Abstract
Mulligan's mobilization Technique to treat Anterior & posterior Innominate Dysfunctions.
Study Design: It was a Randomized Controlled Trial (RCT).
Place and Duration of Study: The study was conducted in Women Institute of Rehabilitation Sciences (WIRS)
Abbottabad from July 15, 2016 to January 10, 2017.
Materials and Methods: Total 48 patients with sacroiliac joint (SIJ) dysfunction of both genders, from 20-60
years were placed into two groups. Patients with sacroiliac joint dysfunction and mechanical low back pain and
having 3 out of 5 tests (Distraction test, Compression test, thigh thrust test, Gaenslen's Test and Sacral thrust
test) positive for sacroiliac joint were included in the study. The study participants were divided into two
groups, Group A received Maitland's Mobilization treatment while group B were treated with Mulligan's
Mobilization technique. Three sets of 10 repetitions for each session, 3 sessions per week for 4 weeks were
given to both the groups. Pain, disability and lumbar Range of motion (ROM) was assessed before and after
treatment through Numeric Pain Rating Scale (NPRS), Modified Oswestry Disability Index (MODI) and
Goniometry respectively. SPSS 20.00 was used for data analysis.
Results: At the completion of 4 weeks, patients in Group A who received treatment with Maitland's
Mobilization technique showed slightly more (6.181 ± 0.732 to 1.09 ± 1.108) reduction in pain, greater
improvement in Modified Oswestry disability index (48.77 ± 14.48 to 10.59 ± 4.90), increase in Lumbar Flexion
(43.409 ± 6.737 to 52.63 ± 4.44), and improvement in Lumbar side bending (12.40 ± 4.82 to 18.54 ± 3.93, 14.5±
2.85 to 21.90 ± 3.04), increase in Lumbar Rotation ( Rt. Rotation: 13.54 ± 4.055 to 21.6 ± 3.67 , Lt. Rotation:
14.27± 3.50 to 20.22 ± 4.04 ) than group B. Analysis of pre and post treatment for Lumbar extension revealed
that Group B had more improvement (16.76 ± 4.194 to 21.76 ± 2.50) as compared to group A. Statistically there
was no significant difference between two treatment regimens in the management of pain, to increase ROM,
decrease functional disability in patients suffering with anterior and posterior innominate dysfunctions.
Conclusion: It is concluded that both the treatments are equally effective in decreasing pain, disability and
increasing range of motion in patients with anterior and posterior innominate dysfunctions.
Shakeel Ahmad, Shazia Ijaz, Thamer Altaim, Sadaf Shafique. (2019) Maitland's Mobilization versus Mulligan's Mobilization Technique to Treat Anterior / Posterior Innominate Dysfunctions, Journal of Islamic International Medical College, Volume-14, Issue-2.
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