Mulligan's mobilization-with-movement, positional faults and pain relief: Current concepts from a critical review of literature

Vicenzino, Bill; Paungmali, Aatit; Teys, Pamela

doi:10.1016/j.math.2006.07.012

Cited by 151 publications

(109 citation statements)

References 31 publications

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“…21,26,35,36 Some of the available reports cannot be used for generalization because of the limitations encountered in the study design. 23,37 Therefore, the purpose of this study was to investigate the effect of adding Mulligan concept lumbar SNAG to a conventional LBP program on RE, pain, and function compared with a conventional LBP program alone in patients with chronic nonspecific LBP.…”

Section: Introductionmentioning

confidence: 99%

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Hussien

Abdel-Raoof

Kattabei

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the outcomes of adding lumbar sustained natural apophyseal glide (SNAG) to a conventional therapy program for chronic nonspecific low back pain (LBP). Methods: Forty-two participants with chronic nonspecific LBP were randomly divided into 2 groups. The study group (aged 27.1 ± 8.3, 20 men, 3 women) received a conventional physical therapy program consisted of stretching and strengthening exercises plus SNAG (based on the Mulligan concept) on the affected lumbar levels, and the control group (aged 28.9 ± 7.7, 13 men, 6 women) received the same conventional program without SNAG 3 times per week for 1 month. Outcome measures were repositioning error (the primary outcome), pain, and function measured by an isokinetic dynamometer, visual analog scale, and the Oswestry Disability Index. Measurements were recorded before and after the end of the treatment period. Results: The comparison between pretreatment and posttreatment test scores indicated that both study and control groups had significant improvement in all dependent variables (P N .001). However, adding SNAG to the conventional program resulted in higher improvement in terms of repositioning error, pain, and function (P = .02, .002, .008) respectively. Conclusions: This preliminary study indicated improvement in both groups. Adding SNAG to conventional programs in the treatment of chronic nonspecific LBP may result in greater improvement of repositioning error, pain reduction, and improved function. (J Chiropr Med 2017;16:94-102)

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Section: Introductionmentioning

confidence: 99%

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Hussien

Abdel-Raoof

Kattabei

et al. 2017

Journal of Chiropractic Medicine

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“…Mobilization With Movement (MWM) has been shown to reduce pain levels, increase range of motion (Abbott, 2001, Mulligan, 2006, Vicenzino, Hing, 2011, and function in patients with shoulder pain (Mulligan, 2006, Teys et al , 2008, Vicenzino, Hing, 2011. Correction of bony positional fault, neurophysiological effects or a combination of both have been proposed as the underlying mechanisms of MWM (Vicenzino et al , 2007).…”

Section: Introductionmentioning

confidence: 99%

The initial effects of a sustained glenohumeral postero-lateral glide during elevation on shoulder muscle activity: A repeated measures study on asymptomatic shoulders

et al. 2016

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“…A decrease in pain intensity with a test performed after an intervention compared to the preintervention test pain intensity implies that the intervention has had a beneficial effect (1)(2)(3). Patient reports of pain intensity must be reliable for this assumption to be supported.…”

Section: Introductionmentioning

confidence: 99%

Do Patients Undergoing Physical Testing Report Pain Intensity Reliably?

White

McNair

Laslett

et al. 2015

Arthritis Care & Research

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Objective. To determine the reliability of patient reports of pain intensity during the application of physical tests. Methods. A single examiner required participants to use the numeric pain rating scale (NPRS) to report the intensity of pain provoked during physical testing of the hip. Standardized versions of 14 physical tests were used on 18 people with hip pain. Tests were repeated at 1 hour and 2-7 days later. Within-and between-session reliability of reports of pain intensity was calculated using intraclass correlation coefficients (ICCs) and Lin's concordance correlation coefficients (CCCs). Standard errors of measurement (SEMs) were calculated. The average SEM value of 0.9 points on the NPRS was the same for both within-and between-session testing (range 0.6-1.6). Conclusion. Patient reports of the intensity of pain provoked by physical tests are sufficiently reliable to be clinically useful. However, the SEM of 0.9 points should be considered when precise calculations of changes in pain intensity are important.

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Mulligan's mobilization-with-movement, positional faults and pain relief: Current concepts from a critical review of literature

Cited by 151 publications

References 31 publications

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain

The initial effects of a sustained glenohumeral postero-lateral glide during elevation on shoulder muscle activity: A repeated measures study on asymptomatic shoulders

Do Patients Undergoing Physical Testing Report Pain Intensity Reliably?

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