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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