A Comparative Study between Efficacy of Low Level Laser Therapy (LLLT) with Mulligan's Mobilization (MWM) Over Ultrasound Therapy with Mulligan's Mobilization (MWM) in Patients with Acute Supraspinatus Tendinitis

Supraspinatus tendinitis is a common condition faced by general population. In clinical setting it is treated by conservative treatment and physiotherapy. Ultrasound therapy, Low Level Laser Therapy (LLLT) and mulligan's mobilization are the treatment of all approaches.

Intervention is directed towards resolving each impairment or activity limitations identified in physical therapy examination. Currently, most author advice conservative (non operative) intervention which consists of manual therapy and pain reliving modalities.

To compare the effectiveness among the LLLT with Mulligan's mobilization and Ultrsound with Mulligan's mobilization.

50 patients of age group between 20 to 60 years with supraspinatus tendinitis were assigned into two treatment groups. Group A was treated with low level laser therapy with mulligan's mobilization (MWM) by physiotherapist, while Group B was treated with ultrasound therapy with mulligan's mobilization by physiotherapist for 8 weeks with 5 sessions per week. The outcomes were evaluated with visual analogue scale (VAS) and goniometery measurement prior and after the treatments.

The results showed that both the groups were effective in treatment of acute supraspinatus tendinitis. Statistical analysis shows that there is reduction in pain and increase in ROM of shoulder by both the group; however the inter group comparison showed that group B higher effect in reduction of pain and the increasing the ROM of shoulder than group A.

Therefore alternative hypothesis is selected and null hypothesis is rejected.

This study leads to the conclusion that US therapy with mulligan's mobilization (MWM) is more effective than LLLT with mulligan's mobilization (MWM) to reduce pain and increase ROM of shoulder in treatment of acute supraspinatus tendinitis.