Introduction

Frozen shoulder is one of the common conditions that we treat in our clinics on daily basis. It is due to restriction

of accessory motions in Gleno-Humeral joint that will result in decreased anatomical movements of shoulder joint.

It has a specific pattern of movement restriction mainly passive Lateral Rotation, Abduction and Flexion are

affected most. Exercises are very effective in treatment, management and prevention of shoulder impairments. .

Objectives

To determine the effectiveness of Maitland vs. Mulligan Mobilization Techniques in Frozen shoulder in terms of

Shoulder Pain and Disability (SPADI) Score and Range of motions of Shoulder joint.

Methods

It is a Prospective Randomized Clinical Trial conducted in Department of Physical Therapy Mayo hospital Lahore

after the approval of Ethical Review Committee. Patients of either gender having developed frozen shoulder with

primary or secondary cause presenting with capsular pattern are included in the study. 40 Subjects (n=40) who

fulfill inclusion criteria were selected, by Simple random sampling method using closed envelops, randomly

allocated subjects into two groups. In each group 20 patients were included. One group was given Maitland

mobilization (Group A) and other was treated with Mulligan mobilization (group B) but both receive conservative

exercise plan as well. Both groups also followed conventional exercises till 6 weeks and shoulder range of

motions and SPADI Questionnaire parameters were recorded at the beginning and at the end of 6th week visit of

the patients. Analysis was done using SPSS.

Results

Total 40 patients (8 males and 32 females) participated in this study. Mean age of group A patients was 52.80

years and means age of group-B was 53.60 years. Patients in group A were treated with Maitland mobilization

technique along with exercises and group B were treated with Mulligan mobilization technique along with

exercises. Improvements in Shoulder range of motions are observed in both groups i.e. Group A External

Rotation improves from 51.25 to 64.45, Abduction from 86.45 to 107.80 and Flexion from 90.50 to 109.05 while in

group B External Rotation improves from 51.80 to72.20, Abduction from 90.55 to 128.85 and Flexion from 96.75

to 134.50. Both groups show improvements in range of motions but Group B improvements in ROMS are much

higher than Group A. SPADI Score also shows significant reduction in case of Group B from 82.45 to 68.50 while

in Group A it reduces from 86.75 to 76.45. Both intervention reduces the SPADI score significantly but group B

values are much higher reduced.

Conclusion

Improvements in Range of motions and Reductions in SPADI score are high in Mulligan Group.so it is more

effective than the other technique.

Key words; Frozen shoulder, Mulligan’s technique, Maitland, Manual therapy, ROM.