Evalution of Mulliganâ€™s technique for adhesive capsulitis of the shoulder

Doner, Gokhan; Güven, Zeynep; Atalay, Ayçe; Çeliker, Reyhan

doi:10.2340/16501977-1064

Cited by 54 publications

(37 citation statements)

References 17 publications

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“…A greater reduction in disability scores was seen in the MWM with exercise group, which supports the results of previous studies investigating posterolateral glide MWM for shoulder disability. 60,15,27 There are some limitations to this study's findings. Firstly, subjects were patients attending the Orthopaedic and Physiotherapy departments of a general hospital, with a specific limitation of HBB, hence results may not be generalized to all shoulder impairments and disorders.…”

Section: Discussionmentioning

confidence: 85%

“…26,42 In those studies a posterolateral glide MWM induced significantly greater improvement in shoulder flexion ROM when compared to placebo and control interventions which was sustained and further improved when used in conjunction with rigid sports tape applied to the skin to maintain the repositioning of the humeral head consistent with the MWM technique. Another study 27 found significant improvement in both active and passive ROM of all shoulder movements following a treatment program incorporating MWM applied in flexion, elevation and internal rotation.…”

Section: Discussionmentioning

confidence: 96%

“…25 There is also preliminary evidence for benefits of MWM for shoulder pain associated with limitation of elevation and abduction. 26,27 To date, no randomised controlled trial (RCT) has investigated the efficacy of HBB MWM techniques for people with shoulder pain and restricted range of motion (ROM) and subsequent disability. 28 Hence, the purpose of this study is to evaluate the efficacy of HBB MWM techniques on shoulder internal rotation ROM, pain, and function.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

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Objectives: Shoulder pain and impairment is a prevalent and disabling condition. While some Mulligan mobilization with movement (MWM) techniques have been shown to have beneficial effects, Hand Behind Back (HBB) MWM has not been investigated. The aim of this study was to investigate the effects of HBB MWM on shoulder pain, impairment and disability. Methods: We conducted a double blind randomized controlled trial in 44 subjects with shoulder pain and movement impairment presenting to an Indian general hospital. Subjects were allocated to receive either MWM and exercise/hot pack (n=22) or exercise/hot pack alone (n=22). The primary outcome was HBB range of motion (ROM). Secondary variables were shoulder internal rotation ROM, pain intensity score, and shoulder disability identified by the Shoulder Pain and Disability index (SPADI). All variable were evaluated by a blinded assessor before and immediately after 9 treatment sessions spread over 3-weeks. Results: A total of 60 patients were screened and 44 randomized. The average duration of symptoms was 4.1 and 4.7 weeks in the exercise and MWM groups respectively. Paired t-tests revealed that both groups demonstrated statistically significant improvements (p< 0.001) with large effect sizes for all variables. However, for all variables the MWM with exercise group showed significantly greater improvements (p< 0.05) than the exercise group. HBB ROM showed a mean difference of 9.31˚ (95% CI 7.38 to 11.27), favoring greater improvement in the MWM with exercise group. Conclusions: Shoulder HBB MWM with exercise improves outcomes in patients with acute shoulder pain and disability greater than exercise/hot packs alone.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

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“…75 In the low-quality trial comparing a specific PT technique with standardized PT alone, the specific technique (Mulligan's mobilization) was superior to passive stretching at 3 weeks and 3 months post-intervention. 71 In a high-quality trial comparing standardized PT with standardized PT plus intra-articular hyaluronic acid injection, both groups improved significantly but there was no added benefit to the injection. 72 In an acceptable-quality trial comparing SSNB injection before a course of PT with PT alone, both groups improved significantly immediately and 1 month post-intervention.…”

Section: Adhesive Capsulitismentioning

confidence: 99%

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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“…21 This questionnaire is mostly used in research and clinical practice in several countries, and its scores can range from 0 to 100, where 0 = no functional limitation and 100 = affirmative to all items; so the higher the scores, the higher the disability. 22,23 Other effect treatment outcomes were glenohumeral AROM (flexion, abduction, and external and internal rotations) measured with a universal goniometer (Enraf Nonius ibérica, Madrid, Spain) and pain intensity measured with the 11-point Verbal Numeric Rating Scale for its good reliability, validity, and usefulness in older adults. 24 For data collection, 4 physical therapy assessments were performed: at baseline (A0), immediately after group interventions (A1), after 1 month (A2), and after 3 months postintervention (A3).…”

Section: Measurement Of Clinical Outcomesmentioning

confidence: 99%

Mobilization With Movement for Shoulder Dysfunction in Older Adults: A Pilot Trial

Lirio-Romero¹,

Torres-Lacomba

Montoro³

et al. 2015

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to evaluate the feasibility of the methods proposed to conduct a full randomized clinical trial to assess the effectiveness of mobilization with movement on shoulder functionality in older adults with shoulder dysfunction. Methods: A pilot, randomized, single-blinded clinical trial was carried out with 44 older adults (83.9±8.2 years) with shoulder dysfunction in 3 nursing homes in Toledo, Spain. Participants were recruited through information sessions and were randomly allocated into 2 groups. The control group (n = 22) intervention consisted of a physical therapy standard protocol proposed by the Spanish Rheumatology Society. Techniques based on Mulligan's concepts of mobilization with movement were added to the standard protocol for the experimental group (n = 22) intervention. Interventions took place 3 times a week for 2 consecutive weeks and were performed by 2 experienced therapists. Main outcomes were recruitment rates, participation and adherence to interventions, assessment procedures, and the implementation of mobilization with movement. Clinical outcomes were shoulder functionality, active glenohumeral range of motion, and pain intensity. Data were collected at baseline, after each group intervention, and at 1 and 3 months after finishing interventions. Results: All the participants accepted to be randomized. Participation rates were 97.7% for the experimental group and 95.5% for the control group. The analysis of variance did not show any statistically significant difference between treatment groups for any of the variables (all P values for the group effect were greater than .36) or a change of the difference between groups over time (all P values for the time-treatment interactions were greater than .3).Conclusion: The research methods tested in this pilot study offer a suitable foundation to conduct a full clinical trial.

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Evalution of Mulliganâ€™s technique for adhesive capsulitis of the shoulder

Cited by 54 publications

References 17 publications

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Mobilization With Movement for Shoulder Dysfunction in Older Adults: A Pilot Trial

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