Evaluation of Mulligan's technique for adhesive capsulitis of the shoulder
Mobilizations are commonly applied in the rehabilitation for adhesive capsulitis of the shoulder, yet the specific mode and parameters for optimal results remain to be determined. In Mulligan’s mobilization with movement (MWM), a manually applied gliding force to correct positional faults is sustained while the joint is moved either actively by the patient or passively by the therapist.
In order to investigate the effects of MWM on pain relief and functional capacity, 40 subjects with adhesive capsulitis were divided into a intervention group that received MWM and a control group receiving traditional mobilizations. A VAS-scale, goniometric ROM examination, the Constant score, Shoulder Disability Questionnaire and satisfaction of the patient and the physiotherapist were used to evaluate outcomes.
It was found that both strategies led to a significant reduction in pain and improvement in ROM and function – however, in general, MWM was significantly more effective than conventional mobilizations. > From: Doner et al., J Rehabil Med 45 (2013) 87-91.