Effectiveness of mobilization with movement for the treatment of shoulder pain and limitation of shoulder movement

Abstract

Background: Shoulder pain and movement restrictions are common musculoskeletal complaints that significantly affect daily activities. Mobilization with Movement (MWM), a manual therapy technique developed by Brian Mulligan, has been widely used for shoulder conditions. Studies suggest that mobilization with movement can enhance range of motion (ROM), reduce pain, and improve functional outcomes. However, the effectiveness of mobilization with movement compared to other physiotherapy interventions remains debated. This study aims to assess the impact of MWMonpain reduction, ROM improvement, and functional recovery in individuals with shoulder disorders. Aim: This study aims to evaluate the effectiveness of MWM in reducing shoulder pain and improving mobility in individuals with movement restrictions. It investigates the effects of mobilization with movement on pain levels, ROM,and functional ability. Additionally, the study compares MWM to conventional rehabilitation techniques to determine its relative benefits in shoulder pain management. Methodology: The study was a single group pre test post test design that measured pre-test and post-test results. 26 patients were allocated based on inclusion criteria. The participants received six sessions of treatment. Numeric Pain Rating Scale, Goniometer, Oxford Grading scale were used to measure the pain and range of joint. Results: : The pre and post test results of 26 participants were measured using paired t test. The test reveals that the shoulder pain intensity and range of movement statistically improved ( p< 0.05) after receiving the intervention. But muscle power of oxford grading did not show any difference in before and after comparison. Discussion: MWM appears to be a beneficial treatment for shoulder pain and movement restrictions, offering improvements functional ability. Its effectiveness may be attributed to enhanced joint biomechanics and neuromuscular control. Although current evidence supports MWM, variations in study methodologies and small sample sizes highlight the need for further research. Future studies should focus on long-term effects and standardized protocols to establish MWM as a primary intervention in physiotherapy. Keywords: Mobilization, Movement, Shoulder, Pain, Range of motion, Disability. Word count: 10576