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The Effectiveness of Mulligan’s Mobilization with Movement in the

Management of Shoulder Impingement Syndrome: A Systematic Review

Conference Paper · December 2017

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3 authors:

Ahmed Alalawi Mansour Abdullah Alshehri

Umm Al-Qura University Umm Al-Qura University
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Hammad Alhasan
Umm Al-Qura University
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 The effectiveness of Mulligan’s mobilization with movement in the management of
shoulder impingement syndrome: a systematic review

Ahmed Alalawi, Mansour Alshehri, and Hammad Alhassan

Physical Therapy Department
Umm Al-Qura University, Makkah
Saudi Arabia
E: Amalawi@uqu.edu.sa

Introduction
One of the most common causes for shoulder pain and disability is Shoulder Impingement
Syndrome (SIS) which accounts for 44% to 60% of shoulder-related symptoms. Mulligan’s
Mobilization with Movement (MWM) is one of the manual techniques that is used to manage
patients with this disorder. Yet, to our knowledge, no systematic review has been conducted
to summarise the evidence about the effect of such intervention.

Purpose
The aim of this review was to summarise the current literature regarding the effectiveness of
MWM on pain, range of motion, and function in individuals with SIS.

Methods
Seven electronic databases were searched up to the end of March 2017 to identify relevant
Studies, which had to take the form of randomized controlled trials. The potential studies
were screened independently by two reviewers who collected the relevant data. The Cochrane
risk of bias method was used to assess the source of bias of the included studies.

Results
From 1,383 articles, 5 RCTs (n=163) were included in this review. In these studies, all
subjects received either MWM or MWM combined with exercise program and were
compared to a sham or control group. Four of the studies (n=137) show a significant
improvement in pain, ROM, and function, following this intervention in the short term. Such
improvement was shown to be better when combining MWM with an exercise program than
when using MWM alone. However, one study (n=26) showed no improvement in terms of
any of the outcomes.

Conclusion
The current evidence suggests that using MWM with or without an exercise protocol
when treating patients with SIS shows beneficial effects in the short term when compared to
sham or control groups.

Clinical Implications
Clinicians should consider using MWM when treating patients with SIS in order to reduce
shoulder pain, and improve ROM and function.
 

Key words
Shoulder Pain; Shoulder Impingement Syndrome; Rotator Cuff; Mobilisation;
Manual Therapy; Systematic Review

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