introduction

Adhesive capsulitis is painful and debilitating condition leading to stiffness and disability in shoulder joint. McKenzie method of mechanical diagnosis and therapy (MDT) is comprehensive, evidence–based system of assessment, diagnosis, treatment and prevention strategies. There is paucity of literature about effect of MDT on shoulder. Hence purpose of study is to assess effectiveness of MDT on pain, range of motion (ROM) and shoulder functions in individuals with stage II adhesive capsulitis.

MATERIAL AND METHOD

Subjects aged 35–60 years, clinically diagnosed with stage 2 adhesive capsulitis, symptoms for ˃ 3 months, restricted active ROM of shoulder <120    degrees were included and divided into 2 groups–Group A(n=8) (conventional therapy–hot pack, capsular stretching, active assisted shoulder ROM) and group B (n=8) (McKenzie therapy– repeated flexion, extension, extension with hand behind back then over pressure). On first day  Numerical pain rating scale and Penn shoulder score was taken and active shoulder range of motion of shoulder were measured by universal goniometer. After 5 consecutive days protocol, all outcome measures taken,   statistical analysis was done using Wilcoxon and Mann Whitney U test.

RESULT

MDT was significantly more effective for shoulder flexion (p=0.01) and extension (p=0.01) ROM than conventional therapy.

CONCLUSION

McKenzie therapy is effective in improving shoulder ROM in individuals with stage 2 adhesive capsulitis.