Hydatid disease or hydatidosis is a worldwide zoonosis disease caused by the tapeworm of
Echinococcus granulosus
and still widely endemic in Tunisia especially in rural areas where the sheep-dog cycle is dominant. It is an important public health problem in the pediatric age group causing significant morbidity and mortality. We report a case of primary hydatid cyst of the small intestine in a child and we want to highlight the difficulty that we meet in the diagnosis despite the contribution of imaging.
OBJECTIVES
To compare the effectiveness of Maitland technique (Grade IV) and Mulligan technique for the treatment of frozen shoulders.
STUDY DESIGN
Experimental Study.
STUDY SETTINGS & PARTICIPANTS
This study has been conducted at Ziauddin Hospital with 50 volunteers who participated in the study that were equally divided into two groups (pre and post treatment groups). Subjects were randomly assigned to each group.
INTERVENTIONS
Intervention given to Group A was Maitland Technique (Grade IV) and Group B, Mulligan Technique.
OUTCOME MEASURES
Functional activity of shoulder is measured by using Shoulder Pain and Disability Index (SPADI) score, Pain is measured by VAS Score, and Range of motion, measured by Goniometer both before and after treatment.
RESULTS
Both the treatments showed positive results but Mulligan technique was found to be more effective. The total SPADI score was 15.48 before and 11.92 after the Mulligan technique and 15.32 before and 13.16 after the Maitland technique.
CONCLUSIONS
It is evident that Mulligan technique is more effective for the treatment of frozen shoulder compared to Maitland technique.
OBJECTIVE
To analyze immediate treatment effects of spinal manipulation compared tomulligan sustained natural apophyseal glide mobilization technique in cervical pain.
STUDY DESIGN
Quasi Experimental Study
STUDY SETTINGS & PARTICIPANTS
A sample of 150 participants were included in this study and equally divided in two groups. Subjects were randomly assigned to receive either SNAG mobilization (n = 75), or a manipulation (n =75). The SNAG technique was applied at the cervical spinal levels with active flexion in sitting. Manipulation was done by an experienced manual therapist.
INTERVENTIONS
VAS and Neck disability index (NDI).
RESULTS
The use of manual therapies decreased the pain intensity in the mulligan and the manipulation group; this difference was statistically significant (p-value<0.05).
CONCLUSION
It was observed that both the techniques have shown positive results but in comparison, mulligan technique is more effective than manipulation.
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