Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Annamma Mathew ¹, Abedi Afsaneh ²

Affiliations
1 College of Allied Health Sciences, Gulf Medical University, Ajman, AE
2 Gulf Medical College Hospital and Research Center, Ajman, AE

Abstract

The purpose of this case study was to compare the effectiveness of traditional physical therapy
interventions of using therapeutic modality and exercise versus a combined approach using
mobilization with movement and exercises in the treatment of shoulder impingement syndrome. A
total of 5 patients diagnosed with shoulder impingement syndrome were selected from the hospital.
Patients then participated in the programs, which were held twice a week for two months. Main
outcome measures included 24-hour pain (VAS), shoulder active range of motion (AROM), and shoulder
function (SPADI). Repeated-measures analysis indicated significant decreases in pain, improved
function, and increases in AROM. The MWM had a higher percentage of change from pre- to posttreatment
on pain measures pain (VAS): 0.6 to 0.2 following 4 session treatment, higher percentage of
change on the SPADI and in AROM.
This study suggests that performing glenohumeral mobilizations with movement (MWM) in combination
with a supervised exercise program may result in a greater decrease in pain and improved function
although studies with larger samples and discriminate sampling methods are needed.

Keywords

Exercise, Glenohumeral Mobilization, Mobilization with Movement

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