Document Detail

Evalution of Mulligan's technique for adhesive capsulitis of the shoulder.
MedLine Citation:
PMID:  23037929     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate Mulligan's technique for relieving pain and improving functional capacity of the shoulder in patients with adhesive capsulitis in the stiffness phase.
DESIGN: Randomized controlled study.
METHODS: A total of 40 subjects were randomly allocated into 2 groups: (i) group 1 (n = 20) were treated with hot pack, transcutaneous electrical nerve stimulation, and passive stretching exercises; (ii) group 2 (n = 20) were treated with hot pack, transcutaneous electrical nerve stimulation and Mulligan's technique. Mulligan's technique combines the sustained application of a manual "gliding" force to a joint, with the aim of repositioning bone positional faults while enabling concurrent physiological (osteo-kinematic) motion of the joint. All cases were evaluated using visual analogue scales for pain, passive and active range of motion, Constant score, Shoulder Disability Questionnaire, and patient and therapist satisfaction at baseline, after completion of treatment sessions and at the end of 3 months of follow-up.
RESULTS: Marked improvement was noted in both groups after completion of treatment sessions and at the third month of follow-up compared with baseline. The improvements in outcome measures, namely pain, range of motion, shoulder scores, and patient and physiotherapist satisfaction, were significantly greater in subjects in group 2, who were treated with Mulligan's technique.
CONCLUSION: Mulligan's technique and passive stretching exercises are both effective in reducing pain, and restoring range of motion and function. However, compared with stretching exercises, Mulligan's technique led to better improvements in terms of pain, range of motion, shoulder scores, and patient and physiotherapist satisfaction.
Gokhan Doner; Zeynep Guven; Ayçe Atalay; Reyhan Celiker
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-05-21     Completed Date:  2013-12-05     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  87-91     Citation Subset:  IM    
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MeSH Terms
Bursitis / rehabilitation*
Exercise Therapy
Middle Aged
Pain Management
Range of Motion, Articular
Shoulder Joint*
Shoulder Pain / rehabilitation*
Transcutaneous Electric Nerve Stimulation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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