Efficacy of mulligan technique on sub-acromial space in patients with shoulder impingement syndrome

Abstract

Introduction To estimate the effectiveness of the Mulligan technique for the shoulder complex on the subacromial space, shoulder ROM, pressure pain threshold, and function of the shoulder in the impingement syndrome patient. Methods Thirty patients who suffered from shoulder impingement syndrome were at random allocated into two groups; the experimental group received shoulder complex mobilization with movement plus conventional therapy, and the control group received conventional treatment. All patients were examined by ultrasonography for subacromial space, shoulder range of motion using a digital goniometer, electronic algometry for pressure pain threshold, and the Quick DASH for a difficulty level involved in carrying out several physical activities. Results In comparison to group B post-treatment, there were statistically significant improvements in the subacromial space ( p > 0.004), flexion and abduction ROM, PPT of the biceps and supraspinatus ( p > 0.001), and a significant reduction in the quick DASH ( p > 0.001). Conclusions Shoulder complex mobilization with movement plus conventional therapy improved subacromial space, shoulder ROM, pressure pain thresholds, and function more than conventional therapy alone in shoulder impingement syndrome patients.

Keywords

• shoulder impingement syndrome
• mulligan technique
• sub-acromial space
• shoulder complex