To compare the effects of spencer and reverse distraction technique in patients with adhesive capsulitis

Adhesive capsulitis, also known as frozen shoulder, is an inflammatory condition characterized by shoulder stiffness, pain, and significant loss of passive range of motion. Adhesive capsulitis has a prevalence of approximately 2% to 5% in the general population, with a mean onset of age of 55.

A randomized clinical trial will be conducted at Ibne Sina Hospital, Multan . Non probability convenience sampling technique will be applied on 50 patients who will be allocated through computerized randomization into group A & group B to collect data. Group A will be given spencer technique and group B will be given reverse distraction technique along with baselines. The study will be completed within the time duration of ten months. Primary Outcome measures of the research will be pain, range of motion, function, muscle strength, disability and quality of life will be measured pre and post intervention. The whole treatment protocols will be given for four weeks. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Inclusion Criteria:

• Age group 40-60 years
• Male and female
• Positive Capsular pattern (ER more limited than Abd which is more limited than IR)
• Limitation in shoulder ROM ; Flexion <180 , Abduction <180 , External Rotation <50
• Patients of stage 2 and 3 of adhesive capsulitis

Exclusion Criteria:

• History of surgery of the affected shoulder
• Fractures in around the shoulder
• Neurological disorders leading to altered muscle activity
• Systemic arthritic conditions (RA, Osteoporosis)
• Disorders of the cervical spine