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Purpose <p>This study aims to compare the effectiveness of Mulligan Movement with Mobilization Techniques (MWMs) and Proprioceptive Neuromuscular Facilitation Techniques (PNF) on pain intensity, range of motion (ROM), proprioception, scapular dyskinesis, functionality, and quality of life (QoL) in individuals with Rotator Cuff Syndrome (RCS).</p> Methods <p>In this randomized, controlled, three-arm clinical trial, we recruited patients with Rotator Cuff Syndrome. During the study period, 70 patients diagnosed with Rotator Cuff Syndrome were screened and 60 eligible volunteers were enrolled. Patients were randomly allocated (1:1:1) into one of three groups: the control group (conservative treatment alone), the MWMs group (MWMs plus conservative treatment), and the PNF group (PNF plus conservative treatment). Each group underwent a total of 20 treatment sessions following prescribed programs, lasting 45&#xa0;min per session and conducted five days a week. Pain intensity was evaluated using the Visual Analog Scale; joint ROM was measured with a Goniometer; proprioception was assessed using the Angle Reproduction Test; scapular dyskinesis was evaluated using the Lateral Scapular Slide Test; functionality was assessed with the Western Ontario Rotator Cuff Index; and QoL was evaluated using the Short Form-36.</p> Results <p>In the comparison between groups, MWMs had a significant effect on pain intensity, proprioception sense of 90° abduction movement and functionality (η2 (%95 CI): 0.393 (0.185; 0.531); 0.198 (0.033; 0.352); 0.429 (0.221; 0.561), respectively). It was observed that the control group was superior to other treatments in quality of life, except for the mental health sub-dimension (<i>p</i> &lt; 0.05).</p> Conclusion <p>The three interventions compared in patients with RCS have shown positive effects, with the MWMs found to be particularly superior in reducing pain, improving proprioception, and enhancing functionality, making it a valuable option for rehabilitation in clinical practice. </p>

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Comparing the Effectiveness of Mulligan Movement with Mobilization and Proprioceptive Neuromuscular Facilitation Techniques in Rehabilitation of Rotator Cuff Syndrome: A Randomized Controlled Trial

  • 期刊论文

  • 发表日期：

    2025年6月16日

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  • Adem Can Kirkaya,
  • Emine Atici,
  • Gamze Aydin,
  • Ozgur Surenkok

摘要

Purpose

This study aims to compare the effectiveness of Mulligan Movement with Mobilization Techniques (MWMs) and Proprioceptive Neuromuscular Facilitation Techniques (PNF) on pain intensity, range of motion (ROM), proprioception, scapular dyskinesis, functionality, and quality of life (QoL) in individuals with Rotator Cuff Syndrome (RCS).

Methods

In this randomized, controlled, three-arm clinical trial, we recruited patients with Rotator Cuff Syndrome. During the study period, 70 patients diagnosed with Rotator Cuff Syndrome were screened and 60 eligible volunteers were enrolled. Patients were randomly allocated (1:1:1) into one of three groups: the control group (conservative treatment alone), the MWMs group (MWMs plus conservative treatment), and the PNF group (PNF plus conservative treatment). Each group underwent a total of 20 treatment sessions following prescribed programs, lasting 45 min per session and conducted five days a week. Pain intensity was evaluated using the Visual Analog Scale; joint ROM was measured with a Goniometer; proprioception was assessed using the Angle Reproduction Test; scapular dyskinesis was evaluated using the Lateral Scapular Slide Test; functionality was assessed with the Western Ontario Rotator Cuff Index; and QoL was evaluated using the Short Form-36.

Results

In the comparison between groups, MWMs had a significant effect on pain intensity, proprioception sense of 90° abduction movement and functionality (η2 (%95 CI): 0.393 (0.185; 0.531); 0.198 (0.033; 0.352); 0.429 (0.221; 0.561), respectively). It was observed that the control group was superior to other treatments in quality of life, except for the mental health sub-dimension (p < 0.05).

Conclusion

The three interventions compared in patients with RCS have shown positive effects, with the MWMs found to be particularly superior in reducing pain, improving proprioception, and enhancing functionality, making it a valuable option for rehabilitation in clinical practice.