Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Comparison of the Effects of Mulligan Mobilization with Movement Method and Conventional Rehabilitation Protocol on Shoulder Pain and Functions in Subacromial Pain Syndrome: A Prospective Randomized Single Blind Trial
Subakromiyal Ağrı Sendromunda Mulligan Hareketle Mobilizasyon Yöntemi ve Konvansiyonel Rehabilitasyon Protokolünün Omuz Ağrı ve Fonksiyonları Üzerine Olan Etkilerinin Karşılaştırılması: Prospektif Randomize Tek Kör Çalışma
Volkan DENİZa, Ali KIVRAKb, Bülent ELBASANa, Tunay SARPELb
aGazi University Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Ankara, TURKEY
bÇukurova University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Adana, TURKEY
Turkiye Klinikleri J Health Sci. 2021;6(1):78-87
doi: 10.5336/healthsci.2020-75110
Article Language: EN
Full Text
ABSTRACT
 Objective: To determine and compare the periodic effects of conventional rehabilitation protocol (CRP) and Mulligan mobilization with movement (MWM) in subacromial pain syndrome (SAPS) patients. Material and Methods: This was a prospective randomized single-blind clinical trial. Fourty two patients with unilateral SAPS were randomized to two groups; CRP or MWM. Participants received CRP and MWM treatments for six weeks. Shoulder pain and function of the patients were evaluated with Shoulder Pain and Disability Index, Subacromial Interval Measurement, Goniometric Range of motion measurement and Visual Analogue Scale were assessed. Assessments at baseline, at the end of the first session, at the end of the second, fourth and sixth weeks were performed. Results: The two treatment groups showed significant improvements in pain and physical functions after six weeks (p0.05). Conclusion: MWM and CRP are effective in improving shoulder pain and functions in SAPS. Furthermore, while MWM is more effective in initial phase of rehabilitation than CRP, there is no difference between the two methods in other periods.

Keywords: Shoulder pain; musculoskeletal manipulations; exercise; shoulder impingement syndrome
ÖZET
 Amaç: Subakromiyal ağrı sendromu (SAS) olan hastalarda Mulligan Hareketle Mobilizasyon Yöntemi (MHM) ve Konvansiyonel Rehabilitasyon Protokolü'nün (KRP) periyodik etkilerini belirlemek ve karşılaştırmaktı. Gereç ve Yöntemler: Çalışma prospektif randomize ve tek kör olarak yapıldı. Unilateral SAS tanısı alan 42 hasta KRP ve MWM gruplarına randomize edildi. Hastalara KRP ve MHM tedavi yöntemleri altı hafta boyunca uygulandı. Hastaların omuz ağrısı ve fonksiyonları; Omuz Ağrı ve Özürlülük İndeksi, Subakromiyal Aralık Ölçümü, Gonyometrik Eklem Hareket Açıklığı Ölçümü ve Görsel Analog Skala ile değerlendirildi. Değerlendirme; tedavi öncesinde, birinci seansın, ikinci, dördüncü ve altıncı haftanın sonunda yapıldı. Bulgular: Tedavi sonunda her iki grupta yer alan hastaların omuz ağrı ve fonksiyonlarında iyileşme görüldü (p0,05). Sonuç: SAS hastalarında, MWM ve KRP omuz ağrısının ve fonksiyonlarının iyileştirilmesinde kullanılabilecek etkili yöntemlerdir. Bununla birlikte tedavinin ilk döneminde MWM, KRP' ye göre daha etkiliyken diğer periyotlarda iki yöntem arasında fark yoktur.

Anahtar Kelimeler: Omuz ağrısı; kas-iskelet manipülasyonları; egzersiz; omuz sıkışma sendromu
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