Effect of Maitland and Mulligan mobilization on pain, range of motion and disability in patients with rotator cuff syndrome: a randomized clinical trial protocol

Abstract

Background: Rotator cuff syndrome (RCS) comprises partial or whole-thickness rotator cuff tears, rotator cuff tendonitis, subacromial impingement syndrome, and bursitis. Expansion of rotator cuff arthropathy and glenohumeral degenerative disease are both made more likely by chronic rotator cuff syndrome. The maximum well-supported nonsurgical treatment for individual with rotator cuff (RC) injury appears to be musculoskeletal physiotherapy, including manual treatments and exercises. Scapular stabilisation exercises, proprioceptive neuromuscular facilitation (PNF), range of motion (ROM), rotator cuff strengthening exercises, and stretching exercises are some of the therapeutic exercises that have been shown to be useful in recovering shoulder function. The passive, expert movements known as joint mobilisation and manipulation are used by clinicians to increase joint mobility and to reduce pain. Methods: In this study we aim to find out the effect of Maitland and Mulligan mobilization on improving ROM, functional disability and pain in individuals with rotator cuff syndrome through a randomized clinical trial. 80 individuals in total will be allocated equally into two groups, and both groups will be receiving treatment for six weeks with five sessions per week. After six weeks of therapy the results will be assessed for follow-up. By mobilization there will be increased range of motion, reduction in pain and functional disability, this technique may be used to patient with rotator cuff syndrome if our study's premise is found to be significant. Conclusions: In this study, we expect that the Maitland and Mulligan mobilization on pain, range of motion and disability in patients with rotator cuff syndrome will have significant effects. CTRI Registration: CTRI/2023/05/052643.