Karuppasamy, S (2019) Compare the Effectiveness of Mulligan Mobilisation Technique Versus Maitland Mobilization Technique along with Stretching on Shoulder Internal Range of Motion, Pain and Instability in Overhead Althlets with Gleno Humeral Internal Rotation Deficit. Masters thesis, Cherraan's College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION: Gleno Humeral Internal Rotation Deficit is an adaptive process in which the throwing shoulder experience a loss of internal rotation currently, GIRD can be defined by a loss of 20% of internal rotation to contralateral shoulder. GIRD is pathologic and decreased IR compared to nonthrowing shoulder can exit without concomitant shoulder pathology when total rotational motion of shoulder is symmetric. This is partly due to increased retrotorsion of the humerus which shifts the arc of motion more posteriorly (external). Pathologic GIRD, in contrast, exists when there is a loss of TRM >5° compared to the contralateral shoulder. This 5° change has been associated with decreased shoulder strength and increased injury rates in baseball players OBJECTIVES: To compare effects of Mulligan Mobilisation Technique Versus Maitland Mobilization Technique Along With Stretching On Shoulder Internal Range of Motion, pain And instability in Overhead althlets with Gleno Humeral Internal Rotation Deficit. METHOD AND SUBJECTS: Among 44 subjects, 14 were excluded, the remaining 30 subjects age group 18-40 years, were recruited, this study was quasi-experimental comparative design this was conducted at Cherran’s College Of Physiotherapy Out-Patient Department Coimbatore by simple random sampling method. 15 subject were selected in each group of intervention. GROUP A Mulligan Mobilization technique with stretching and stabilization exercises and GROUP B Maitland Mobilization technique with stretching and stabilization exercises. Both groups were treated 4 days per week for 6 weeks, one session daily. All subjects were measured for lnternal ROM by Goniometer, Pain by Numerical pain rating scale and instability by Oxford shoulder instability score (OSI). Data were analyzed by SPSS-20 to determine the effects of both the treatment regimens and compared with each other. RESULTS: The Group A (Mulligan Mobilization Technique) for the IR ROM Pre and Post-test mean value 43.40 and 63.53, ‘t’ value is 19.41 (p< 0.0001). Pain Pre and Post-test mean value 3.80 and 0.67, ‘t’ value is 7.39 (p< 0.0001). Instability Pre and Post-test mean value 44.33 and 52.60, ‘t’ value is 7.8157 (p< 0.0001). The result shows that Mulligan Mobilization Technique is an effective technique for improving ROM and reducing pain and instability among GIRD subjects. The Group B Maitland Mobilization Technique for the IR ROM Pre and Post-test mean value 45.13 and 57.93, ‘t’ values is 34.80 (p<0.0001). Pain Pre and Post-test mean value 3.53 and 1.20,‘t’ value is 6.46 (p<0.0001). Instability Pre and Post-test mean value 45.27 and 50.40,‘t’ value is 9.4678 (p<0.0001). The result shows that Maitland Mobilization Technique is an effective technique for improving ROM and reducing pain and instability among GIRD subjects. Group A and B for IR ROM Post-test mean value 63.53 and 57.93, the ‘t’ value is 3.0441 (p=0.050). Group A and B for Pain post-test mean value 0.67 and 1.20, the ‘t’ value is 1.26 (p=0.0001). Group A and B for Instability post-test mean value 52.60 and 50.40, the ‘t’ value is 1.8812 (p=0.0704). The pre and post test results of Group A and Group B shows that there is a statistical and clinical significant effect of each technique for an improving ROM and reducing pain and instability among GIRD subjects. When both Group A and Group B where compared on between group analysis, the result shows that Mulligan Mobilization Technique is more effective than Maitland Mobilization Technique for an improving ROM and shows insignificant result for pain and instability among GIRD subjects. CONCLUSION: It shows that there is a clinical significant improvement of patient’s complaints in both groups. But the statistical inference shows that Mulligan mobilization technique is more effective when compared to the Maitland mobilization technique in improving internal range of motion and for pain and instability both treatments gave equal effectiveness.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271750122 |
| Uncontrolled Keywords: | Overhead Althlets, Gleno Humeral Internal Rotation Deficit, Mulligan Mobilization Technique, Maitland Mobilization Technique, Range Of Motion, Oxford Shoulder Instability Score. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Ravindran C |
| Date Deposited: | 15 Sep 2019 17:17 |
| Last Modified: | 15 Sep 2019 17:17 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11505 |
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