Periarthritis (PA) shoulder is a self-limiting condition with unknown etiology that is characterized by painful and limited active and passive range of motion (ROM). Mobilization technique have proven effective in reducing pain and improving ROM, thereby increasing functional ability of shoulder. However, there are very few literatures available suggesting the effectiveness of gong’s mobilization in the treatment of PA shoulder, so the present study was done to find out the effectiveness of gong’s mobilization on pain and functional ability in patient with Periarthritis shoulder. Thirty subjects were chosen at random and divided into two groups. Group A (N=15) was treated with gong’s mobilization technique, ultrasound and Codman’s pendulum exercise. Group B (N=15) was treated with ultrasound and Codman’s pendulum exercise. The initial evaluation of pain intensity by NPRS, shoulder ROM by universal goniometry, and functional disability were scored using constant score. The significant improvement in NPRS (t=12.13, p=0.001) and shoulder abduction (t=11.42, p=0.001) and shoulder medial rotation (t=10.98, p=0.001) and shoulder constant score (t=10.44, p=0.001) was observed in patients with Group A. The significant improvement in NPRS (t=11.50, p=0.001) and shoulder abduction (t=16.10, p=0.001) and shoulder medial rotation (t=12.93, p=0.001) and shoulder constant score (t=8.79, p=0.001) was observed in patients with Group B. The study result concludes that in patients with periarthritis shoulder, the Gong’s mobilization technique is effective in decreasing pain, improving ROM (medial rotation and abduction), and functional disability. However, the patients who received the gong’s mobilization technique showed better improvement than the control group.
Brain Mulligan pioneered the use of manual therapy techniques. In clinical practise, these approaches are often utilised. Among many techniques, bent leg raise is an innovative technique that is said to improve the range of straight leg raise, reduce pain, and reduce the degree of impairment in low back pain with radiculopathy. Clinical trial has not sufficiently demonstrated the efficacy of this approach. As a result, research on the effectiveness of the bent leg raise approach in low back pain with radiculopathy on pain and range of motion is required. 30 male subjects with straight leg raise limitations ranging from 300 to 700 were divided into two groups of 15 each (A and B). Mulligan bent leg raise technique, interferential therapy, intermittent pelvic traction, and spinal extension exercise were administered to Group A. Interferential therapy, intermittent pelvic traction, and spinal extension exercise were administered to Group B for 5 days. The pain and range of straight leg raise were assessed before and after treatment using the Numerical pain rating scale and a universal goniometer, respectively. In Group A, there was statistically significant reduction in NPRS score and improvement in SLR range and the calculated (t=29.078, P value=0.001), (t=22.149, P=0.001). In Group B, there was statistically significant reduction in NPRS score and improvement in SLR range and the calculated (t=20.917, P value=0.001), (t=9.287, P=0.001). When comparing Group, A and B, there was statistically significant reduction in NPRS score and improvement in SLR range was observed in group A. The study concludes that Mulligan bent leg raise is effective in reducing pain and improvement in range of straight leg raise in low back pain subjects with radiculopathy.
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