Adhesive capsulitis is a musculoskeletal condition with insidious onset that is associated with pain, stiffness and difficulty sleeping on the affected side. Maitland concept is a process of examination, assessment and treatment of neuromusculoskeletal disorders. McKenzie is a comprehensive, evidence-based system of assessment, diagnosis, treatment and prevention strategies and utilizes a mechanical evaluation that involves single and repeated active, passive and resisted movements that are performed at the available end range. There is paucity of literature regarding the comparison of these two techniques. Hence the purpose of the study was to evaluate and compare McKenzie technique and Maitland mobilization in individuals with stage II adhesive capsulitis.
Methods: The present randomized clinical trial was conducted among 40 individuals both males and females aged 40-60 years and clinically diagnosed with stage II adhesive capsulitis. Participants were assigned using envelope method into two groups of 20 each. Physical therapy protocol included McKenzie and Maitland mobilization along with conventional therapy given for 5 consecutive sessions. The outcome measures recorded were pre and post 5th day of intervention using numerical pain rating scale, shoulder range of motion using Universal Goniometer and functional evaluation by Penn Shoulder Score. Mean, standard deviation, dependent t test and Kolmogorov Smirnov Test were used to analyze the data.
Result: In the present study the within group analysis showed statistical significant difference in both the group A and B (<0.0001) reduction in pain, improvement in shoulder range of motion and shoulder functions. Between group analysis revealed no statistical significant difference.
Conclusion: MDT and Maitland mobilization were equally effective in reducing pain, improving the range of motion and also the functional scores in individuals with stage II adhesive capsulitis.