* To find the effect of the Maitland Mobilization versus Mulligans Mobilization on the pain of the patient suffering from Shoulder pain. * To determine the effectiveness of Mulligans Mobilization versus Maitland Mobilization on the functional status of the patient suffering from shoulder pain. * To determine the effectiveness of Mulligans Mobilization versus Maitland Mobilization on the psychological health status of that patient.
Shoulder is the most movable joint in the human body. A group of four muscles and their tendons, called the rotator cuff, give the shoulder its wide range of motion Rotator cuff muscles Swelling, damage, or bone changes around the rotator cuff can cause shoulder pain. Shoulder pain is highly prevalent and among musculoskeletal disorders is the third most common reason for visiting a primary care physician
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
46
Hot pack for 15 minutes Ultrasound for 5 minutes Maitland Mobilization Oscillatory Glides inferiorly during normal abduction. Glenohumeral caudal glide mobilization was given at the rate of 2-3 glides per second for 30 seconds for each glide, 5 sets were given. (3 sessions per week for 4 weeks)
Hot pack for 15 minutes Ultrasound for 5 minutes Mobilization with Movement (MWM) Patient sitting with therapist posterolateral to him/her. Therapist places the Mulligan belt across the humeral head and to his waist. Patient movement (Flexion, extension, \& abduction respectively) combined with therapist-applied joint gliding (postero-lateral Glide) MWM will be performed. 3 sets of 10 reps per session (30 seconds rest between sets) (3 sessions per week for 4 weeks)
Saidu Group of Teaching Hospital Mingora Swat
Swāt, KPK, Pakistan
Change in Shoulder Pain Intensity Measured by Numeric Pain Rating Scale (NPRS)
The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable") High test-retest reliability has been observed in both literate and illiterate patients with rheumatoid arthritis (r = 0.96 and 0.95, respectively) before and after medical consultation.
Time frame: 4 Weeks
Shoulder Disability Level Measured by DASH (Disability of the Arm Shoulder and Hand Questionnaire)
The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a 30-item questionnaire that looks at the ability of a patient to perform certain upper extremity activities.
Time frame: 4 Weeks
Psychological Status Measured by Beck Depression Inventory Score
The Beck Depression Inventory (BDI) is a 21-item questionnaire used to assess the severity of depressive symptoms. Scores range from 0 to 63, with higher scores indicating more severe symptoms. Interpretation of scores generally follows these guidelines: 0-13: minimal depression, 14-19: mild depression, 20-28: moderate depression, and 29-63: severe depression.
Time frame: 4 Weeks
Cognitive & Emotional Response to Pain Measured by Pain Catastrophic Scale
The Pain Catastrophizing Scale (PCS) is a 13-item self-report questionnaire that measures an individual's negative cognitive and emotional responses to pain.
Time frame: 4 Weeks
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