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Effectiveness of Mulligan Mobilization Method in Shoulder Problems

Year 2021, Volume: 5 Issue: 2, 380 - 388, 29.05.2021
https://doi.org/10.46237/amusbfd.799030

Abstract

Objective: The present study was aimed to investigate effectiveness of Mulligan mobilization method in shoulder problems characterized by pain and restricted range of motion.
Method: PubMed, PEDro and Google Scholar were searched for randomised clinical trials. Three reviewers independently implemented the inclusion criteria to select relevant studies from the title, abstracts and full-text articles.
Results: 26 randomized clinical trials were included in the review. According to the literature, Mulligan mobilization method appears to be effective in the short term in terms of range of motion, pain and function in patients with rotator cuff syndrome, subacromial impingement syndrome, frozen shoulder syndrome and shoulder pain.
Conclusion: Mulligan mobilization method can be used to reduce pain, increase range of motion and function in patients with rotator cuff syndrome, subacromial impingement syndrome, shoulder pain and limitation, and frozen shoulder syndrome. Application of mobilization together with exercise has been shown to be more effective.

References

  • 1. Linaker, C. H. and Walker-Bone, K., (2015). Shoulder disorders and occupation. Best Pract Res Clin Rheumatol, 29(3), 405-23.
  • 2. Hawk, C., Minkalis, A. L., Khorsan, R., Daniels, C. J., Homack, D., Gliedt, J. A., et all. (2017). Systematic review of nondrug, nonsurgical treatment of shoulder conditions. Journal of manipulative and physiological therapeutics, 40(5), 293-319.
  • 3. Stathopoulos, N., Dimitriadis, Z., and Koumantakis, G. A., (2019). Effectiveness of mulligan’s mobilization with movement techniques on range of motion in peripheral joint pathologies: A systematic review with meta-analysis between 2008 and 2018. J Manip Physiol Ther, 42(6), 439-449.
  • 4. Noten, S., et al., (2016). Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: A systematic review. Arch Phys Med Rehabil, 97(5), 815-25.
  • 5. Menek, B., Tarakci, D., and Algun, Z. C., (2019). The effect of mulligan mobilization on pain and life quality of patients with rotator cuff syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil, 32(1), 171-178.
  • 6. Akkaya, S., Büker, N., Kitiş, A., Akkaya, N., & Yörükoğlu, A. Ç. (2010). Rotator manşet lezyonu olan hastalarda ağrı, fonksiyonel durum ve depresyon arasındaki ilişkinin incelenmesi. Pamukkale Tıp Dergisi, (2), 84-89.
  • 7. Atıcı, T., ve ark., (2013). Donuk Omuz: Tanı-Tedavi. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 39(3), 211-218.
  • 8. Çelik, D., (2017). Donuk omuz ve rehabilitasyonu. Turkiye Klinikleri Physiotherapy and Rehabilitation - Special Topics, 3(1), 9-23.
  • 9. Zavala-González, J., Pavez-Baeza, F., Gutiérrez-Espinoza, H., & Olguín-Huerta, C. (2018). The effectiveness of joint mobilization techniques for range of motion in adult patients with primary adhesive capsulitis of the shoulder: a systematic review and meta-analysis. Medwave, 18(5), 65-72.
  • 10. Khyathi, P., Babu, V. K., Kumar, S., & Asha, D. (2015). Comparative effect of spencer technique versus mulligan's technique for subjects with frozen shoulder-a single blind study. International Journal of Physiotherapy., 2(2), 448-458.
  • 11. Paungmali, A., O'Leary, S., Souvlis, T., & Vicenzino, B. (2003). Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys Ther, 83(4), 83-374.
  • 12. Hing, W., Bigelow, R., and Bremner, T., (2009). Mulligan's mobilization with movement: A systematic review. J. Man. Manip. Ther., 17(2), 39-66.
  • 13. Desai, P. and Vinodkumar, A., (2016). A comparative study between efficacy of low level laser therapy (LLLT) with mulligan's mobilization (MWM) over ultrasound therapy with mulligan's mobilization (MWM) in patients with acute supraspinatus tendinitis. Indian Journal of Physiotherapy and Occupational Therapy, 10, 75-81.
  • 14. Katana, B., Pašalić, A., Jaganjac, A., Hadžiomerović, A. M., Bojičić, S., Avdic, D., et al., (2018). The efficiency of the conventional physical treatment of the shoulder pain compared to conventional treatment plus the mulligan's joint mobilization technique and acupuncture. Journal of Health Sciences, 8(2), 88-93
  • 15. Djordjevic, O. C., Vukicevic, D., Katunac, L., & Jovic, S. (2012). Mobilization with movement and kinesiotaping compared with a supervised exercise program for painful shoulder: Results of a clinical trial. J Manipulative Physiol Ther, 35(6), 63-454.
  • 16. Kachingwe, A. F., Phillips, B., Sletten, E., & Plunkett, S. W. (2008). Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: A randomized controlled pilot clinical trial. J. Man. Manip. Ther., 16(4), 238-247.
  • 17. Guimarães, J. F., Salvini, T. F., Siqueira Jr, A. L., Ribeiro, I. L., Camargo, P. R., & Alburquerque-Sendín, F. (2016). Immediate effects of mobilization with movement vs sham technique on range of motion, strength, and function in patients with shoulder impingement syndrome: Randomized clinical trial. J Manipulative Physiol Ther, 39(9), 605-615.
  • 18. Delgado-Gil, J. A., Prado-Robles, E., Rodrigues-de-Souza, D. P., Cleland, J. A., Fernández-de-las-Peñas, C., & Alburquerque-Sendín, F. (2015). Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: A randomized controlled trial. J Manipulative Physiol Ther, 38(4), 52-245.
  • 19. Srivastava, S., Eapen, C., and Mittal, H., (2018). Comparison of mobilisation with movement and cryotherapy in shoulder impingement syndrome-a randomised clinical trial. J. Clin. Diagnostic Res., 12, 1-5.
  • 20. Neelapala, Y. V. R., Reddy, R. S. Y., and Danait, R., (2017). Effect of mulligan's posterolateral glide on shoulder rotator strength, scapular upward rotation in shoulder pain subjects - a randomized controlled trial. Journal of Musculoskeletal Research., 19(3), 1-11
  • 21. Teys, P., Bisset, L., and Vicenzino, B., (2008). The initial effects of a mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Man Ther, 13(1), 37-42.
  • 22. Teys, P., Bisset, L., Collins, N., Coombes, B., & Vicenzino, B. (2013). One-week time course of the effects of mulligan's mobilisation with movement and taping in painful shoulders. Man Ther, 18(5), 7-372.
  • 23. Satpute, K.H., Bhandari, P., and Hall, T., (2015). Efficacy of hand behind back mobilization with movement for acute shoulder pain and movement impairment: A randomized controlled trial. J Manipulative Physiol Ther, 38(5), 34-324.
  • 24. Romero, C. L., Lacomba, M. T., Montoro, Y. C., Merino, D. P., da Costa, S. P., Marchante, M. J. V., et all. (2015). Mobilization with movement for shoulder dysfunction in older adults: A pilot trial. Journal of Chiropractic Medicine, 14(4), 249-258.
  • 25. Fernandes, A. and LakshitaShah, A., (2020). Effectiveness of kaltenborn mobilization technique versus mulligan’s mwm in patients with adhesive capsulitis of shoulder. Indian Journal of Physiotherapy and Occupational Therapy, 14(3), 18-24.
  • 26. Rathod, D., Priyanka, G., and Palkar, A., (2019). Comparative study of kaltenborn mobilisation versus mulligan mobilisation in patients with frozen shoulder. International Journal of Health Sciences and Research, 9(9), 320-324.
  • 27. Ragav, S. and Singh, A., (2019). Comparison of effectiveness of mulligan ‘MWM’ technique versus kaltenborn mobilization technique on pain and end range of motion in patients with adhesive capsulitis of shoulder joint: A randomized controlled trial. Journal of Exercise Science & Physiotherapy, 15(1), 1-9
  • 28. Sai, K. V. and Kumar, J. S., (2015). Effects of mulligan’s mobilisation with movement on pain and range of motion in diabetic frozen shoulder a randomized clinical trail. Indian Journal of Physiotherapy and Occupational Therapy, 9(4), 187-193.
  • 29. Reddy, B. C. and Metgud, S., (2015). Randomized controlled trial to investigate the effect of mulligan’s mwm and conventional therapy in stage ii adhesive capsulitis. Indian Journal Of Physical Therapy, 3, 55-549.
  • 30. Doner, G., Guven, Z., Atalay, A., & Celiker, R. (2013). Evaluation of mulligan's technique for adhesive capsulitis of the shoulder. J Rehabil Med, 45(1), 87-91.
  • 31. Yeole, U. L., Dighe, P. D., Gharote, G. M., Panse, R. S., Shweta, A. K., & Pawar, P. A. (2017). Effectiveness of movement with mobilization in adhesive capsulitis of shoulder: Randomized controlled trial. Indian Journal of Medical Research and Pharmaceutical Sciences, 4(2), 1-8.
  • 32. Nithya, J., Saketa, J., and Hannah, R., (2019). Efficacy of muscle energy techniques as an adjunct with mulligans mobilization in adhesive capsulitis of shoulder. International Journal of Physiotherapy, 6(2), 52-57
  • 33. Arshad, H., Hussain Shah, S. I., and Nasir, R., (2015). Comparison of mulligan mobilization with movement and end-range mobilization following maitland techniques in patients with frozen shoulder in improving range of motion. International Journal of Science and Research, 4(4), 2761-2767
  • 34. Jeyakumar, S. and Alagesan, J., (2018). Comparative study of effects of maitland technique and mulligan technique in adhesive capsulitis of shoulder. International Journal of Medical Research & Health Sciences, 7(5), 1-10.
  • 35. Biswas, S. and Biswas, S., (2018). Comparative study to find out the effectiveness of maitland mobilisation versus mulligan mobilisation with common use of ultrasound therapy in patients with shoulder adhesive capsulitis-pathoanatomical study. Journal of Evolution of Medical and Dental Sciences, 7(4), 529-534.
  • 36. Dilip, J. R., Babu, V. K., Kumar, S. N., & Akalwadi, A. (2016). Effect of gong's mobilization versus mulligan's mobilization on shoulder pain and shoulder medial rotation mobility in frozen shoulder. International Journal Of Physiotherapy, 3(1), 132-139.
  • 37. Westad, K., Tjoestolvsen, F., and Hebron, C., (2019). The effectiveness of Mulligan's mobilisation with movement (MWM) on peripheral joints in musculoskeletal (MSK) conditions: A systematic review. Musculoskelet Sci Pract, 39, 157-163.

Omuz Problemlerinde Mulligan Mobilizasyon Yönteminin Etkinliği

Year 2021, Volume: 5 Issue: 2, 380 - 388, 29.05.2021
https://doi.org/10.46237/amusbfd.799030

Abstract

Amaç: Ağrı ve hareket kısıtlılığı ile karakterize omuz problemlerinde Mulligan mobilizasyon yönteminin etkinliğinin araştırılmasıdır.
Yöntem: Pubmed, Google Scholar ve Pedro arama motorları konu ile ilgili randomize kontrollü çalışmalar açısından tarandı. Üç araştırmacı başlık, özet ve tam metin makalelerden potansiyel olarak uygun olanları seçmek için dahil edilme kriterlerini birbirlerinden bağımsız olarak uyguladılar.
Bulgular: Kriterlere uyan 26 randomize kontrollü çalışma derlemeye dahil edildi. Literatüre göre Mulligan mobilizasyon yönteminin, rotator manşet sendromlu, subakromiyal sıkışma sendromlu, donuk omuz sendromlu ve omuz ağrılı hastalarda EHA, ağrı ve fonksiyon açısından kısa dönemde etkili olduğu görülmektedir.
Sonuç: Rotator manşet sendromu, subakromiyal sıkışma sendromu, omuz ağrısı ve kısıtlılığı olan hastalar ve donuk omuz sendromu olan hastalarda ağrıyı azaltmak, eklem hareket kısıtlılığını ve fonksiyonu artırmak amacıyla Mulligan mobilizasyon yöntemi kullanılabilir. Mobilizasyonun egzersiz ile birlikte uygulanması daha etkili sonuçlar vermektedir.

References

  • 1. Linaker, C. H. and Walker-Bone, K., (2015). Shoulder disorders and occupation. Best Pract Res Clin Rheumatol, 29(3), 405-23.
  • 2. Hawk, C., Minkalis, A. L., Khorsan, R., Daniels, C. J., Homack, D., Gliedt, J. A., et all. (2017). Systematic review of nondrug, nonsurgical treatment of shoulder conditions. Journal of manipulative and physiological therapeutics, 40(5), 293-319.
  • 3. Stathopoulos, N., Dimitriadis, Z., and Koumantakis, G. A., (2019). Effectiveness of mulligan’s mobilization with movement techniques on range of motion in peripheral joint pathologies: A systematic review with meta-analysis between 2008 and 2018. J Manip Physiol Ther, 42(6), 439-449.
  • 4. Noten, S., et al., (2016). Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder: A systematic review. Arch Phys Med Rehabil, 97(5), 815-25.
  • 5. Menek, B., Tarakci, D., and Algun, Z. C., (2019). The effect of mulligan mobilization on pain and life quality of patients with rotator cuff syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil, 32(1), 171-178.
  • 6. Akkaya, S., Büker, N., Kitiş, A., Akkaya, N., & Yörükoğlu, A. Ç. (2010). Rotator manşet lezyonu olan hastalarda ağrı, fonksiyonel durum ve depresyon arasındaki ilişkinin incelenmesi. Pamukkale Tıp Dergisi, (2), 84-89.
  • 7. Atıcı, T., ve ark., (2013). Donuk Omuz: Tanı-Tedavi. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 39(3), 211-218.
  • 8. Çelik, D., (2017). Donuk omuz ve rehabilitasyonu. Turkiye Klinikleri Physiotherapy and Rehabilitation - Special Topics, 3(1), 9-23.
  • 9. Zavala-González, J., Pavez-Baeza, F., Gutiérrez-Espinoza, H., & Olguín-Huerta, C. (2018). The effectiveness of joint mobilization techniques for range of motion in adult patients with primary adhesive capsulitis of the shoulder: a systematic review and meta-analysis. Medwave, 18(5), 65-72.
  • 10. Khyathi, P., Babu, V. K., Kumar, S., & Asha, D. (2015). Comparative effect of spencer technique versus mulligan's technique for subjects with frozen shoulder-a single blind study. International Journal of Physiotherapy., 2(2), 448-458.
  • 11. Paungmali, A., O'Leary, S., Souvlis, T., & Vicenzino, B. (2003). Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys Ther, 83(4), 83-374.
  • 12. Hing, W., Bigelow, R., and Bremner, T., (2009). Mulligan's mobilization with movement: A systematic review. J. Man. Manip. Ther., 17(2), 39-66.
  • 13. Desai, P. and Vinodkumar, A., (2016). A comparative study between efficacy of low level laser therapy (LLLT) with mulligan's mobilization (MWM) over ultrasound therapy with mulligan's mobilization (MWM) in patients with acute supraspinatus tendinitis. Indian Journal of Physiotherapy and Occupational Therapy, 10, 75-81.
  • 14. Katana, B., Pašalić, A., Jaganjac, A., Hadžiomerović, A. M., Bojičić, S., Avdic, D., et al., (2018). The efficiency of the conventional physical treatment of the shoulder pain compared to conventional treatment plus the mulligan's joint mobilization technique and acupuncture. Journal of Health Sciences, 8(2), 88-93
  • 15. Djordjevic, O. C., Vukicevic, D., Katunac, L., & Jovic, S. (2012). Mobilization with movement and kinesiotaping compared with a supervised exercise program for painful shoulder: Results of a clinical trial. J Manipulative Physiol Ther, 35(6), 63-454.
  • 16. Kachingwe, A. F., Phillips, B., Sletten, E., & Plunkett, S. W. (2008). Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: A randomized controlled pilot clinical trial. J. Man. Manip. Ther., 16(4), 238-247.
  • 17. Guimarães, J. F., Salvini, T. F., Siqueira Jr, A. L., Ribeiro, I. L., Camargo, P. R., & Alburquerque-Sendín, F. (2016). Immediate effects of mobilization with movement vs sham technique on range of motion, strength, and function in patients with shoulder impingement syndrome: Randomized clinical trial. J Manipulative Physiol Ther, 39(9), 605-615.
  • 18. Delgado-Gil, J. A., Prado-Robles, E., Rodrigues-de-Souza, D. P., Cleland, J. A., Fernández-de-las-Peñas, C., & Alburquerque-Sendín, F. (2015). Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: A randomized controlled trial. J Manipulative Physiol Ther, 38(4), 52-245.
  • 19. Srivastava, S., Eapen, C., and Mittal, H., (2018). Comparison of mobilisation with movement and cryotherapy in shoulder impingement syndrome-a randomised clinical trial. J. Clin. Diagnostic Res., 12, 1-5.
  • 20. Neelapala, Y. V. R., Reddy, R. S. Y., and Danait, R., (2017). Effect of mulligan's posterolateral glide on shoulder rotator strength, scapular upward rotation in shoulder pain subjects - a randomized controlled trial. Journal of Musculoskeletal Research., 19(3), 1-11
  • 21. Teys, P., Bisset, L., and Vicenzino, B., (2008). The initial effects of a mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Man Ther, 13(1), 37-42.
  • 22. Teys, P., Bisset, L., Collins, N., Coombes, B., & Vicenzino, B. (2013). One-week time course of the effects of mulligan's mobilisation with movement and taping in painful shoulders. Man Ther, 18(5), 7-372.
  • 23. Satpute, K.H., Bhandari, P., and Hall, T., (2015). Efficacy of hand behind back mobilization with movement for acute shoulder pain and movement impairment: A randomized controlled trial. J Manipulative Physiol Ther, 38(5), 34-324.
  • 24. Romero, C. L., Lacomba, M. T., Montoro, Y. C., Merino, D. P., da Costa, S. P., Marchante, M. J. V., et all. (2015). Mobilization with movement for shoulder dysfunction in older adults: A pilot trial. Journal of Chiropractic Medicine, 14(4), 249-258.
  • 25. Fernandes, A. and LakshitaShah, A., (2020). Effectiveness of kaltenborn mobilization technique versus mulligan’s mwm in patients with adhesive capsulitis of shoulder. Indian Journal of Physiotherapy and Occupational Therapy, 14(3), 18-24.
  • 26. Rathod, D., Priyanka, G., and Palkar, A., (2019). Comparative study of kaltenborn mobilisation versus mulligan mobilisation in patients with frozen shoulder. International Journal of Health Sciences and Research, 9(9), 320-324.
  • 27. Ragav, S. and Singh, A., (2019). Comparison of effectiveness of mulligan ‘MWM’ technique versus kaltenborn mobilization technique on pain and end range of motion in patients with adhesive capsulitis of shoulder joint: A randomized controlled trial. Journal of Exercise Science & Physiotherapy, 15(1), 1-9
  • 28. Sai, K. V. and Kumar, J. S., (2015). Effects of mulligan’s mobilisation with movement on pain and range of motion in diabetic frozen shoulder a randomized clinical trail. Indian Journal of Physiotherapy and Occupational Therapy, 9(4), 187-193.
  • 29. Reddy, B. C. and Metgud, S., (2015). Randomized controlled trial to investigate the effect of mulligan’s mwm and conventional therapy in stage ii adhesive capsulitis. Indian Journal Of Physical Therapy, 3, 55-549.
  • 30. Doner, G., Guven, Z., Atalay, A., & Celiker, R. (2013). Evaluation of mulligan's technique for adhesive capsulitis of the shoulder. J Rehabil Med, 45(1), 87-91.
  • 31. Yeole, U. L., Dighe, P. D., Gharote, G. M., Panse, R. S., Shweta, A. K., & Pawar, P. A. (2017). Effectiveness of movement with mobilization in adhesive capsulitis of shoulder: Randomized controlled trial. Indian Journal of Medical Research and Pharmaceutical Sciences, 4(2), 1-8.
  • 32. Nithya, J., Saketa, J., and Hannah, R., (2019). Efficacy of muscle energy techniques as an adjunct with mulligans mobilization in adhesive capsulitis of shoulder. International Journal of Physiotherapy, 6(2), 52-57
  • 33. Arshad, H., Hussain Shah, S. I., and Nasir, R., (2015). Comparison of mulligan mobilization with movement and end-range mobilization following maitland techniques in patients with frozen shoulder in improving range of motion. International Journal of Science and Research, 4(4), 2761-2767
  • 34. Jeyakumar, S. and Alagesan, J., (2018). Comparative study of effects of maitland technique and mulligan technique in adhesive capsulitis of shoulder. International Journal of Medical Research & Health Sciences, 7(5), 1-10.
  • 35. Biswas, S. and Biswas, S., (2018). Comparative study to find out the effectiveness of maitland mobilisation versus mulligan mobilisation with common use of ultrasound therapy in patients with shoulder adhesive capsulitis-pathoanatomical study. Journal of Evolution of Medical and Dental Sciences, 7(4), 529-534.
  • 36. Dilip, J. R., Babu, V. K., Kumar, S. N., & Akalwadi, A. (2016). Effect of gong's mobilization versus mulligan's mobilization on shoulder pain and shoulder medial rotation mobility in frozen shoulder. International Journal Of Physiotherapy, 3(1), 132-139.
  • 37. Westad, K., Tjoestolvsen, F., and Hebron, C., (2019). The effectiveness of Mulligan's mobilisation with movement (MWM) on peripheral joints in musculoskeletal (MSK) conditions: A systematic review. Musculoskelet Sci Pract, 39, 157-163.
There are 37 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review Articles
Authors

Ümit Yeşil 0000-0002-6066-1172

Emrullah Alkan 0000-0001-9837-5537

Nihal Gelecek 0000-0003-1780-2520

Publication Date May 29, 2021
Published in Issue Year 2021 Volume: 5 Issue: 2

Cite

APA Yeşil, Ü., Alkan, E., & Gelecek, N. (2021). Omuz Problemlerinde Mulligan Mobilizasyon Yönteminin Etkinliği. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 5(2), 380-388. https://doi.org/10.46237/amusbfd.799030