TO COMPARE EFFECTS OF MAITLAND AND MULLIGAN’S MOBILIZATION TECHNIQUES IN THE TREATMENT OF FROZEN SHOULDER

Objective: To compare the role of Maitland mobilization and Mulligan’s mobilization techniques in treatment of frozen shoulder and its possible effect in early gaining of ROM and Pain management. Methods: This was a randomized control trial conducted at Department of Physiotherapy and Orthopedics unit I, KEMU / Mayo Hospital, Lahore. There were two group of patients each group contained 30 patients. Patients were treated with Mulligan’s technique in Group – A and with Maitland manual therapy technique in Group – B. Patients in both treatment groups were followed till 6 weeks and improvement in range of motion parameters were recorded at every follow up visit of the patients. SPSS was used for data entry and analysis. Results: In the study 60 patients were enrolled. Mean age of Group – A patients was 46.23 ± 9.71 years, and mean age of Group – B patients was 47 ± 9.21 years. In Group – A 14 patients duration of onset was 8 weeks, 4 patients duration of onset was 10 weeks and 12 patients duration of onset was 12 weeks. In Group – B 14 patients duration of onset was 8 weeks, 8 patients duration of onset was 10 weeks and 12 weeks each respectively. It was observed that patients who were treated with Mulligan technique their abduction and flexion was improved greatly as compared to those who were treated with Maitland technique. Patients who were treated with Mulligan technique their flexion was improved greatly as compared to those who were treated with Maitland technique. At 6th week mean extension in Maitland`s treatment group was 52.50 ± 8.66 where as that Mulligan`s treatment group was 52.00 ± 7.58. It was observed that patients in both treatment groups had same improvement in extension and it was statistically same. In both treatment groups patients had same improvement in medial rotation and it was statistically same. At 6th week mean lateral rotation in both treatment groups was 42.65 ± 24.47 and 53.50 ± 23.03. It was observed that patients in both treatment groups had same improvement in lateral rotation and it was statistically same. Conclusion: Mulligan’s technique is more effective in treating frozen shoulder as compared to Maitland technique.