• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.22 no.1
• /
• pp.59-64
• /
• 2016

Background: This study was to investigate the effect of cervical HVLA technique and mulligan MWM technique on patients with lateral epicondylitis. Methods: 36 participants were randomly allocated to the two groups; group I involved high velocity low amplitude (HVLA) cervical mobilization technique, mulligan mobilizations with movement (MWM) technique (n=18). group II mulligan MWM (n=18). Patient attended for three times a week for six weeks. Results: The change of visual analogue scale (VAS) was statistically and significantly decreased in both of the group I and the group II. The change of patients rated tennis elbow evaluation (PRTEE) was statistically and significantly decreased in both of the group I and the group II. The change of pressure pain threshold (PPT) was statistically and significantly increased in both of the group I and the group II. Nevertheless, There is no statistical differences between group I and group II. Conclusion: After experiment, pressure pain threshold and visual analogue scale, patients rated tennis elbow evaluation were improved in both group. But Cervical HVLA group does not showed the change better than mulligan MWM group.

• The Journal of Korean Physical Therapy
• /
• v.28 no.5
• /
• pp.303-307
• /
• 2016

Purpose: This study was conducted to determine the effects of Mulligan's mobilization with movement (MWM) on changes in the talofibular interval in the sagittal plane in subjects with chronic ankle instability (CAI). Methods: Sixteen subjects with chronic ankle instability participated in this study. The talofibular intervals were measured from US images, and the weight-bearing lunge test was used to assess dorsiflexion of the ankle joint. Each dependent variable were measured on the both affected side and sound side in three trials in pre- and post-MWM. Dependent variables were examined with a two-way mixed-design analysis of variance (ANOVA). The two factors were side (sound side versus affected side) and intervention (pre- versus post-intervention). For post hoc analysis, paired t-tests were performed to compare the dependent variables. A p<0.05 was considered to indicate significance. Results: Dorsiflexion and talofibular interval differed significantly pre- and post-intervention (p<0.05). Post-hoc analysis revealed that the talofibular interval post-MWM was significantly less than that pre-MWM on the both the affected and sound side (p<0.05). The ankle dorsiflexion in the post-MWM group was significantly greater than that in the pre-MWM group on the affected side and the sound side (p<0.05). Conclusion: The Mulligan's MWM decreased the talofibular interval in subjects with CAI. These findings suggest that the MWM technique can change the position of the talus relative to the fibular in the weight bearing position.