Effectiveness of proprioceptive neuromuscular facilitation and muscle energy technique on unilateral Peri: Arthritis shoulder
Dr. Vaishali Kale, Dr. Keerthi Rao, Dr. Neha Naik
Background: Shoulder pain is common and important musculoskeletal problem. It is reported that peri- arthritis shoulder is mostly commonly seen in 2-5% of general population, 19% with type 2 diabetes and hyperthyroidism diseases. Peri – arthritis shoulder is most commonly seen women than male between the ages of 40-65 years. Among manual therapy, Proprioceptive Neuromuscular Facilitation (PNF), Muscle Energy Techniques (MET) in peri – arthritis shoulder has been well studied. Comparing effect of PNF and MET is probably under studied; hence this study aims to find out the effectiveness of PNF and MET on Unilateral peri- Arthritis Shoulder. Objective: To study the effectiveness of Proprioceptive Neuromuscular Facilitation and Muscle Energy Technique on range of motion and Shoulder Pain and Disability Index (SPADI) in participants with Unilateral peri- Arthritis Shoulder. Methodology: A total of 40 participants with peri – arthritis shoulder meeting the inclusion and exclusion criteria were allocated into two groups to receive four week treatment of PNF and MET. Pre and post intervention scores were measured. Results: Post intervention scores of PNF and MET in terms of ROM and SPADI showed significant improvement (p=0.001).In group A(PNF) post intervention mean value of shoulder flexion was 118.8 ± 22.73, shoulder extension 48.10 ± 9.49, shoulder abduction 114.60 ± 21.8, shoulder internal rotation 64.35 ± 9.46, shoulder external rotation 68.85 ± 14.83 and SPADI 33.91 ± 8.89% and in group B(MET) shoulder flexion was 90.55 ± 24.11, shoulder extension36.95 ± 9.79, shoulder abduction 92.55 ± 27.06, shoulder internal rotation56.50 ± 9.05, shoulder external rotation54.95 ± 14.61 and SPADI 13 ± 9.06%. But on comparison between two groups, it was observed that there was group A (PNF) showed statistically significant than group B (MET). Conclusion: The prospective comparative study concluded that PNF is effective in increasing ROM and reducing percentage of SPADI than MET in participants with unilateral peri-arthritis shoulder.