The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study

Büyükturan, Öznur; Büyükturan, Buket; Şaş, Senem; Kararti, Caner; Ceylan, İsmail

doi:10.1155/2018/2856375

Cited by 25 publications

(30 citation statements)

References 24 publications

(31 reference statements)

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“…our results are supported by Browder et al [34], who declared that cervical traction in the intermittent mode in addition to manipulation significantly enhanced neck RoM and reduced pain. Buyukturan et al [12] detected a significant improvement in pain, RoM, and disability using Mulligan manual approaches in cervical dysfunction. Gautam et al [35] observed that Mulligan manual exercises were significantly better than Maitland techniques and TT in patients with cervical dysfunctions.…”

Section: Discussionmentioning

confidence: 99%

“…A conventional TENS with 50-Hz frequency and a pulse duration of 100 μs was used in our study. TENS was applied to the suboccipital region for 20 minutes [12,22]. deep cervical strengthening exercises were performed by using an uninflated pressure sensor biofeedback unit The therapist inflated the biofeedback unit up to 20 mm Hg, which is sufficient to support the neck without making cervical lordosis ( Figure 3) [23].…”

Section: Treatment Proceduresmentioning

confidence: 99%

“…Mulligan manual therapy approaches have been noted to be significantly valuable in the management of cervical dysfunctions [11]. Buyukturan Physiother Quart 2019, 27 (4) physiotherapyquarterly.pl et al [12] studied the effects of Mulligan sustained natural apophyseal glide approach in the treatment of neck pain in elder patients. The results revealed that Mulligan mobilization group had better outcome measures in pain level, RoM, and daily living activities.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial

Khalil¹,

Alkhozamy²,

Fadle³

et al. 2019

Physiother Quart.

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Introduction. Cervicogenic headache (CGH) is a serious condition manifested by upper cervical facet joints dysfunction. Mulligan upper cervical sustained natural apophyseal glide was noted to be effective in CGH but Mulligan upper cervical manual traction (MUCMT) has not yet been investigated. The purpose of the study was to compare the effect of MUCMT vs. traditional treatment (TT) in patients with CGH. Methods. A randomized controlled prospective parallel single-blind trial was performed. overall, 30 patients with CGH aged 30-55 years were randomly and equally allocated into the MUCMT group (A) and TT group (B) by using permuted block randomization. Group A participants were treated by TT and MUCMT while group B received hot packs, transcutaneous electrical nerve stimulation, and deep cervical flexors strengthening exercise. Patients gained 3 sessions every week for 3 weeks followed by home exercise for 3 months. Pre-treatment, post-treatment, and follow-up values for all outcome measures were recorded. The primary outcome was headache intensity. Secondary outcomes involved headache frequency, headache duration, neck disability index, and upper cervical rotation range of motion. Results. Within groups, statistical analysis revealed a significant difference in the comparison of pre-vs. post-treatment and post-treatment vs. follow-up mean values of all outcomes. Between groups, no statistical significance was observed in posttreatment and follow-up data, with 1 exception regarding upper cervical range of motion in favour of MUCMT. Conclusions. MUCMT is an effective treatment in patients with CGH, mainly with regard to upper cervical rotation range of motion.

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Section: Discussionmentioning

confidence: 99%

Section: Treatment Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial

Khalil¹,

Alkhozamy²,

Fadle³

et al. 2019

Physiother Quart.

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“…As técnicas de Mulligan nas cervicalgias caracterizam-se pela mobilização utilizando movimentos ativos ou não do paciente para corrigirem falhas posicionais na estrutura óssea e, dessa forma, reduzir o quadro álgico (VICENZINO B, et al, 2007). Dentre essas técnicas, aparecem os SNAGS e os self-SNAGS que fazem parte das terapias manipulativas espinais que produzem efeitos hipoalgésicos não opióides, com isso, há um indicativo que as repetições, durante a aplicação das técnicas, promovem excitação simpática de natureza mecânica (BUYUKTURAN O, et al, 2018).…”

Section: Discussionunclassified

Efeitos da mobilização articular do conceito Mulligan na cervicalgia crônica em adultos

Montelo

Braga²,

Silva³

et al. 2021

Acervo Saúde

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Objetivo: Analisar os efeitos das técnicas de Mobilização do Conceito Mulligan (MCM) na cervicalgia crônica em adultos. Métodos: Revisão sistemática através das recomendações do “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA), incluindo apenas Ensaios Clínicos Randomizados (ECR) com técnicas de MCM em participantes de 18 a 59 anos com cervicalgia grau I-II, com intensidades de dor e/ou incapacidades avaliadas por instrumentos validados, somente artigos com textos completos nos idiomas inglês, português ou espanhol, entre 2015 a 2020, nas bases PubMed, Web of Science, Science Direct, Embase, Scopus, Cochrane Library e PEDro, foi realizada a análise dos títulos e a leitura dos resumos para verificar os que seriam avaliados na íntegra. Essa etapa foi realizada por três pesquisadores de forma independente. Aplicou-se a ferramenta da Cochrane para avaliar a qualidade metodológica e risco de vieses. Resultados: Dos 65 estudos identificados, após a análise dos critérios de elegibilidade, selecionou-se 4 artigos para a síntese qualitativa. Considerações finais: MCM associadas com outras condutas proporcionam melhora na dor e incapacidades e indivíduos tratados com SNAGS de forma isolada obtiveram melhoras no limiar de pressão de dor.

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“…7 Muhammad Osama in 2020 concluded in his study that MET in combination with conventional therapy improved spinal curvature, pain, disability, ROM and isometric muscle strength. 8 Oznur Buyukturan, in 2018 concluded in his study that mulligan mobilization technique had significant effects on pain, ROM, functional level, kinesiophobia, depression, and QoL as long as it is performed by a specialist in patients of neck pain 9 . S J Horton in a case report in the year 2002 concluded that it may well be that the thoracic spine is ideally suited to SNAGs, and therefore may be the treatment of choice in acute presentations of thoracic pain when the zygapophyseal joints are implicated.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Comprehensive Physiotherapy on a Complex Case of Locked Facet Joint: A Case Report

Indrani Gurjalwar,

Gouri Kalaskar,

Mitushi Deshmukh

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Introduction -Locked facet joint is a type of facet joint dislocation which occurs due to jumping of the inferior articular process over the superior articular process of the vertebra below and causes locking in that position. It can be unilateral or bilateral. In case of unilateral facet joint locking mechanism is flexion/ distraction and rotation. Only 30% of cases associated with neurologic defect. Most often it occurs at C4-5 and C5-6 level. Inferior articular facet of superior vertebral body is locked in front of the superior facet of the more inferior vertebral body but only on one side. X-ray Image Findings in such cases are -subtle, slight anterior subluxation of one vertebral body on the one below usually less than 25% of the width. On lateral view of cervical spine, some bodies appear true lateral below level of injury and oblique above level of injury that is the "Bow-tie sign". Spinous processes do not align on frontal film. Spinous processes of inferior vertebrae displace toward the locked side. In case of bilateral facet joint locking there is always a history of severe flexion injury. Both anterior and posterior ligamentous structures are disrupted at site of injury. More superior vertebra subluxes forward by 50% or more of the body below. Usually occurs in lower cervical spine. Generally, facet locking is a rare occurrence. Case Description -a case of 43 years old female is presented in the report who presented with pain and stiffness in neck which was sudden in onset was present since last two days. Assessment, patient's history and treatment have been discussed in the case study. Conclusion -This case study concluded that there is a significant effect of the given therapeutic intervention on pain, range of motion and activities of daily living (ADL) of the patient.

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The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study

Cited by 25 publications

References 24 publications

Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial

Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial

Efeitos da mobilização articular do conceito Mulligan na cervicalgia crônica em adultos

Impact of a Comprehensive Physiotherapy on a Complex Case of Locked Facet Joint: A Case Report

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