Comparative Study on Mulligan Movement with Mobilisation versus Proprioceptive Neuromuscular Facilitation in Adhesive Capsulitis of Shoulder

Adhesive Capsulitis is one of the most common causes of shoulder pain & disability. Although it is self-limiting and gradually resolves within 3 years, the course of the disease can extend resulting in greater emotional & economic distress. Aim: To compare the effectiveness of Mulligan Movement with Mobilization & Proprioceptive Neuromuscular Facilitation in reducing pain, disability & improving ROM in Adhesive capsulitis of the shoulder. Method: A total of 40 subjects were allocated into Group A (Mulligan MWM) & Group B (PNF Hold-relax). Subjects were evaluated for pain on Numeric Pain rating scale (NPRS), Range of motion & function on Shoulder Pain and Disability Index (SPADI) at baseline & post-intervention, at the end of 3 weeks. Result: Pre-Post within group comparisons showed significant improvement in pain, ROM & shoulder function in both the groups. Between group, comparisons showed more improvement in pain & shoulder function in Mulligan group as compared to PNF group. No statistically significant difference was found between Group A & B in improving shoulder ROM. Conclusion: The study shows that both Mulligan MWM & PNF Hold-relax are effective in reducing pain, disability & improving ROM in Adhesive capsulitis of the shoulder. Mulligan MWM was more effective in reducing pain & improving shoulder function.