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 new reflexology maneuver on lung function and functional ability of chronic obstructive pulmonary disease patients in pulmonary rehabilitation program: A randomized control trial

Laila A. Alsharaway, Tamer I. Abo Elyazed, Nesma A. Helmy

Laila A. Alsharaway, Tamer I. Abo Elyazed, Nesma A. Helmy – Effect of new reflexology maneuver on lung function and functional ability of chronic obstructive pulmonary disease patients in pulmonary rehabilitation program: A randomized control trial. Fizjoterapia Polska 2021; 21(5); 160-165

DOI: https://doi.org/10.56984/8ZG209F33

Abstract
Introduction. Chronic obstructive pulmonary disease (COPD) is a complex disease that requires multidisciplinary interventions provided by a team work of care providers working closely. Pulmonary rehabilitation should be considered a part of integrated patient management.
Aim. The main goal of this study was to search for the effectiveness of introducing new reflexology maneuver as main component in pulmonary rehabilitation program (PRP).
Material and Methods. Randomized control trial was done on 35 COPD patients of both genders their ages ranged from 50-70 with different degrees of functional severity. Patients were grouped into two groups; Reflexology Group (20 patients) including patients underwent classic PRP with addition of the new reflexology maneuver& control group(15 patients) who underwent classic PRP without reflexology maneuver.Outcomes were mentioned as refinement of pulmonary function,exercise tolerance and capacity measured by 6-min walk test,dyspnea score measured by the Modified British Medical Research Council (mMRC) Questionnaire, health status assigned by Combined Assessment test (CAT) score and parameters of blood gases.
Results. Comparison between different variables in both groups before PRP and reflexology revealed statistically significant differences as regards the mean values of forced vital capacity (FVC) only, although the same comparison after full course of PRP and reflexology assigned statistically significant differences as regards the mean values of partial pressure of O2 (PO2), partial pressure of CO2 (PCO2), oxygen saturation (SaO2),forced expiratory volume in 1sec (FEV1), dyspnea &CAT score considering (p < 0.05).
Conclusion. With addition of reflexology to PRP the comprehensive PR program outcomes in COPD patients resulted in significant improvement in dyspnea, blood gases, FEV1 and CAT score.
Key words:
COPD, Pulmonary rehabilitation program, reflexology
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