Effectiveness of Kaltenborn Joint Mobilization Technique Versus Muscle Energy Technique on Pain and Disability in Patients with Shoulder Adhesive Capsulitis

Abstract

The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis. Study was conducted in population of Sargodha who is seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers. The study design was randomized, controlled, and multicenter. Around 75 patients were selected by inclusion and exclusion criteria, and were divided into three groups by lottery method of randomization. Group 1 obtained Kaltenborn method of treatment, Group 2 obtained muscle energy technique, and Group 3 is control group that obtained conventional treatment in the form of heat and range of motion exercises. Duration of study was 6 months, and the interventions were performed for two weeks, with a total of 10 sessions. A baseline measurement was taken on shoulder pain and disability index (SPADI). A post intervention measurement was taken on same outcome measurement tools and was compared using ANOVA statistical analysis. The pre-intervention measurements on SPADI were 61.11±8.79, 60.91±9.90, and 61.18±9.00 in control, Kaltenborn, and METs groups, respectively. The post intervention measurements were 49.33±9.95, 39.09±9.45, and 27.69±11.97 in control, Kaltenborn, and METs groups, respectively. This study concluded that both techniques are effective in the treatment of adhesive capsulitis to decrease the pain and disability in experimental groups in comparison to control groups. METs is superior to Kaltenborn in pain and disability management when compared to each other.