1Assistant Lecturer, College of Allied Health Sciences, Gulf Medical University, Ajman, UAE
2Physiotheapist, Gulf Medical College Hospital and Research Center, Ajman, UAE
*Corresponding author: Mrs. Annamma Mathew, College of Allied Health Sciences, Gulf Medical University Ajman, UAE, Email: researchdivision2@gmail.com
Online published on 13 February, 2013.
The purpose of this case study was to compare the effectiveness of traditional physical therapy interventions of using therapeutic modality and exercise versus a combined approach using mobilization with movement and exercises in the treatment of shoulder impingement syndrome. A total of 5 patients diagnosed with shoulder impingement syndrome were selected from the hospital. Patients then participated in the programs, which were held twice a week for two months. Main outcome measures included 24-hour pain (VAS), shoulder active range of motion (AROM), and shoulder function (SPADI). Repeated-measures analysis indicated significant decreases in pain, improved function, and increases in AROM. The MWM had a higher percentage of change from pre- to posttreatment on pain measures pain (VAS): 0.6 to 0.2 following 4 session treatment, higher percentage of change on the SPADI and in AROM.
This study suggests that performing glenohumeral mobilizations with movement (MWM) in combination with a supervised exercise program may result in a greater decrease in pain and improved function although studies with larger samples and discriminate sampling methods are needed.
Exercise, Glenohumeral Mobilization, Mobilization with Movement
