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Mulligan mobilization

Christopher S Mulligan, Susan Adams, Dimitra Tzioumi, Julie Brown
AIM: Falls in infants are a common cause of injury. Compared to older children, infants under age one are likely to have distinctive causation and injury patterns, as they are pre-mobile or have limited independent mobility and falls are more directly the responsibility of the care giver. There is little known about the mechanistic factors, predictors of injury and injury patterns in this age group. METHODS: We conducted a retrospective review of infants under age one who presented after a fall to a paediatric trauma centre in Sydney, Australia...
June 26, 2017: Journal of Paediatrics and Child Health
Xiao Jun Huang, Kaiyan Liu, David Ritchie, Borje Andersson, Jin Lu, Jian Hou, Adolfo de la Fuente Burguera, JianXiang Wang, Allen Yeoh, Chenhua Yan, Daobin Zhou, Daryl Tan, Dong Wook Kim, Depei Wu, Elizabeth Shpall, Stephen Kornblau, Sattava Neelapu, Suradej Hongeng, Jianyong Li, Jiong Hu, Lian Sheng Zhang, Michael Wang, Pankaj Malhotra, Qian Jiang, Yazhen Qin, Raymond Wong, Richard Champlin, Frederick Hagemeister, Jason Westin, Swaminathan Iyer, Vikram Mathews, Yu Wang, Yu Hu, Zhijian Xiao, Zonghong Shao, Robert Z Orlowski, Chor Sang Chim, Stephen Mulligan, Miguel Sanz, Keiya Ozawa, Simrit Parmar, Surapol Issaragrisil
This report serves as a snapshot of the state-of-knowledge in the Asia Pacific (APAC) Hematology Oncology community, and establishes a baseline for longitudinal investigations to follow changes in best practices over time. The objective of this study was to understand the approach to hematologic diseases, common standards of care and best practices, issues that remain controversial or debated, and educational or resource gaps that warrant attention. We used mobile application to disseminate and distribute questionnaires to delegates during the 6th international hematologic malignancies conference hosted by the APAC Hematology Consortium at Beijing, China...
June 20, 2017: Oncotarget
M W Little, N E O'Connell, M D Welsh, F J Mulligan, C P Ferris
Because negative energy balance (EB) contributes to transition-period immune dysfunction in dairy cows, dietary management strategies should aim to minimize negative EB during this time. Prepartum diets that oversupply energy may exacerbate negative EB in early lactation, with detrimental effects on immune function. However, with lower body condition score (BCS) cows, it has been shown that offering concentrates in addition to a grass silage-based diet when confined during an 8-wk dry period resulted in increased neutrophil function in early lactation...
March 22, 2017: Journal of Dairy Science
Robinetta A Hudson, Russell T Baker, Alan Nasypany, Don Reordan
BACKGROUND AND PURPOSE: Shoulder instability, a common issue among athletes who engage in contact sports, may lead to recurrent subluxations, or partial dislocations of the shoulder. Young athletic patients generally respond poorly to the nonsurgical treatments for shoulder instability that are commonly utilized. The purpose of this case report is to describe the effects of the treatment guided by the Mulligan Concept (MC) coupled with reflex neuromuscular stabilization (RNS) also known as reactive neuromuscular training (RNT), on an adolescent football player with glenohumeral joint (GHJ) instability who sustained a traumatic anterior subluxation...
February 2017: International Journal of Sports Physical Therapy
Sang-Lim Kim, Byoung-Hee Lee
[Purpose] We examined the effectiveness of Mulligan's mobilization with movement (MWM) technique on spatiotemporal variables of gait in individuals who had a stroke. [Subjects and Methods] Twenty-four subjects were randomly divided into 2 groups: Mulligan's mobilization with movement group (n=12) and "weight-bearing with placebo" mobilization with movement group (n=12). The subjects in the mobilization with movement group performed 5 sets of 10 glides a day, 5 times a week for 4 weeks. The mobilization with movement technique comprised grade III movements that involved gliding and resting...
August 2016: Journal of Physical Therapy Science
Canan Copurgensli, Gozde Gur, Volga Bayrakcı Tunay
BACKGROUND: Cervical Spondylosis (CS) is a degenerative and painful pathology, which needs conservative treatment to relieve symptoms. OBJECTIVE: The aim was to investigate the effects of Mulligan's mobilization (MM) and Kinesio taping (KT) on pain, range of motion (ROM), muscle strength, and function in CS. METHODS: Forty-five subjects were randomly placed into three groups: Group 1: control group (conventional rehabilitation-CR); Group 2: MM and CR; Group 3: KT and CR...
May 27, 2016: Journal of Back and Musculoskeletal Rehabilitation
Neha Tambekar, Shaila Sabnis, Apoorva Phadke, Nilima Bedekar
Low back ache (LBA) is a common musculoskeletal disorder sometimes associated with a positive limited Straight leg raise (SLR) test. Mulligan's bent leg raise (BLR) and Butler's neural tissue mobilization (NTM) are commonly used techniques for the treatment of low back ache where SLR is limited. The aim of this study was to evaluate the effect of both the techniques on pain and limited SLR in patients with LBA. Thirty one patients with LBA with radiculopathy were randomly allocated into 2 groups; BLR [n = 16] NTM [n = 15]...
April 2016: Journal of Bodywork and Movement Therapies
Mehdi Pourabadehei, Catherine N Mulligan
Natural events and anthropogenic activities are the reasons of undesirable resuspension of contaminated sediments in aquatic environment. Uncontrolled resuspension could remobilize weakly bound heavy metals into overlying water and pose a potential risk to aquatic ecosystem. Shallow harbours, with contaminated sediments are subjected to the risk of uncontrolled resuspension. Remediation of sediments in these areas cannot be performed by conventional in situ methods (e.g. capping with or without reactive amendment)...
June 2016: Environmental Pollution
Cristina Lirio Romero, María Torres Lacomba, Yurema Castilla Montoro, David Prieto Merino, Soraya Pacheco da Costa, María Jesús Velasco Marchante, Gema Bodes Pardo
OBJECTIVE: The purpose of this study was to evaluate the feasibility of the methods proposed to conduct a full randomized clinical trial to assess the effectiveness of mobilization with movement on shoulder functionality in older adults with shoulder dysfunction. METHODS: A pilot, randomized, single-blinded clinical trial was carried out with 44 older adults (83.9±8.2 years) with shoulder dysfunction in 3 nursing homes in Toledo, Spain. Participants were recruited through information sessions and were randomly allocated into 2 groups...
December 2015: Journal of Chiropractic Medicine
Jeffrey Mulligan
The now ubiquitous nature of touch-screen displays in cell phones and tablet computers makes them an attractive option for vision testing outside of the laboratory or clinic. Accurate measurement of parameters such as contrast sensitivity, however, requires precise control of absolute and relative screen luminances. The nonlinearity of the display response ("gamma") can be measured or checked using a minimum motion technique similar to that developed by Anstis and Cavanagh (1983) for the determination of isoluminance...
2015: Journal of Vision
Suzie Noten, Mira Meeus, Gaetane Stassijns, Francis Van Glabbeek, Olivier Verborgt, Filip Struyf
OBJECTIVE: To systematically review the literature for efficacy of isolated articular mobilization techniques in patients with primary adhesive capsulitis (AC) of the shoulder. DATA SOURCES: PubMed and Web of Science were searched for relevant studies published before November 2014. Additional references were identified by manual screening of the reference lists. STUDY SELECTION: All English language randomized controlled trials evaluating the efficacy of mobilization techniques on range of motion (ROM) and pain in adult patients with primary AC of the shoulder were included in this systematic review...
May 2016: Archives of Physical Medicine and Rehabilitation
Benjamin Hidalgo, Laurent Pitance, Toby Hall, Christine Detrembleur, Henri Nielens
OBJECTIVE: The purpose of this clinical study was to compare the immediate- and short-term effects of lumbar Mulligan sustained natural apophyseal glides (SNAGs) on patients with nonspecific low back pain with respect to 2 new kinematic algorithms (KA) for range of motion and speed as well as pain, functional disability, and kinesiophobia. METHODS: This was a 2-armed randomized placebo-controlled trial. Subjects, blinded to allocation, were randomized to either a real-SNAG group (n = 16) or a sham-SNAG group (n = 16)...
July 2015: Journal of Manipulative and Physiological Therapeutics
C L Gentile, T L Weir, K A Cox-York, Y Wei, D Wang, L Reese, G Moran, A Estrada, C Mulligan, M J Pagliassotti, M T Foster
Visceral adiposity is associated with type-2-diabetes, inflammation, dyslipidemia and non-alcoholic fatty liver disease (NAFLD), whereas subcutaneous adiposity is not. We hypothesized that the link between visceral adiposity and liver pathophysiology involves inherent or diet-derived differences between visceral and subcutaneous adipose tissue to store and mobilize saturated fatty acids. The goal of the present study was to characterize the fatty acid composition of adipose tissue triglyceride and portal vein fatty acids in relation to indices of liver dysregulation...
April 2015: Adipocyte
Kiran H Satpute, Prashant Bhandari, Toby Hall
OBJECTIVE: The aim of this study was to investigate the effects of hand-behind-back (HBB) Mulligan mobilization with movement (MWM) techniques on acute shoulder pain, impairment, and disability. METHODS: This double-blind, randomized, controlled trial recruited 44 patients with acute shoulder pain and movement impairment presenting to an Indian general hospital. Participants were allocated to receive either MWM and exercise/hot pack (n = 22) or exercise/hot pack alone (n = 22)...
June 2015: Journal of Manipulative and Physiological Therapeutics
James May, Ryan Krzyzanowicz, Alan Nasypany, Jeffrey Seegmiller
CONTEXT: Although randomized controlled trials indicate that the Mulligan Concept (MC) of mobilization with movement can improve pain-free grip strength and pressure pain threshold in patients with lateral epicondylalgia of the elbow, improve ankle dorsiflexion in patients with subacute ankle sprains, and decrease the signs and symptoms of patients with cervicogenic headache, little is known about the clinical application, use, and profile of certified Mulligan practitioners (CMPs) in America...
November 2015: Journal of Sport Rehabilitation
G Shankar Ganesh, Patitapaban Mohanty, Monalisa Pattnaik, Chittaranjan Mishra
OBJECTIVES: While studies have looked into the effects of Maitland mobilization on symptom relief, to date, no work has specifically looked at the effects of Mulligan mobilization. The objective of this work was to compare the effectiveness of Maitland and Mulligan's mobilization and exercises on pain response, range of motion (ROM) and functional ability in patients with mechanical neck pain. METHODS: A total sample of 60 subjects (21-45 years of age) with complaints of insidious onset of mechanical pain that has lasted for less than 12 weeks and reduced ROM were randomly assigned to: group I - Maitland mobilization and exercises; group - II Mulligan mobilization and exercises; and group-III exercises only, and assessed for dependent variables by a blinded examiner...
February 2015: Physiotherapy Theory and Practice
Clare Lewis, Rafael Diaz, Geoff Lopez, Nicholas Marki, Ben Olivio
OBJECTIVE: The purpose of this preliminary study was to determine if the use of Active Therapeutic Movement Version 2 (ATM2) device and home exercises using the Mulligan's mobilization-with-movement concept by subjects with scoliosis would result in postural improvement and to document any changes in trunk range of motion and quality of life. METHODS: Forty-three subjects between the ages of 12 to 75 years were recruited for the study. Each subject underwent a low back evaluation along with specific measurements for their scoliosis...
September 2014: Journal of Manipulative and Physiological Therapeutics
Heather Mau, Russell T Baker
INTRODUCTION AND BACKGROUND: Lateral ankle sprains (LAS) are common in sports medicine and can result in a high rate of re-injury and chronic ankle instability (CAI). Recent evidence supports the use on mobilizations directed at the ankle in patients who have suffered a LAS. The Mulligan Concept of Mobilization-with-Movement (MWM) provides an intervention strategy for LASs, but requires pain-free mobilization application and little literature exists on modifications of these techniques...
August 2014: International Journal of Sports Physical Therapy
Vasilis Tsirakis, Jo Perry
Physiotherapy management of lumbar disorders, based on Mulligan's mobilization techniques, is a treatment of choice by many physiotherapists, however, there is only limited evidence of any neurophysiological effects and much of this has focused on the cervical spine and upper limbs. This study aims to extend the knowledge base underpinning the use of a modified Mulligan's spinal mobilisation with leg movement technique (SMWLM) by exploring its effects on the peripheral sympathetic nervous system (SNS) of the lower limbs...
February 2015: Manual Therapy
David Cruz-Díaz, Rafael Lomas Vega, Maria Catalina Osuna-Pérez, Fidel Hita-Contreras, Antonio Martínez-Amat
PURPOSE: To evaluate the effects of joint mobilization, in which movement is applied to the ankle's dorsiflexion range of motion, on dynamic postural control and on the self-reported instability of patients with chronic ankle instability (CAI). METHODS: A double-blind, placebo-controlled, randomized trial with repeated measures and a follow-up period. Ninety patients with a history of recurrent ankle sprain, self-reported instability, and a limited dorsiflexion range of motion, were randomly assigned to either the intervention group (Joint Mobilizations, 3 weeks, two sessions per week) the placebo group (Sham Mobilizations, same duration as joint mobilization) or the control group, with a 6 months follow-up...
2015: Disability and Rehabilitation
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