Introduction: Musculoskeletal disorders of the peripheral joints can be treated with various
manual procedures; one of these is mobilization with movement according to Mulligan.
Mobilization with motion is performed while the patient active motion, so that the therapist
applies an external force, which may not be painful, to ensure proper arthrokinematics of the
peripheral joint or segment motion. Purpose: The purpose of the thesis is to present the
effects of mobilization with motion in shoulder impingement syndrome, lateral epicondylitis,
hip osteoarthritis, knee osteoarthritis, ankle sprains and chronic ankle instability. Methods:
Literature published between 2006 and 2021 was searched in MEDLINE and CINAHL,
Cochrane, Web of Science, SPORTDiscus, PEDro, PubMed and Google Scholar databases.
The review included studies involving subjects with musculoskeletal disorders of the upper or
lower limbs treated by Mulligan mobilization with movement. Results: Twelve randomized
control trials were included in the analysis. They all showed the positive effect of
mobilization with motion on improving function and reducing pain. A better effect of
mobilization with motion was demonstrated in comparison with some other procedures,
namely with pendular exercises combined with exercise to improve range of motion and
transcutaneous electrical nerve stimulation. Discussion and conclusion: Mobilization with
motion in patients with various musculoskeletal disorders at the peripheral joints was more
effective than treatment with a placebo effect, or if patients were not receiving any therapy.
However, we cannot confirm that mobilization with movement is more effective compared to
other manual procedures such as manipulation, exercise to improve range of motion, or
treatment with corticosteroid medications. Further research is needed to demonstrate the
short- and long-term effects of mobilization with movement.
|
