Effectiveness of movement with mobilization (MWM) on pain, proprioception and muscle strength in diabetic frozen shoulder conditions

Abstract

The term “frozen shoulder” was first introduced by Codman in 1934. He described a painful shoulder condition of insidious onset that was associated with stiffness and difficulty sleeping on the affected side. Codman also identified the marked reduction in forward elevation and external rotation that are the hallmarks of the disease (Richard Dias et al, 2005). Brian Mulligan’s concept of Mobilization with Movement (MWM) is a natural continuance of the progression in the development of manual therapy from active stretching exercise to therapist applied passive physiological movement to passive accessory mobilization technique. (Deepali Rathod et al, 2019). Aims and Objectives: To evaluate the effectiveness of Mulligan Therapy along with conventional on Pain, ROM, Proprioception and muscle strength in patients with diabetic frozen shoulder. Methodology: 31 Patients were treated with Mulligan Therapy, Stabilization Exercise and Moist Heat Therapy. All the patients were selected after informed consent. These patients were interviewed by direct method. The patients were assessed in 0 (zero) week and reassessed in 4 (four) weeks and 8 (eight) weeks of treatment programme. Every 0 week 4 weeks and 8 weeks of treatment programme, pain, ROM, shoulder strength, shoulder Proprioception & disability were recorded.