Manivannan S Principal cum Professor, Aparampar Swami Physiotherapy College, Nanded 431605, Maharashtra, India
Address for correspondence: Manivannan S, Principal cum Professor, Aparampar Swami Physiotherapy College, Nanded 431605, Maharashtra, India E-mail: mani.sub25@gmail.com
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Manivannan S. The impact of Mulligan movement with mobilization technique (MWM) and muscle energy technique (MET) on adhesive capsulitis of the shoulder. Physio Ther Occup Ther J. 2024;17(2):103-110.
Timeline
Received : May 06, 2024
Accepted : June 23, 2024
Published : June 30, 2024
Abstract
Background: Adhesive Capsulitis most commonly referred to as “Frozen Shoulder” is an insidious painful condition with progressive and gradual restriction of all planes of movement in the glenohumeral joint. The principles of treatment of adhesive capsulitis are to relieve pain, maintain Range of Motion and restore function. The purpose of this study is to find out the efficacy of Mulligan Movement with Mobilization Technique compared to Muscle Energy Technique in decreasing pain and increasing ROM in patients with idiopathic shoulder adhesive capsulitis. Objectives: To Compare the effect of Mulligan Movement with mobilization technique and MET in adhesive capsulitis patients. Methods: 30 subjects of both sex groups aged between 40-60 years diagnosed with adhesive capsulitis of the shoulder. They were randomly assigned into two groups with 15 subjects each. Group A received Mulligan Movement with mobilization technique and ultrasound and Group B received MET and ultrasound. Both groups received the treatment protocol five days a week for four weeks. Pre and post-evaluation of pain was done by using the VAS scale, range of motion by the Universal Goniometer and functional disability by using the Shoulder Pain and Disability Index (SPADI). Result: The Adhesive capsulitis patients treated with Mulligan Movement with mobilization technique and muscle energy technique along with ultrasound reported an equal improvement in pain relief and ROM values, especially in abduction and external rotation, and also reduced the disabilities of the shoulder. Hence, it can be concluded that both MWM and MET are equally effective in the treatment of adhesive capsulitis. Conclusion: It was concluded that Mulligan Movement with mobilization technique (MWM) and Muscle Energy Technique (MET) are equally effective in reducing pain and improving shoulder functional ability in subjects with Adhesive capsulitis.
References
1. Geetha Mounika Rayudu et al: Efficiency of Mulligan Mobilization technique verses MET on functional ability in subjects with adhesive capsulitis.
2. Yuvarani Gopinath, Santhosh Krithika Sreenivasan, Senthil Nathan Celambakkam Veeraraghavan, Rajalaxmi Viswanathan, Mohan Kumar Govindaraj: Effectiveness of Gong’S mobilization verses MET on pain and functional ability of shoulder in phaseii adhesive capsulitis.
3. Jain TK. Sharma NK: The effectiveness of physiotherapeutic intervention in treatment of frozen shoulder /adhesive capsulitis: a systemic review.
4. Umair Ur Rehman, Syed Shakil Ur Rehman, Fozia Sibtain. Effectiveness of Mobilization with Movement with and without Therapeutic Ultrasound in Rehabilitation of Idiopathic Adhesive Capsulitis.
5. Hai V. Le, Stella Jaleel, Ara Nazarian, Edward K. Rodriguez: Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatment.
6. Ujjwal L Yeole: effectiveness of movement with mobilization in adhesive capsulitis of shoulder; randomized controlled trial.
7. Narayan, Anupama, Jagga, Vinay: Efficacy of MET on treatment ability of shoulder in adhesive capsulitis.
8. Phillip W. McClure PT, PhD2, Martin J. Kelley, PT, DPT, OCS, Brain G. Leggin PT, DPT, OCS: Frozen shoulder: evidence and a proposed model guiding rehabilitation.
9. Andrea J. Johnson, DPTS cl, Joseph J. Godges, DPT, Grenith J. Zimmerman, PhD, Leroy L. Ounanian, MD: The effects of anterior verses posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis.
10. Robert C. Monske, Daniel Prohaska: Diagnostic and management of adhesive capsulitis.
11. Gaurav Mahaska, Nidhi Kala, Prerna Patil: Immediate effect of mulligan’s mobilization with movement in frozen shoulder: A case report.
12. Gokhan Doner, PT, MSc, Zeynep Guven, MD, Ayce Atalay, MD and Reyhan Celiker MD: Evaluation of Mulligan ‘S technique for adhesive capsulitis of the shoulder.
13. Deepthi Rathod, Gokhale Priyanka, Anagha Palkar: Comparative study of Kaltonborn Mobilization verses Mulligan mobilization in patients with Frozen shoulder.
14. Hafiz Sheraz Arshad, Imtiaz Hussain Shah, Rashid Haffez Nasir (2015): Comparison of Mulligan Mobilization with Movement and End Range Mobilization Following Maitland Techniques in Patients with Frozen Shoulder in Improving Range of Motion.
15. Edrish Saifee Contractor, Dhara Santosh Agnihotri, Ronak Mukeshbhai Patel: Effect of Muscle Energy Technique on Range of Motion in Cases of Patients with Adhesive Capsulitis.
16. Stephanie D. Moore, MS ATC, Kevin G. Launder, PhD, ATC, Todd A. Mcloda, PhD, ATC, Michael A. Shaffer, PT, ATC, OCS The Immediate Effects of Muscle Energy Technique on Posterior Shoulder Tightness: A Randomized Controlled.
17. Edrish Saifee Contractor, Dhara Santosh Agnihotri, Ronak Mukeshbhai Patel: Effect of Muscle Energy Technique on Range of Motion in Cases of Patients with Adhesive Capsulitis.
18. B. Chakradhar Reddy, Santosh Metgud.: A randomized controlled trial to compare the effect of Muscle Energy Technique with Conventional Therapy in stage ii adhesive capsulitis
19. Sreenivasu Kotagiri, Neeti Mathur, Vadana, Gayathri Balakavi, Anup Kumar Songa: The Effectiveness of Muscle Energy Technique and Mobilization to Improve the Shoulder Range of Motion in Frozen Shoulder
20. Einar Kristian Tveitaa, Ole Marius Ekeberg, Niels Gunnar Juel And Eril Bautz: Responsiveness of the shoulder pain and disability index in patients with adhesive capsulitis
21. Kathryn E. Rouch, Elly Budiman-Muk, Norwarat Songsiridej, and Yongsuk Lertratanakul (1991) Development of a Shoulder Pain and Disability Index
22. Chester R, Jerosch-Herold C, Lewis J, Shepstone L.The SPADI and QuickDASH Are Similarly Responsive in Patients Undergoing Physical Therapy for Shoulder Pain
23. Morey J. Kolber, PT, Phd, OCS, Cert MDT, CSCS1 And William J. Hanney, DPT, Phd, ATC, CSCS2 the reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report.
24. Manmitkaur A Gill, Bhavika P Gohel, Sandhya K Singal: Effect of Muscle Energy Technique on Pain and Function in Adhesive Capsulitis -An Interventional Study (MET) treatment technique for AC
25. Nithya Jaiswal, J. Saketa, Hannah Rajsekhar (2019): efficacy of Energy techniques muscle as an adjunct with Mulligan’s mobilization in adhesive capsulitis of shoulder.
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This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
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Manivannan S. The impact of Mulligan movement with mobilization technique (MWM) and muscle energy technique (MET) on adhesive capsulitis of the shoulder. Physio Ther Occup Ther J. 2024;17(2):103-110.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.