• Avikirna Pandey (PT)
• Vinay Kumar
• Anchit Gugnani (PT)
• Arunim Swarup

Abstract Adhesive capsulitis, often known as frozen shoulder, is a debilitating musculoskeletal disorder that impairs a person's quality of life by causing discomfort and limited shoulder joint range of motion (ROM). The first-line treatment continues to be physical therapy, with many manual therapy approaches being used. The purpose of this randomized controlled experiment (RCT) is to evaluate how well Maitland mobilization and Muscle Energy Technique (MET) improve pain and range of motion in patients with frozen shoulder. A 6-week treatment period was used to randomly assign 40 participants into two groups, one of which received MET and the other Maitland Mobilization. Among the outcome measures were the Visual Analog Scale (VAS) for pain severity and goniometric measurements of shoulder range of motion (flexion, abduction, and external rotation). Significant reductions in pain and range of motion were shown by both groups, however the MET group's pain reduction was better. According to these results, both therapies are beneficial, but MET might provide greater results for managing pain, even though both methods increase range of motion equally. Background The three stages of frozen shoulder, also called adhesive capsulitis, are as follows: the freezing stage, which is characterized by pain and gradual restriction of movement; the frozen stage, which is characterized by pain and stiffness that persists; and the thawing stage, which is characterized by gradual restoration of movement [1]. The condition is frequently linked to systemic disorders like diabetes mellitus, thyroid dysfunction, and prior trauma [2][3].The main treatment approach is conservative care, particularly physiotherapy, which aims to lessen discomfort and increase joint mobility[4]. For the treatment of frozen shoulder, manual therapy methods like Maitland Mobilization and Muscle Energy Technique (MET) have become more and more popular. While Maitland Mobilization employs oscillatory motions to increase range of motion and treat pain, MET uses active muscular contractions against resistance to promote joint mobility and relieve muscle tightness [5]. Methodology: The people who participated were allocated into two groups at unplanned: Maitland Mobilization and MET. For better joint mobility and reduce skeletal muscle tension, the MET group's members were given instructions to contract their muscles against a mild resistance before stretching. At grades III and IV, participants in the Maitland Mobilization group had passive oscillatory mobilizations, which use slow, big motions to enhance range of motion and lessen discomfort [16]. For six weeks, each participant attended two weekly treatment sessions. Specific shoulder motions were aimed for reducing pain and increasing range of motion throughout each session. At baseline (pre-treatment) and six weeks into therapy (post-treatment), pain and range of motion were measured. Results: The data analysis shows that Maitland Mobilization and MET are both useful in treating frozen shoulder, especially when it comes to increasing shoulder range of motion. However, MET seems to be better at managing pain, probably because it is dynamic and targets muscular tension while reducing pain through neurophysiological processes. Despite being just as successful in increasing range of motion, the Maitland Mobilization group experienced less noticeable pain alleviation. This might be because the approach is passive and may not activate the neuromuscular system as much as MET. .

Keywords: Muscle energy technique (MET), Maitland Mobilization, Visual Analogue Scale (VAS), Shoulder Pain And Impairment Index (SPADI), Range of motion ( ROM)

"Efficiency of Muscle Energy Technique versus Maitland Mobilization in Patients with Frozen Shoulder for Improving Pain and Range of Motion: A Randomized Controlled Trial", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 12, page no.f720-f730, December-2024, Available :http://www.jetir.org/papers/JETIR2412582.pdf

"Efficiency of Muscle Energy Technique versus Maitland Mobilization in Patients with Frozen Shoulder for Improving Pain and Range of Motion: A Randomized Controlled Trial", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 12, page no. ppf720-f730, December-2024, Available at : http://www.jetir.org/papers/JETIR2412582.pdf