COMPARATIVE STUDY TO FIND OUT THE EFFECTIVENESS OF MAITLAND MOBILISATION VERSUS MULLIGAN MOBILISATION WITH COMMON USE OF ULTRASOUND THERAPY IN PATIENTS WITH SHOULDER ADHESIVE CAPSULITIS- PATHOANATOMICAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 4
Abstract
BACKGROUND Shoulder joint is multiaxial, ball and socket synovial joint in spheroidal head of Humerus which forms the 1/3rd of the sphere directed medially, upwards and backwards. The purpose of this study was to compare the effectiveness of Maitland Mobilisation versus Mulligan Mobilisation with common use of ultrasound therapy in management of adhesive capsulitis. Treatment duration was four weeks. Data was obtained on pain intensity levels and level of functional mobility via Shoulder Pain Disability Index (SPADI) and range of motion by goniometer. MATERIALS AND METHODS Study is conducted on idiopathic or primary adhesive capsulitis, age between 40 to 60 years with controlled DM for over 6 months on 30 patients. Those patients are divided into two groups, Group-A received Maitland Technique with UST and Group-B received Mulligan Technique with UST. RESULTS This is randomised controlled trial. The mean score of SPADI reduced from a mean of 74.54333 to 54.8046 in Group A (Maitland Mobilisation with UST), whereas in Group B (Mulligan Mobilisation with UST) the mean has been improved from 77.886 to 40.796. The pain and disability score analysis for intergroup comparisons shows significant improvement in Group B subjects as compared to Group A (P= 6.90022 X 10-06). The mean of abduction range improved from 75.8 to 103.533, external range of motion mean score increased from 42.8 to 61.066 in Group A (Maitland mobilisation with ultrasound therapy group), whereas in Group B (Mulligan mobilisation with UST). The mean of abduction range improved from 78.133 to 119, external range of motion mean score increased from 40.8 to 70.066. The intragroup analysis clearly depicts both intervention to be effective in range of motion improvement and in improving functional mobility. The range of motion score analysis for intergroup comparison showed the strength significantly improved in Group B subjects as compared to Group A subjects. CONCLUSION The result of this study demonstrates that the Mulligan method with UST is superior treatment approach compared to Maitland method with UST therapy in managing Adhesive Capsulitis.
Authors and Affiliations
Srijeeta Biswas, Sumohan Biswas
Keywords
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- EP ID EP285853
- DOI 10.14260/jemds/2018/118
- Views 108
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