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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Direct and short-term effects of mobilization with movement according to B. Mulligan in patients with non-specific pain & overload conditions of the shoulder girdle

Mirosław Kokosz, Witold Sodel, Edward Saulicz, Tomasz Wolny, Andrzej Knapik

Mirosław Kokosz, Witold Sodel, Edward Saulicz, Tomasz Wolny, Andrzej Knapik – Direct and short-term effects of mobilization with movement according to B. Mulligan in patients with non-specific pain & overload conditions of the shoulder girdle. Fizjoterapia Polska 2009; 9(4); 301-311

Abstract
Background. Pain and overload conditions ofthe shoulder girdle are a complex problem for physiotherapists. Various manuał therapy techniąues are used to reduce the patienfs complaints. The aim ofthe work was to compare direct and short-term effects ofmobiliza-tions with movement on pain intensity and shoulder rangę of motion. Material and methods. The participants were divided into two groups of 20. Mobilizations with movement (Mulligan techniąues) were performed in the experimental group, while the control group carried out standard mobilizing and strengthening exercises. Changes in rangę of motion of shoulder girdle elevation through flexion and elevation through abduction and pain intensity were evaluated. The data were statistically elaborated. Results. More rapid and morę distinct reduction in pain and ROM improvement were obsen/ed in the experimental group. Conclusions. Mobilizations with movement applied to patients with overload-related pain of the shoulder girdle produce morę beneficial direct and short-term therapeutic effects.
Key words:
shoulder girdle, Mulligan approach, effectiveness
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