Comparing the Effectiveness of Mobilisation With Movement and Muscle Energy Technique in Adhesive Capsulitis: A Systematic Review

dc.contributor.advisorSpencer, Holly
dc.contributor.authorHalawi, Mlak Ali
dc.date.accessioned2025-07-06T14:10:15Z
dc.date.issued2025-03-31
dc.descriptionA systematic review search was conducted across multiple databases, including PubMed, Web of Science, Scopus, Cochrane Library and PEDro, to identify relevant studies. Initially, 77 articles were retrieved. Following the removal of duplicates, 50 remained for title and abstract screening. Subsequently, after a thorough evaluation of the titles and abstracts, 19 full-text articles were selected for further review. Ultimately, five studies met the inclusion criteria and were considered for critical appraisal. To assess the methodological quality of the selected studies, the Joanna Briggs Institute (JBI) Critical Appraisal Checklists were employed. The included studies comprised randomised controlled trials (RCTs) and quasi-experimental designs, all of which investigated the effectiveness of MWM and MET in patients with adhesive capsulitis. The appraisal process was independently undertaken by two reviewers to enhance objectivity and ensure the reliability of the assessment. Given the limited number of previous systematic reviews in this domain, all studies progressed to the data extraction phase to facilitate a comprehensive synthesis of the available evidence
dc.description.abstractAdhesive capsulitis, commonly known as frozen shoulder, is a musculoskeletal disorder characterised by inflammation and fibrosis of the glenohumeral joint capsule, which leads to pain, stiffness, and a restricted range of motion (ROM) (Khan and Nuhmani 2014). It affects approximately 3–5% of the population, with a higher prevalence among individuals aged 30–60 years and a female-to-male ratio of 1.6:1 (Wong and Tan 2010; Bhargav and Murrell 2011). Moreover, the condition progresses through three distinct phases. First, the freezing phase (2–9 months) is marked by increasing pain and stiffness. This stage is followed by the frozen phase (4–12 months), during which movement becomes restricted. Finally, the thawing phase (12–43 months) occurs, allowing for a gradual improvement in ROM (Griesser et al. 2011). Consequently, these functional limitations severely impact daily activities like dressing, lifting, and overhead reaching (Ramirez 2019). In regard management strategies, different treatment approaches exist, including pharmacological, physiotherapeutic, and surgical interventions. However, among non-surgical options, Mobilisation with Movement (MWM) and the Muscle Energy Technique (MET) have shown promising results in alleviating pain and enhancing shoulder function (Patel and D 2022; Khattak et al. 2023). MWM combines therapist-applied joint mobilisation with active movement to improve ROM, while MET utilises isometric contractions followed by stretching to reduce stiffness and correct muscular imbalances (Shah and Misra 2013). This systematic review compares the effectiveness of MWM and MET in reducing pain, improving ROM, and enhancing functional ability in adults with adhesive capsulitis.
dc.format.extent104
dc.identifier.urihttps://hdl.handle.net/20.500.14154/75756
dc.language.isoen
dc.publisherSaudi Digital Library
dc.subjectMobilisation with Movement
dc.subjectMuscle Energy Technique
dc.subjectAdhesive Capsulitis
dc.titleComparing the Effectiveness of Mobilisation With Movement and Muscle Energy Technique in Adhesive Capsulitis: A Systematic Review
dc.typePostgraduate Projects
sdl.degree.departmentSchool of Healthcare Sciences
sdl.degree.disciplinePhysiotherapy
sdl.degree.grantorCardiff University
sdl.degree.nameMaster of Science in Physiotherapy

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