One-week time course of the effects of Mulligan's Mobilisation with Movement and taping in painful shoulders

Teys, Pamela; Bisset, Leanne; Collins, Natalie J; Coombes, Brooke K.; Vicenzino, Bill

doi:10.1016/j.math.2013.01.001

Cited by 41 publications

(40 citation statements)

References 27 publications

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“…The additional beneficial effects of MWM on shoulder ROM is in accordance with previous studies of MWM for shoulder pain and impairment. 26,42 In those studies a posterolateral glide MWM induced significantly greater improvement in shoulder flexion ROM when compared to placebo and control interventions which was sustained and further improved when used in conjunction with rigid sports tape applied to the skin to maintain the repositioning of the humeral head consistent with the MWM technique. Another study 27 found significant improvement in both active and passive ROM of all shoulder movements following a treatment program incorporating MWM applied in flexion, elevation and internal rotation.…”

Section: Discussionmentioning

confidence: 95%

“…Sample size calculation was based on data from Teys et al 26 A sample size of 18 was required based on 80% power to detect a mean difference of 12˚ (standard deviation 12, alpha = 0.05) in ROM between interventions. 26,42 The sample was increased to 22 to allow for 20% drop out. The independent variables were treatment group (MWM with exercise/hot pack or exercise/hot pack alone) and time (before and after 3 weeks of intervention).…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

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Objectives: Shoulder pain and impairment is a prevalent and disabling condition. While some Mulligan mobilization with movement (MWM) techniques have been shown to have beneficial effects, Hand Behind Back (HBB) MWM has not been investigated. The aim of this study was to investigate the effects of HBB MWM on shoulder pain, impairment and disability. Methods: We conducted a double blind randomized controlled trial in 44 subjects with shoulder pain and movement impairment presenting to an Indian general hospital. Subjects were allocated to receive either MWM and exercise/hot pack (n=22) or exercise/hot pack alone (n=22). The primary outcome was HBB range of motion (ROM). Secondary variables were shoulder internal rotation ROM, pain intensity score, and shoulder disability identified by the Shoulder Pain and Disability index (SPADI). All variable were evaluated by a blinded assessor before and immediately after 9 treatment sessions spread over 3-weeks. Results: A total of 60 patients were screened and 44 randomized. The average duration of symptoms was 4.1 and 4.7 weeks in the exercise and MWM groups respectively. Paired t-tests revealed that both groups demonstrated statistically significant improvements (p< 0.001) with large effect sizes for all variables. However, for all variables the MWM with exercise group showed significantly greater improvements (p< 0.05) than the exercise group. HBB ROM showed a mean difference of 9.31˚ (95% CI 7.38 to 11.27), favoring greater improvement in the MWM with exercise group. Conclusions: Shoulder HBB MWM with exercise improves outcomes in patients with acute shoulder pain and disability greater than exercise/hot packs alone.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial

Satpute¹,

Bhandari²,

Hall³

2015

Journal of Manipulative and Physiological Therapeutics

View full text Add to dashboard Cite

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“…[86][87][88][89] One investigated thoracic SMT, 2 investigated different PT protocols, and 1 investigated 2 types of LLLT.…”

Section: Nonspecific Spmentioning

confidence: 99%

“…89 Three sets of 10 repetitions of MWM were done in each group for a total of 1 treatment session, followed by a 1-week washout and crossover. Pain was assessed immediately post-intervention and 30 minutes, 24 hours, and 1 week later.…”

Section: Pt Protocolsmentioning

confidence: 99%

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Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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