1Assistant Professor, Physiotherapy Department, Southern Institute of Medical Sciences, Mangaldas Nagar, Guntur, Andhra Pradesh
2Academic Incharge, Physiotherapy Department, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana
Online published on 28 September, 2015.
To investigate the effect of mulligan's mobilisation with movement (MWM) in combination with supervised exercises on pain, range of motion and functional ability in frozen shoulder patients with type-2 diabetes mellitus.
MWM is an important part of intervention in management of frozen shoulder. A higher prevalence of frozen shoulder has been reported in diabetes mellitus patients. Documentation of the outcome after MWM application in these patients has not been well documented in past.
Sixty six participants were randomly assigned to one of the two treatment groups. Control group received supervised exercises alone, experimental group received MWM along with supervised exercises. All the outcomes measurement was done at the baseline and at intervals of 3, 6 and 12 weeks.
In both the groups improvement was seen in all outcomes measurement. Improvement in abduction AROM in MWM group was 23.4 (95% CI=17.6 to 29.1) greater than control group. Improvement in internal rotation AROM in MWM group was 20.4 (95% CI= 17.5 to 23.4) greater than control group. The pain during movement and shoulder disability reduced significantly in MWM group than control group at 12 weeks.
MWM thus has an added effect in improving range of motion, functional ability and reducing pain when administered along with a regimen of supervised exercises for frozen shoulder patients with type 2 diabetes mellitus.
Frozen shoulder, MWM, Diabetes mellitus
