Effectiveness of Mulligans Mobilisation with Movement on Shoulder Dysfunction: A Systematic Review

Abstract

Introduction: Shoulder dysfunction is common musculoskeletal disorder. This is due to repeated wear and tear of structures around the shoulder joint causing the malpositioning of shoulder. The Mulligan Mobilisation with Movement (MWM) has shown good results in treating the shoulder dysfunction. Aim: To systemically review the available literature of MWM is effective in improving pain, Range Of Motion (ROM) and functioning in patients with shoulder dysfunction. Materials and Methods: Five electronic databases like MEDLINE, PUBMED, Cochrane (CENTRAL), PEDro, and Google Scholar were searched up from March 2019 to September 2019 for randomised control trails of MWM in shoulder dysfunction subjects. The key words used were mobilisation with movement, mulligan’s mobilisation with movement, shoulder dysfunction. Eligibility criteria were Randomised Control Trials (RCT) with 6 out of 12 Cochrane review group for risk of bias assessment published in English language. Results: Nine out of ten studies showed significant changes in mulligan’s MWM group than the general treatment, active ROM exercises, sham’s technique, stretching’s strengthening and stabilisation exercises, end range and mid-range mobilisations, electrotherapeutic modalities and only one showed no significant difference between the two groups but improvements in the pain, ROM, strength and functioning of the subjects with shoulder dysfunction. Conclusion: On overall study of mulligan’s MWM treatment in shoulder dysfunction it has very good improvements on outcome measures such as ROM, pain, strength and functional ability. Further more studies are required for knowing the individual effects of mulligan’s MWM and its short term, long term effects.