Comparison of the therapeutic effects of Spencer 7-step technique and joint mobilization(Maintland maneuver)in the treatment of adhesive capsulitis of the shoulder joint
Objective To compare the clinical efficacy of Spencer 7-step technique and joint mobilization(Maintland maneuver)in the treatment of adhesive capsulitis of the shoulder joint.Methods 40 patients with adhesive capsulitis of the shoulder joint were randomly divided into a treatment group(23 cases)and a control group(22 cases).There were 3 cases in the treatment group and 2 cases in the control group who did not complete the 8-week treatment and withdrew from the statistics.Therefore,the treatment group and the control group each had 20 cases for comparison of treatment.The treatment group received conventional physical agents therapy and Spencer 7-step technique,and the control group received conventional physical agents therapy and joint mobilization(Maintland maneuver).The Constant-Murley shoulder joint function score and visual analogue scale(VAS)score before and after treatment were compared between the two groups.Results After treatment,the scores of daily activity,shoulder flexion and shoulder abduction abduction in both groups were higher than those before treatment,and the difference was statistically significant(P<0.05).However,there was no significant difference between groups after treatment(P>0.05).After treatment,the scores of shoulder external rotation,shoulder internal rotation and shoulder abduction muscle strength in both groups were higher than those before treatment;in the treatment group,the shoulder external rotation score was(8.20±1.28)points,the shoulder internal rotation score was(7.60±1.67)points and the shoulder abduction muscle strength score was(17.75±2.55)points,which were higher than(6.60±1.31),(6.00±1.30)and(15.00±2.81)points in the control group;the difference was statistically significant(P<0.05).After treatment,VAS score in both groups was lower than that before treatment,and the difference was statistically significant(P<0.05).However,there was no significant difference between the two groups after treatment(P>0.05).Conclusion The application of Spencer 7-step technique and joint mobilization(Maintland maneuver)on the basis of conventional physical agents therapy can improve the pain,daily living ability and joint range of motion in patients with adhesive capsulitis of the shoulder joint.However,the Spencer 7-step technique combined with conventional physical agents therapy has better results than joint mobilization(Maintland maneuver)in terms of shoulder external rotation,shoulder internal rotation,and shoulder abduction muscle strength.
Spencer 7-step techniqueAdhesive capsulitis of the shoulder jointJoint mobilization(Maintland maneuver)Constant-Murly shoulder joint function score
万方数据
维普
