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Effectiveness of Muscle Energy Technique on Pain, Range of Motion, Proprioception, Muscle Strength & QOL in Diabetic Frozen Shoulder Conditions

Navneet Badoni, Niraj Kumar, Sharda Sharma, Tabussum null

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Physiotherapy and Occupational Therapy Journal 16(3):p 139-152, July-September 2023. | DOI: https://doi.org/10.21088/potj.0974.5777.16323.3

How Cite This Article:

Niraj Kumar, Navneet Badoni, Sharda Sharma, et al./Effectiveness of Muscle Energy Technique on Pain, Range of Motion, Proprioception, Muscle strength & QOL in Diabetic Frozen Shoulder Conditions/Physiotherapy and Occupational Therapy Journal. 2023;16(3): 139-152

Timeline

Received : July 19, 2023         Accepted : August 20, 2023          Published : September 25, 2023

Abstract

Introduction: The term “frozen shoulder” was first introduced by Codman in 1934. He described a painful shoulder condition of insidious onset that was associated with stiffness and difficulty sleeping on the affected side. Codman also identified the marked reduction in forward elevation and external rotation that are the hallmarks of the disease (Richard Dias et al, 2005). Aims and Objectives: To evaluate the effectiveness of Muscle Energy Techniques along with conventional Therapy on Pain, ROM, Muscle Strength, Proprioception, Disability, Anxiety & Depression, quality of life and Mindfulness in patients with diabetic frozen shoulder. Methodology: 31 Patients were treated with Muscle Energy Technique (MET), Stabilization Exercise and Moist Heat Therapy. All the patients were selected after informed consent. These patients were interviewed by direct method. The patients were assessed in 0 (zero) week and reassessed in 4 (four) weeks and 8 (eight) weeks of treatment programme. Every 0 week 4 weeks and 8 weeks of treatment programme, pain, ROM, shoulder strength, shoulder Proprioception & disability were recorded. These treatment protocols will be given five days per week for eight weeks. Conclusion: Our study concluded that Muscle Energy Technique (MET), Stabilization Exercise and Moist Heat Therapy (MHT) in Patients with Diabetic Frozen Shoulder showed significant improvement in pain, Range of motion muscular strength and joint position sense in 4th weeks & 8th weeks of treatment programme.


References

  • 1.   Amanda L. Ager, Jean-Sébastien Roy, Marianne Roos M. Mus, Amélie Fournier Belley, Ann Cools, Luc J. Hébert (2017). Shoulder proprioception: How is it measured and is it reliable? A systematic review. Journal of Hand Therapy. 30: 221 to 231.
  • 2.   American Academy of Orthopaedic Surgeons Rotator Cuff and Shoulder Conditioning Program Strengthening Exercise. orthoinfo. aaos.org › pdfs › 2017-rehab_shoulder.
  • 3.   Brian R Mulligan. Manual of Mulligan Concept 6th Edition.
  • 4.   C. R. Kothari (2004). Research Methodology Methods and Techniques. Second Revised edition. New Age International (P) Limited, Publishers. ISBN (13): 978-81-224-2488.
  • 5.   Census and Sample Survey, Dehradun (2018).
  • 6.   Childs, J.D., Piva, S.R. and Fritz, J.M. (2005) Responsiveness in Numeric Pain Rating Scale in Patients with Low Back Pain. Spine. 30: 1331 to 1334. https://doi.org/10.1097/01.brs. 0000164099.92112.29.
  • 7.   Dabholkar Ajit & Shetty Shika (2016). Effects of Mobilization with Movement (MWM) in Shoulder Impingement Syndrome Patients on Acromio-humeral Distance using Ultrasonography. Journal of Exercise Science & Physiotherapy. (2): 28 to 35.
  • 8.   Dhara N. Panchal & Charu Eapen (2015). Effectiveness of End-Range Mobilization and Interferential Current or Stretching Exercise and Moist Heat in Treatment of Frozen Shoulder-A Randomized Clinical Trial. Int J Cur Res Rev. 7 (14): 21-26.
  • 9.   Dr. Jayanta Nath (2013) Different Mobilization Technique in Management of Frozen Shoulder. International Journal of Science and Research (IJSR). 4 (438): 1285 to 1290.
  • 10.   G. C. Lloyd-Roberts & P. R. French (1959). Periarthritis of the Shoulder. A Study of The Disease and Its Treatment. British Medical Journal. 569 to 571.
  • 11.   Hafiz Sheraz Arshad, Imtiaz Hussain Shah & Rashid Hafeez Nasir (2015). International Journal of Science and Research (IJSR). 4 (4):2761 to 276.www.ijsr.net.
  • 12.   Geetha Mounika Rayudu & Nityal Kumar Alagingi (2018). Efficacy of Mulligan Technique Versus Muscle Energy Technique on Functional Ability in Subjects with Adhesive Capsulitis. International Journal of Recent Scientific Research. 9(4) B: 25638 to 25641.
  • 13.   J. F. Bridgman (1972). Periarthritis of the shoulder and diabetes mellitus. Ann. rheum. Disorder. 31: 69 to71.
  • 14.   J. Sokk, H. Gapeyeva, J. Ereline, I. Kolts, M, Piiiisuke (2007). Shoulder muscle strength and fatigability in patients with frozen shoulder syndrome: the effect of 4 week individualized rehabilitation Elecu on.yogx clin. Neurophltsiol. 41: 205-213.
  • 15.   Jennifer Squires (2017). Outcomes Following Dynamic Shoulder Stabilization Interventions in Patients with Shoulder Girdle Pain: A Case Series. International Journal of Student Scholarship in Physical Therapy. 3: 1 to 11.
  • 16.   Juhyun Lee, Tae-ho Kim, Kyu-bong & Lim (2018). Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow. J. Phys. Ther. Science. 30: 90 to 594.
  • 17.   Kumar Neeraj & Verma Shiv (2016). To Compare the Effect of Strengthening Neck Exercise and Mckenzie Neck Exercise in Neck Pain Subject.Br J Med Health Res. 3(10): 69 to 79.www.bjmhr.com.
  • 18.   Maddox L. Reed, Rebecca L. Begalleand Kevin G. Laudner, (2018) Acute Effects of Muscle Energy Technique and Joint Mobilization on Shoulder Tightness in Youth Throwing Athletes: A Randomized Controlled Trial. The International Journal of Sports Physical Therapy. 13 (6): 1024.DOI: 10.26603/ijspt 20181024.
  • 19.   Nevasier JS (1945). Adhesive capsulitis of the shoulder” study of pathological finding in periarthritis of shoulder. J Bone joint surgery.27: 211-215.
  • 20.   PH Laubscher & Gauteng Rosebank (2009). Frozen shoulder: A review. SA Orthopaedic Journal Spring. 4 to 29.
  • 21.   Petrofsky Jerrold, Berk Lee, Bains G, Khowailed IA, Hui T, Grando M, Laymon M & Lee H (1013). Moist Heat or dry heat for delayed onset muscle soreness, journal of Clinical Medicine Research. 5(6): 416 to 425.
  • 22.   P. Khyathi, Vinod Babu K & Sai Kumar (2015). Comparative effect of Spencer technique versus Mulligan’s Technique for subjects with frozen shoulder. J Physiotherapy. 2 (2). 448-458.
  • 23.   Richard Dias, Steven Cutts and Samir Massoud (2005). Frozen shoulder Richard. BMJ. 331 (17): 1453-1456.
  • 24.   Rita Rastogi, Kalyani et al. (2014). A comprehensive analysis of shoulder muscles among people with diabetes. Lancet Diabetes Endocrinol. 2 (10): 819–829.
  • 25.   Rizwan Haider, Ashfaq Ahmad & Saum-ReZahra (2014). To Compare Effects of Maitland and Mulligan’s Mobilization Techniques in the Treatment of Frozen Shoulder. Annals. 20 (3).257-264.
  • 26.   S.B. Brotzman and Kevin E. Wilk (1996). Clinical Orthopaedics Rehabilitation 2nd edition. Mosby Elsevier.
  • 27.   Sandra Hudson (2009). Range of motion (ROM) exercises: designed to maintain or increase the amount of movement in a joint. A Manual of Orthopaedic Terminology (Eighth Edition). 1 to 5.
  • 28.   Simon Carette, Helene Moffet & Johanne Tardif (2003). Intra-articular Corticosteroids, Supervised Physiotherapy, or a Combination of the Two in the Treatment of Adhesive Capsulitis of the Shoulder. Arthritis & Rheumatism. 48 (3): 829 to 838.
  • 29.   Shagufta Firdous, Zankhana Mehta, Carlos Fernandez, Bertarnd Behm, Mellar & Davis Show More (2017). A comparison of Numeric Pain Rating Scale (NPRS) and the Visual Analog Scale (VAS) in patients with chronic cancerassociated pain. Journal of Clinical Oncology 35: 1 to 19. DOI: 10.1200/JCO.2017.35.31_suppl. 217.
  • 30.   Shoulder Strengthening Exercises (2010). Orthopedic Surgery & Sports Medicine. Mammoth Lakes. 1 to 5.
  • 31.   Shruti Patel, Sanket Nagrale & Rachana Dabadghav (2015). The Effect of Mulligan Mobilization with Movement Technique on Internal Rotation Range of Motion of Glenohumeral Joint in Patient with Adhesive Capsulitis. Indian Journal of Physical Therapy. 3 (2). 1 to 19.
  • 32.   T. M. S kirven, A. Lee Osterman & Fedorezyk (2011). Rehabilitation of the hand & upper extremity. Volume-2. 6th edition. Elsevier publication. ISBN: 978-0-323-05602-1.
  • 33.   Wikipedia contributors. (2021, September 21). Range of motion. In Wikipedia, The Free Encyclopedia. Retrieved 16:24, January 10, 2022, from https://en.wikipedia.org/w/index.php? title=Range_of_motion & oldid=1045573285.
  • 34.   Wikipedia contributors. (2020, September 21). Force gauge. In Wikipedia, from https:// en.wikipedia.org/w/index.php?title=Force_ gauge & oldid=979631589.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Niraj Kumar, Navneet Badoni, Sharda Sharma, et al./Effectiveness of Muscle Energy Technique on Pain, Range of Motion, Proprioception, Muscle strength & QOL in Diabetic Frozen Shoulder Conditions/Physiotherapy and Occupational Therapy Journal. 2023;16(3): 139-152


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
July 19, 2023 August 20, 2023 September 25, 2023

DOI: https://doi.org/10.21088/potj.0974.5777.16323.3

Keywords

Diabetic Frozen ShoulderMuscle Energy Technique (MET)Stabilization ExerciseMoist Heat TherapyDigital InclinometerForce Gauge & NPRS

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Received July 19, 2023
Accepted August 20, 2023
Published September 25, 2023

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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