Reflexology versus mulligan in management of diabetic frozen shoulder: A comparative study

Heba Abd Elghfar, Asmaa Abd Elmonem Ahmad Tolba, Hassan Husien Ahmad


Heba Abd Elghfar, Asmaa Abd Elmonem Ahmad Tolba, Hassan Husien Ahmad – Reflexology versus mulligan in management of diabetic frozen shoulder: A comparative study. Fizjoterapia Polska 2022; 22(2); 202-206

Abstract
Aim. To compare the effect of mulligan versus reflexology on frozen shoulder in diabetic patients.
Methods. Sixty diabetic patients (30 men and 30 women), suffering from frozen shoulder, participated in this study. They were divided into two equal groups. Mulligan group received Mulligan mobilization plus pendulum exercises for 6 weeks (n = 30, including 15 men & 15 women), while reflexology group received reflexology plus pendulum exercises for 6 weeks (n = 30, including 15 men & 15 women). The shoulder pain severity and range of motion (ROM) were assessed at the beginning and after the treatment program for both groups.
Results. Both groups showed a significant reduction in shoulder pain (p < 0.05), as well as significant improvements in shoulder ROM at flexion, extension, abduction, external rotation and internal rotation (p < 0.05) post-treatment compared to pre-treatment. Comparing both groups post-treatment revealed a non-significant difference in shoulder pain, while there were significant improvements in shoulder ROM at all directions (p < 0.05) in favour of Mulligan group.
Conclusions. Mulligan produces a significant improvement for patients with diabetic frozen shoulder more the reflexology.
Key words:
Mulligan, reflexology, diabetic frozen shoulder
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Effect of spinal mobilization with arm movements on kinesthetic awareness in patient with chronic cervical radiculopathy: Randomized controlled trial

Aida A Nassif, Fatma S Amin, Soheir S Rezkallah, Amr Hassan

Aida A Nassif, Fatma S Amin, Soheir S Rezkallah, Amr Hassan – Effect of spinal mobilization with arm movements on kinesthetic awareness in patient with chronic cervical radiculopathy: Randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 6-11

Abstract

Background. Cervical radiculopathy (CR) is known as a severe neuromusculoskeletal condition which causes pain and physical disorders that both impair employment and quality of life. Spinal mobilization with arm movements (SMWAMs) is one of the methods in Mulligan’s techniques while residual discomfort is assumed to originate from the spine. Objective. This study aimed to assess the effect of SMWAMs on cervical proprioception and functional abilities in patient with cervical radiculopathy. Methods. Forty subjects of both sexes with chronic unilateral CR participated in the study, they were randomly assigned into two equal groups, Group A (experimental group): received SMWAMs in addition to a guide line protocol, group B (control group): received the guide line protocol, over four consecutive weeks, all subjects received 12 sessions. Outcome assessments included cervical proprioception using the cervical range of motion (CROM) and functional abilities using the cervical disability index (NDI) were assessed at baseline and 4 weeks’ post-intervention. Results. There was a statistical significant improvement in the experimental and control groups 4 weeks post-treatment for cervical proprioception and functional performance (p < 0.05). Concerning groups there was a significant difference between both groups regarding all measured variables in favor to the experimental group (p < 0.05). Conclusion. SMWAMs provides an additional effect in the management of chronic Cervical radiculopathy patients as it proprioception and functional performance.

key words:
Cervical radiculopathy, Cervical proprioception, functional abilities, Mulligan, Spinal mobilization with arm movement
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