPADI in comparison to Group A. However, there was non-significant ([Formula: see text]) difference found in ER-PROM and ABD-PROM. Conclusion: Both KMT and MET are effective in improving ROM, pain and function but MET showed a significant reduction of pain and improvement in function in subjects with chronic shoulder AC, thus supporting its use as a physiotherapeutic treatment technique. Background: Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its functionality, yet poorly defined and understood since its identification. Kaltenborn mobilization technique (KMT) and muscle energy technique (MET) are commonly used physiotherapeutic techniques for their treatment. To the best of our understanding, there was no study found to compare the effectiveness of one technique over another. Objective: The objective of this study was to compare the effectiveness of KMT and MET on the ROM, pain and function in subjects with chronic shoulder AC. Methods: In this single-centred, single-blinded quasi-experimental study with a pretest–posttest design 35 subjects were randomized into two groups: Group A ([Formula: see text]) received KMT and Group B ([Formula: see text]) received MET along with the moist hot pack (MHP), supervised exercises and home exercises common to both the groups. A total of 32 subjects completed the study with three dropouts. Subjects were evaluated before and after 10 treatment sessions for the outcomes, shoulder external rotation passive range of motion (ER-PROM) and abduction passive range of motion (ABD-PROM) using the universal goniometer, intensity of pain using the numeric pain rating scale (NPRS) and functional disability using the shoulder pain and disability index (SPADI). Results: Analysis of 32 subjects showed that both groups were homogenous at baseline. The within-group analysis showed significant improvement ([Formula: see text]) in both groups related to all the outcomes. But when we compared the groups, Group B showed significant ([Formula: see text]) improvement in NPRS and SPADI in comparison to Group A. However, there was non-significant ([Formula: see text]) difference found in ER-PROM and ABD-PROM. Conclusion: Both KMT and MET are effective in improving ROM, pain and function but MET showed a significant reduction of pain and improvement in function in subjects with chronic shoulder AC, thus supporting its use as a physiotherapeutic treatment technique.
Author	Kumar, Pravin Pattnaik, Sandeep Sarkar, Bibhuti Oraon, Anil Kumar
AuthorAffiliation	1 National Institute for Locomotor Disabilities (Divyangjan) Kolkata 700090, West Bengal, India sandypattnaik37@yahoo.com
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Snippet	Background: Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease... Shoulder adhesive capsulitis (AC) is a common musculoskeletal condition causing pain, loss of range of motion (ROM) in the shoulder, and a decrease in its...
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SubjectTerms	Adhesive capsulitis frozen shoulder Kaltenborn mobilization technique muscle energy technique Research Paper shoulder pain
Title	Comparison of Kaltenborn mobilization technique and muscle energy technique on range of motion, pain and function in subjects with chronic shoulder adhesive capsulitis
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