title: One-week time course of the effects of Mulligan's Mobilisation with Movement and taping in painful shoulders.
abstract: Previous research suggests that Mulligan's Mobilisation-with-Movement (MWM) technique for the shoulder produces an immediate improvement in movement and pain. The aims of this study were to investigate the time course of the effects of a single MWM technique and to ascertain the effects of adding tape following MWM in people with shoulder pain. Twenty-five participants (15 males, 10 females), who responded positively to an initial application of MWM, were randomly assigned to MWM or MWM-with-Tape. Range of movement (ROM), pressure pain threshold (PPT) and current pain severity (PVAS) were measured pre- and post-intervention, 30-min, 24-h and one week follow-up. Following a one-week washout period, participants were crossed over to receive a single session of the opposite intervention with follow-up measures repeated. ROM significantly improved with MWM-with-Tape and was sustained over one week follow-up (p < 0.001; 18.8°, 95% confidence intervals (CI) 7.3-30.4), and in PVAS up to 30-min follow-up (38.4 mm, 95% CI 20.6-56.1 mm). MWM demonstrated an improvement in ROM (11.8°, 95% CI 1.9-21.7) and PVAS (40.4 mm, 95% CI 27.8-53.0 mm), but only up to 30-min follow-up. There was no significant improvement in PPT for either intervention at any time point. MWM-with-Tape significantly improved ROM over the one-week follow-up compared to MWM alone (15.9°, 95% CI 7.4-24.4). Both MWM and MWM-with-Tape provide a short-lasting improvement in pain and ROM, and MWM-with-Tape also provides a sustained improvement in ROM to one-week follow-up, which is superior to MWM alone.
authors: Griffith Health Institute, Griffith University, Gold Coast Campus, Queensland, Australia.
authors: Pamela
authors: P
authors: Teys
authors: Leanne
authors: L
authors: Bisset
authors: Natalie
authors: N
authors: Collins
authors: Brooke
authors: B
authors: Coombes
authors: Bill
authors: B
authors: Vicenzino
mesh_terms: D053587:Arthrometry, Articular; D055052:Athletic Tape; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D010147:Pain Measurement; D017288:Pain Threshold; D016059:Range of Motion, Articular / Q000502:physiology; D020069:Shoulder Pain / Q000503:physiopathology / Q000534:rehabilitation*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Manual therapies; Musculoskeletal; Range of movement; Shoulder