Clinical Research Directory

Acromioclavicular joint mobilization: * The patient is placed in the supine position and the upper limb is placed in a physiological position with the patient's arm clinging to the body and the hand on the abdomen, which causes the capsule to stretch less and the technique to be less painful. * The therapist placed the tips of his both thumbs on the anterior surface of the clavicle adjacent to the ACJ and spread his other fingers out for stability and his forearm was situated in line with the posterior movement at the ACJ. * ACJ mobilization was performed in up to 30-minute individual sessions by a single trained therapist. * The treatment techniques were anterior to posterior passive accessory glides of the distal end of the clavicle categorized from Grade III * Grade III is used at a large amplitude from the middle of the joint ROM to the start of the constraint. Grade III will apply for stimulating a stretching to relieve joint stiffness in a shorter tissue

Spencer technique: * The patient was resting on their side, with the affected shoulder raised. * In 7 separate movements, the therapist used the proximal hand to stabilize the shoulder girdle, while the distal hand applied force to the restrictive barrier of the shoulder. * Shoulder extension, circumduction with compression, shoulder flexion, circumduction with distraction, abduction, adduction with internal rotation, and glenohumeral pump were the exercises performed. * The patients were advised to employ their muscle energy technique against the small resistance provided by the therapist for 3-5 seconds throughout each movement. * Over the course 5 days a week, the exercise was repeated 3-5 times per session, with rest breaks.