Spencer vs. Ola Grimsby Techniques With Scapular Motor Training in Idiopathic Adhesive Capsulitis

Adhesive capsulitis (also known as frozen shoulder) causes pain and stiffness in the joint. It can interfere with such ordinary activities as dressing, reaching up to a shelf and lying on the affected side at night and may last for months . Manual therapy is a typical treatment component, but it remains unclear to clinicians which technique is most effective . The two hands-on techniques, the Spencer technique and the Ola Grimsby techniques will be compared in a randomized clinical trial of both techniques combined with the scapular motor training programme. Idiopathic adhesive capsulitis patients will be randomly assigned to either of two treatments groups and undergo treatment three times weekly for six weeks. Baseline and after last session pain, shoulder range of motion and disability will be recorded. The goal is to determine if one technique is more effective than the other (when it is trained concurrently with it) when training scapular control.

Inclusion Criteria: Patients diagnosed with idiopathic adhesive capsulitis (frozen shoulder) based on clinical examination (painful and restricted active and passive glenohumeral range of motion in capsular pattern). Age group between 40 and 60 years Both genders Presence of painful and restricted shoulder movements in at least two planes, particularly external rotation and abduction. Shoulder pain more than 3 months Stage 2 idiopathic adhesive capsulitis. NPRS scoring 3 to 6 Exclusion Criteria: Secondary adhesive capsulitis associated with diabetes mellitus (uncontrolled), thyroid disorders, cardiac surgery, or post-immobilization. History of shoulder fracture, dislocation, or surgical intervention on the affected side. Cervical radiculopathy or neurological involvement in the upper limb. Systemic inflammatory arthropathies (rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematous). Intra-articular corticosteroid injection within the preceding eight weeks. Active malignancy or bone metastases involving the shoulder girdle. Pregnancy \-