Effectiveness of Mulligans Mobilization with Movement Technique and Tens on Patients with Adhesive Capsulitis

Background: Adhesive capsulitis is a benign self-limiting condition characterized by painful and limited active and passive glenohumeral joint range of motion due to inflammation of capsule and synovium. The shoulder joint fulfills the mobility and stability of the body and is affected by injury, disease, and aging. Frozen shoulder is the term describes the painful loss of shoulder motion. Brain mulligan’s concept of mobilization is the manual therapy associated with mobilization with the movement of pain-free accessory mobilization with active and passive physiological movement. Mobilization with movement (MWM) is the concurrent application of sustained accessory mobilization applied by the therapist and an active physiological movement to end range applied by the patient. Passive end range overpressure or stretching is then delivered without pain as a barrier. Mulligan’s theory for the effectiveness of mobilization with movement is based on the concept related to ‘positional fault’ that occurs secondary to injury resulting in symptoms such as pain, stiffness and weakness. The cause of positional faults may be due to changes in the shape of articular surfaces, the thickness of cartilage, the orientation of ligaments and capsules or direction and the pull of muscles and tendons. The aim of this study is to find the effectiveness of mobilization with movement’s for increasing joint range of motion enhancing muscle function. Methodology: Quasi-experimental, pre-test and post-test type study will be conducted among 10 patients with adhesive capsulitis for a 4-week duration. Outcome Measures: Visual Analogue Scale (VAS) and GONIOMETER. Result and Conclusion: This study concludes that the mulligans’ technique is effective in reducing pain and improving the Range of motion of the shoulder in adhesive capsulitis.