Efficacy of Maitland Mobilization Along with Strengthening Exercises Compared with PNF Technique in Treatment of Adhesive Capsulitis

BACKGROUND: Adhesive capsulitis commonly known as frozen shoulder, is the disease of shoulder in which the shoulder becomes inflamed, stiff, and have restricted ROM. It is more common in females than in males. The common age of its onset is mid-fifties. OBJECTIVE: The aim of the study was to compare the effects of Maitland mobilization along with strengthening exercises and PNF technique and to evaluate the more effective protocol for the treatment of adhesive capsulitis. METHODOLOGY: This study was a randomized clinical trial with a sample size of 32 members, conducted at Al-Rae Trust Hospital Gujranwala. Participants were randomly assigned into Group 1(Maitland mobilization along with strengthening Exercises) and Group 2 (PNF technique). Each group consisted of 16 participants. The duration of each intervention was 3 sessions per week for 1 month. The participants were assessed by SPADI scale, Numeric pain rating scale, and Goniometer at baseline, after the 2nd and 4th week of treatment. RESULTS: One way ANOVA and Repeated measures ANOVA were applied to infer results with a 95% confidence level, the level of significance of 0.05 was considered statistically significant. The mean age of subjects was recorded as 51.25±4.938. Out of 32 patients, 11 patients (34.48%) were Males, and 21 patients (65.63%) were Females. For Numeric Pain Rating Scale and SPADI, results demonstrate that significant differences is present in between both groups having significant value of p<0.05. CONCLUSIONS:  The study concluded that Maitland mobilization along with strengthening exercises showed more significant results reduction in pain, stiffness, and increased ROM for patients with adhesive capsulitis. KEYWORDS: Arthritis, Physical conditioning, Adhesive capsulitis, Physical Therapy, Activities of daily living