Effectiveness of Mulligan Mobilization Versus Scapular Mobilisation technique on Functional Ability in Subjects with Adhesive Capsulitis of Shoulder Joint

Authors

  • Sundar Rajan M S Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
  • Kotteeswaran K Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India
  • Hariharan J Saveen Inistitute of Medical and Technical Sciences, Chennai

DOI:

https://doi.org/10.37506/7fjmgp74

Keywords:

Adhesive capsulitis, ROM, SPADI, Mulligan ‘MWM’, Scapular mobilization technique.

Abstract

Background and aim: Frozen shoulder or Adhesive capsulitis is determined by pain, progressive loss of active and passive shoulder range of motion due to the contracture of the joint capsule and fibrosis. The Mobilizations with movement (MWM) for joints are used separately or along with other hands-on techniques to increase the quality of joint intra articular gliding, neurodynamic and to assist the correct muscle demand. The goal of study is to assess the effectiveness of Mulligan ‘MWM’ and Scapular mobilization technique on functional ability in subjects with adhesive capsulitis of shoulder joint.

Methods:  Total 40 subjects were selected based on the inclusion and exclusion criteria. The detailed procedure was explained to subjects, and Informed consent form was collected before starting the study. The Pre and Post test values were measured using ROM and Shoulder Pain and Disability Index. The subjects were divided into two groups: Mulligan ‘MWM’ with exercise: (n=20), Scapular mobilization technique with exercise: (n=20). Both groups received Arm Circles, Pendulum stretch, Towel stretch, Wand exercise, wall climbing, upper body stretch for 3 days a week and continued for 6 weeks (2 sets, 10 repetition with 10 seconds hold were given).

Result: The collected data was statistically analyzed using an unpaired t-test. Mulligan ‘MWM’ indicates significant effects (p <0.01) in reducing pain and improving functional activity when compared to Scapular mobilization technique along with exercise, assessed by ROM and SPADI.

Conclusion:  This study concluded that mulligan ‘MWM’ is more effective than Scapular mobilization technique along with exercises reducing pain and improving functional activity in adhesive capsulitis of shoulder joint.   

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Author Biographies

  • Sundar Rajan M S, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India

    Post graduate student, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India

  • Kotteeswaran K, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India

    Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India

  • Hariharan J, Saveen Inistitute of Medical and Technical Sciences, Chennai

    Tutor, Saveen Inistitute of Medical and Technical Sciences, Chennai

References

Khyathi P, Asha D. Comparative effect of Spencer technique versus Mulligan's technique for subjects with frozen shoulder: a single-blind study. Int J Physiother. 2015 Apr 8;448-58.

Patel B. Effectiveness of muscle energy technique and movement with mobilization in adhesive capsulitis of shoulder. IJAR. 2022;8(3):395-403.

Haveela B, Dowle P, Chandrasekhar P. Effectiveness of Mulligan’s Technique and Spencer’s Technique in adjunct to conventional therapy in frozen shoulder: a randomised controlled trial. Int J Adv Res Dev. 2018;3(1):253-60.

Kumar N, Sen S, Badoni N, Patra A, Garg S. Effectiveness of movement with mobilization (MWM) on pain, proprioception, and muscle strength in diabetic frozen shoulder conditions. Int J Health Sci. 2017;1:2620-35.

Razaq HB, Basharat A, Sheikh SA, Zehra RE, Mufti HA, Faraz K, Waqar Z. Effects of combining both mobilization with movement and Spencer’s technique in diabetic adhesive capsulitis patients. Int J Health Sci. 2023;7(S1):2328-43.

Minerva RK, Alagingi NK, Apparao P, Chaturvedhi P. To compare the effectiveness of Maitland versus Mulligan mobilisation in idiopathic adhesive capsulitis of shoulder. Int J Health Sci (Qassim). 2016 Feb;2:9.

Yeole UL, Dighe PD, Gharote GM, Panse RS, Shweta A, Pawar PA. Effectiveness of movement with mobilization in adhesive capsulitis of shoulder: randomized controlled trial. Indian J Med Res Pharm Sci. 2017 Feb;4(2):1-8.

Nawaz S, Anwar S, Humayun K, Nawaz S, Kazmi SK, Ilyas U, Akhtar H. Comparative study on the effects of Mulligan mobilization technique and muscle energy technique on pain and range of motion in adhesive capsulitis. Group. 2021;1(11):82-8.

Rehman UU, Rehman SU, Sibtain F. Effectiveness of mobilization with movement with and without therapeutic ultrasound in rehabilitation of idiopathic adhesive capsulitis. J Riphah Coll Rehabil Sci. 2013 Mar 10;1(1):2-6.

Zaghloul HM, Ali HA, Mohamed MT. Scapular mobilization vs. mobilization with movement with low-grade mobilization in the treatment of phase II adhesive capsulitis. NeuroQuantology. 2022;20(16):3250-60.

Park SW, Lee HS, Kim JH. The effectiveness of intensive mobilization techniques combined with capsular distension for adhesive capsulitis of the shoulder. J Phys Ther Sci. 2014;26(11):1767-70.

Antari NK, Kinandana GP, Negara AA. Scapulothoracic joint mobilization improves range of motion and functional ability in frozen shoulder. Sport Fitness J. 2021 Sep;9(3):166-75.

Elnaggar M, Kaddah M, Mohamed A. End-range and scapular mobilization technique versus passive stretching exercises in treatment of shoulder adhesive capsulitis. Med J Cairo Univ. 2021 Mar 1;89(March):91-8.

Pragassame S, Kurup VM, Kifayathunnisa A. Effectiveness of scapular mobilization in the management of patients with frozen shoulder: a randomized control trial. J Clin Diagn Res. 2019 Aug 1;13(8):36-40.

Sreenivasu K, Paul Daniel VK, Subramanian MB, Sajeevan T. Effectiveness of end-range mobilization with scapular mobilization in frozen shoulder. Int Arch Integr Med. 2016;3(8):53-8.

Shamsi S. An analysis upon comparison of Mulligan’s vs. Maitland’s mobilization techniques in improving neck pain, disability, ROM and adhesive capsulitis of shoulder joint. Educ. 2012 Apr;3(6):45-50.

Zavala-González J, Pavez-Baeza F, Gutiérrez-Espinoza H, Olguín-Huerta C. The effectiveness of joint mobilization techniques for range of motion in adult patients with primary adhesive capsulitis of the shoulder: a systematic review and meta-analysis. Physiother Theory Pract. 2020;36(1):88-97.

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Published

2025-07-26

How to Cite

Effectiveness of Mulligan Mobilization Versus Scapular Mobilisation technique on Functional Ability in Subjects with Adhesive Capsulitis of Shoulder Joint. (2025). Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 19(3), 123-132. https://doi.org/10.37506/7fjmgp74