Efficacy of the Mulligan technique on subacromial space in patients with shoulder impingement syndrome

Abstract

Introduction. To estimate the effectiveness of the Mulligan technique for the shoulder complex on the subacromial space, shoulder ROM, pressure pain threshold, and function of the shoulder in the impingement syndrome patient. Methods. Thirty patients who suffered from shoulder impingement syndrome were at random allocated into two groups; the experimental group received shoulder complex mobilization with movement plus conventional therapy, and the control group received conventional treatment. All patients were examined by ultrasonography for subacromial space, shoulder range of motion using a digital goniometer, electronic algometry for pressure pain threshold, and the Quick DASH for a difficulty level involved in carrying out several physical activities. Results. In comparison to group B post-treatment, there were statistically significant improvements in the subacromial space (p > 0.004), flexion and abduction ROM, PPT of the biceps and supraspinatus (p > 0.001), and a significant reduction in the quick DASH (p > 0.001). Conclusions. Shoulder complex mobilization with movement plus conventional therapy improved subacromial space, shoulder ROM, pressure pain thresholds, and function more than conventional therapy alone in shoulder impingement syndrome patients.