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Mulligan Concept of Manual Therapy

Conference Paper · December 2018

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Soheil Mansour Sohani

Iran University of Medical Sciences
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 Mulligan Concept of Manual Therapy

Soheil Mansour Sohani

Assistant professor of physical therapy, school of rehabilitation sciences, IUMS

 Introduction
When Brian Mulligan first described Mobilization with Movements (MWM) in 1984 he shared
his techniques through his original book entitled Mulligan's Manual Therapy: NAGS, SNAGS,
and MWMs of which there have been six editions over the past 30 years. He presented the
science underpinning MWM and also described aspects of "the art" inherent in its successful
implementation. He presented the application of MWM in a series of case reports. These case
studies focused on the clinical reasoning underlying the application of Mulligan Concept,
Including consideration of the evidence base. The case studies followed the application of
Mulligan Concept from the first session to discharge, showing how the techniques were selected,
applied and progressed over the treatment program.
 Concepts
Mobilization with Movement techniques are only to be used when they produce no pain on
application and because they should be immediately effective if indicated. Mulligan Concept
consists on: 1- Positional Fault, 2- Treatment Plane, 3 - Pain Free,4- Repetition. In Mulligan
Concept, interesting things are: No pain, Diagnostic & treatments tools, few minutes to decide
the usefulness and long lasting effects.
In his techniques describes:
1-Indications,2-Patient position,3-Therapist position,4-Hand position( contact , force &
direction),5- Mobilization( Medial, Lateral, AP,…..) 6- Joint motion ,7- Outcome
 Conclusion
These techniques are used to lateral epicondylalgia, cervical, thorasic and lumbar spine,
cervicogenic headache and cervicogenic dizziness, temporomandibular joint, shoulder complex,
elbow, forearm, wrist, hand, sacroiliac joint, hip, knee, ankle and foot.

E-mail : 1-mansorsohani.s@iums.ac.ir, 2- Sohani.soheil@gmail.com

Tel no.:09121762851
Melli code: 0056468891

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