The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study

Oznur Buyukturan, Buket Buyukturan, Senem Sas, Caner Karartı, İsmail Ceylan, Oznur Buyukturan, Buket Buyukturan, Senem Sas, Caner Karartı, İsmail Ceylan

Abstract

Background: The purpose of this study was to examine the effect of Mulligan mobilization technique (MMT) on pain, range of motion (ROM), functional level, kinesiophobia, depression, and quality of life (QoL) in older adults with neck pain (NP).

Methods: Forty-two older adults with NP were included in the study, and they were randomly divided into two groups: traditional physiotherapy (TP) group and traditional physiotherapy-Mulligan mobilization (TPMM) group. Treatment program was scheduled for 10 sessions. Participants were assessed in terms of pain, ROM, functional level, kinesiophobia, depression, and QoL both pre- and posttreatment.

Results: Pain, ROM, functional level, kinesiophobia, depression, and QoL improved in both groups following treatment (p < 0.05). When comparing effects of these two treatment programs, it was observed that the TPMM group had a better outcome (p < 0.05) in terms of ROM, kinesiophobia, depression, and QoL.

Conclusion: In older adults with NP, MMT has been found to have significant effects on pain, ROM, functional level, kinesiophobia, depression, and QoL as long as it is performed by a specialist. "This trial is registered with NCT03507907".

Figures

Figure 1
Figure 1
Flow chart of the study.

References

    1. Chiu T. T., Law E. Y., Chiu T. H. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. 2005;35(9):567–571. doi: 10.2519/jospt.2005.35.9.567.
    1. Falla D., Lindstrøm R., Rechter L., Boudreau S., Petzke F. Effectiveness of an 8-week exercise programme on pain and specificity of neck muscle activity in patients with chronic neck pain: a randomized controlled study. 2013;17(10):1517–1528. doi: 10.1002/j.1532-2149.2013.00321.x.
    1. March L. M., Brnabic A. J., Skinner J. C., et al. Musculoskeletal disability among elderly people in the community. 1998;168(9):439–442.
    1. Ganesh G. S., Mohanty P., Pattnaik M, Mishra C. Effectiveness of mobilization therapy and exercises in mechanical neck pain. 2014;31(2):99–106. doi: 10.3109/09593985.2014.963904.
    1. Exelby L. The Mulligan concept: its application in the management of spinal conditions. 2002;7(2):64–70. doi: 10.1054/math.2001.0435.
    1. Mulligan B. R. 5th. Wellington, New Zealand: Plane View Services Ltd.; 2003.
    1. Exelby L. Mobilisation with movement: a personal view. 1995;81(12):724–729. doi: 10.1016/s0031-9406(05)66572-8.
    1. Cagnie B., Derese E., Vandamme L., Verstraete K., Cambier D., Danneels L. Validity and reliability of ultrasonography for the longus colli in asymptomatic subjects. 2009;14(4):421–426. doi: 10.1016/j.math.2008.07.007.
    1. Bicer A., Yazici A., Camdeviren H., Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. 2004;26(16):959–962. doi: 10.1080/09638280410001696755.
    1. Yılmaz O. T., Yakut Y., Uygur F., Ulug N. Tampa Kinezyofobi Ölçeğinin Türkçe versiyonu ve test-tekrar test güvenilirliği. 2011;22:44–49.
    1. Gautam R., Dhamija J. K., Puri A. Comparison of Maitland and Mulligan mobilization in improving neck pain, ROM and disability. 2014;2:482–487.
    1. Whitcroft K. L., Massouh L., Amirfeyz R., Bannister G. Comparison of methods of measuring active cervical range of motion. 2010;35(19):E976–E980. doi: 10.1097/BRS.0b013e3181cd6176.
    1. Hisli N. Reliability and validity of Beck depression inventory among university students. 1989;7:3–13.
    1. Koçyiğit H., Aydemir Ö., Fişek G., Ölmez N., Memiş A. The reliability and validity of the Turkish version of the Short Form-36. 1999;12:102–106.
    1. Cramer G. D., Darby S. A. 3rd. St. Louis, MO, USA: Elsevier, Mosby; 2013.
    1. Bedwell C., Dowswell T., Neilson J. P., Midwifery L. T. The use of transcutaneous electrical nerve stimulation (TENS) for pain relief in labour: a review of the evidence. 2011;27(5):141–148. doi: 10.1016/j.midw.2009.12.004.
    1. Windt D., Heijden G., Berg S., Riet G., Winter A., Bouter L. Ultrasound therapy for musculoskeletal disorders: a systematic review. 1999;81(3):257–271. doi: 10.1016/s0304-3959(99)00016-0.
    1. Maiers M., Bronfort G., Evans R., et al. Spinal manipulative therapy and exercise for seniors with chronic neck pain. 2014;14(9):1879–1889. doi: 10.1016/j.spinee.2013.10.035.
    1. Said M. S., Ali O. I., Elazm S. N. A., Abdelraoof N. A. Mulligan self mobilization versus Mulligan snags on cervical position sense. 2017;4(2):93–100. doi: 10.15621/ijphy/2017/v4i2/141947.
    1. Vicenzino B., Paungmali A., Teys P. Mulligan’s mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. 2007;12(2):98–108. doi: 10.1016/j.math.2006.07.012.
    1. Vicenzino B., Paungmali A., Buratowski S., Wright A. Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. 2001;6(4):205–212. doi: 10.1054/math.2001.0411.
    1. Sterling M., Jull G., Wright A. Cervical mobilisation: concurrent effects on pain, sympathetic nervous system activity and motor activity. 2001;6(2):72–81. doi: 10.1054/math.2000.0378.
    1. El-Sayed W., Mohamed A. F. E., El-Monem G., Ahmed H. H. Effect of SNAGS Mulligan technique on chronic cervical radiculopathy: a randomized clinical trial. 2017;85(2):787–793.
    1. Sjölander P., Michaelson P., Jaric S., Djupsjöbacka M. Sensorimotor disturbances in chronic neck pain range of motion of movement, and repositioning acuity. 2008;13(2):122–131. doi: 10.1016/j.math.2006.10.002.
    1. Edmonston S. J., Singer K. P. Anatomical and biomechanical consideration for manual therapy. 1997;2(3):123–131. doi: 10.1054/math.1997.0293.
    1. Exelby L. Peripheral mobilisation with movement. 1996;1(3):118–126. doi: 10.1054/math.1996.0259.
    1. Ferlic D. The range of motion of the “normal” cervical spine. 1962;110:59–65.
    1. Hayashi H., Okada K., Hamada M., Tada K., Ueno R. Etiologic factors of myelopathy: a radiographic evaluation of the aging changes in the cervical spine. 1987;214:200–209. doi: 10.1097/00003086-198701000-00029.
    1. Kottke F. J., Blanchard R. S. A study of degenerative changes of the cervical spine in relation to age: a preliminary report. 1953;24:470–479.
    1. Hall T., Chan H. T., Christensen L., Odenthal B., Wells C., Robinson K. Efficacy of a C1-C2 self sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. 2007;37(3):100–107. doi: 10.2519/jospt.2007.2379.
    1. Shin E. J., Lee B. H. The effect of sustained natural apophyseal glides on headache, duration and cervical function in women with cervicogenic headache. 2014;10(2):131–135. doi: 10.12965/jer.140098.
    1. Copurgensli C., Gur G., Tunay V. B. A comparison of the effects of Mulligan’s mobilization and Kinesio taping on pain, range of motion, muscle strength, and neck disability in patients with cervical spondylosis: a randomized controlled study. 2016;30(1):51–62. doi: 10.3233/bmr-160713.
    1. Sudarshan A. The effect of sustained natural apophyseal glide (SNAG) combined with neuro-dynamics in the management of a patient with cervical radiculopathy: a case report. 2015;31(2):140–145. doi: 10.3109/09593985.2014.971922.

Source: PubMed

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