EFFECTIVENESS OF MULLIGAN’S MOBILIZATION WITH MOVEMENT TECHNIQUES ON PAIN AND DISABILITY OF PERIPHERAL JOINTS: A SYSTEMATIC REVIEW WITH META-ANALYSIS BETWEEN 2008–2017

Review written by Robin Kerr info

BACKGROUND & OBJECTIVE

Originating in New Zealand but now taught to manual therapists globally, The Mulligan Concept of Manual Therapy employs synchronized manual mobilization with active movement (MWM) repositioning techniques. This systematic review and meta-analysis specifically investigated the effectiveness of MWM techniques for reducing pain and disability in patients with peripheral joint “positional fault dysfunctions”.

METHODS

PRISMA guidelines were followed for the systematic review and meta-analysis. 16 (14 RCT/ 2 CCT – controlled clinical trial) studies performed between 2008-2017 incorporating 576 participants were included in 4 separate meta analyses. Analysis was made of the immediate post application effectiveness of MWMs for pain and disability. A PICO Question was followed in the literature selection process and risk of bias was identified with the PEDro Scale. Outcome measures for pain and disability were presented on a 0>100 scale. The means and SD of between group pre-post differences of each study were used.

VIDEO:

https://www.youtube.com/watch?v=JIsNIdYbBdM

RESULTS

Regarding Pain Reduction: MWM vs Control (None, Sham, Passive techniques)

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