The Effectiveness of Mulligan Mobilization With Movement (MWM) in Lateral Epicondylitis: a Critical Review

Muhammad Dimas Zam Zami(1), Arif Pristianto(2*), Nasrullah Nasrullah(3)

(1) Fisioterapi Asyifa Medika Brebes
(2) Universitas Muhammadiyah Surakarta
(3) Program Studi Fisioterapi, Universitas Muhammadiyah Surakarta
(*) Corresponding Author

Abstract

Background: Lateral epicondylitis is a common injury in tennis and badminton players. This lateral epicondylitis condition generally appears in any individual or an activity that requires a circular motion of the forearm. These movements when performed repeatedly accompanied by loading when gripping or wrist extension can increase the risk of lateral epicondylitis. Complaints that arise in the condition of lateral epicondylitis include experiencing pain in the lateral elbow and weakness of the wrist or wrist. Mulligan mobilization with movement is a modern technique developed by Mulligan to treat musculoskeletal complaints such as lateral epicondylitis. Objective: This study aims to determine the effectiveness of giving mulligan mobilization with movement in lateral epicondylitis conditions. Method: The research method used is critical review. This method is used to analyze, summarize or evaluate an action. Critical review is done by evaluating the selected articles using the PEDro Scale. Results: The results of the review of the five articles that have been screened including the inclusion criteria found that various modalities were used, either singly or in combination. This Mulligan mobilization with movement can reduce pain and improve functional ability in the elbow. Conclusion: Mulligan mobilization with movement is effective and can be used as an alternative choice in the treatment of lateral epicondylitis. Mobilization with movement techniques, can be combined with several therapeutic measures such as conventional treatments and exercise to get optimal results.

Keywords: Mulligan Technique, mobilization with movement, MWM, lateral epicondylitis, tennis elbow

References

Ahuja, D. (2014). Efficacy of Mobilization With Movement (MWM) in Lateral Epicondylalgia: Role of Pain Mechanisms-a Narrative Review. Journal of Physical Therapy, 2(1), 19–34.

Apriliani, E. (2017). Epikondilitis Lateral. Retrieved from https://www.scribd.com/document/360293564/Epikondilitis-Lateral

Arirachakaran, A., Sukthuayat, A., Sisayanarane, T., Laoratanavoraphong, S., Kanchanatawan, W., & Kongtharvonskul, J. (2016). Platelet-rich Plasma Versus Autologous Blood versus Steroid Injection in Lateral Epicondylitis: Systematic Review and Network Meta-analysis. Journal of Orthopaedics and Traumatology, 17(2), 101–112. https://doi.org/10.1007/s10195-015-0376-5

Bagade, V. K., & Verma, C. (2015). Effect of Mulligan Mobilization with movement (MWM) in the Treatment of Chronic Lateral Epicondylitis: 24 Weeks Follow-up Study. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 9(4), 199. https://doi.org/10.5958/0973-5674.2015.00172.0

Baker, R. T., Nasypany, A., Seegmiller, J. G., & Baker, J. G. (2013). The Mulligan Concept: Mobilizations With Movement. International Journal of Athletic Therapy and Training. https://doi.org/10.1123/ijatt.18.1.30

Bessler, J., & Beyerlein, C. (2019). Manuelle Therapie nach Mulligan. In Manuelle Therapie nach Mulligan. https://doi.org/10.1055/b-006-162310.

Brummel, J., Baker, C. L., Hopkins, R., & Baker, C. L. (2014). Epicondylitis. Sports Medicine and Arthroscopy Review, 22(3), e1–e6. https://doi.org/10.1097/JSA.0000000000000024.

Coombes, B. K., Bisset, L., & Vicenzino, B. (2015). Management of Lateral Elbow Tendinopathy: One Size does not fit all. Journal of Orthopaedic and Sports Physical Therapy. https://doi.org/10.2519/jospt.2015.5841

Farrell, A. V. (2017). Lateral Epicondylitis. Retrieved from Physiopedia website: https://www.physio-pedia.com/File:Muscle_elbow.jpg

Fischer, S. J. (2020). Tennis Elbow (Lateral Epicondylitis). Retrieved October 25, 2021, from American Academy of Orthopaedic Surgeons website: https://orthoinfo.aaos.org/en/diseases--conditions/tennis-elbow-lateral-epicondylitis/

Hariharasudhan, R., & Balamurugan, J. (2015). Effectiveness of Muscle Energy Technique and Mulligan′s Movement With Mobilization in the Management of Lateral Epicondylalgia. Archives of Medicine and Health Sciences, 3(2), 198. https://doi.org/10.4103/2321-4848.171904

Hing, W., Hall, T., Rivett, D., Vicenzino, B., & Brian Mulligan. (2015). The Mulligan Concept of Manual Therapy Textbook of Techniques. The Mulligan Concept of Manual Therapy, p. 512. Retrieved from https://pdfroom.com/books/the-mulligan-concept-of-manual-therapy/NpgpZ0pb5jr

Janikowska, K., & Fidut, J. (2013). The Role of Mulligan Therapy Concept in Treatment of “Tennis Elbow” Symptoms. In New Approaches in Joints Pain (pp. 20–34). Retrieved from http://figshare.com/articles/New_Approaches_in_Joints_Pain_Tennis_Elbow/810462

Mani, P., Sethupathy, K., & Habib, H. (2017). Comparison of Effectiveness of Movement with Mobilization Using Belt and Therapeutic Eccentric Exercise in Patients with chronic Lateral epicondylitis: A Randomized Clinical Trial. International Journal of Health Sciences and Research, 7(5), 144–150. Retrieved from https://www.semanticscholar.org/paper/Comparison-of-Effectiveness-of-Movement-with-Using-Mani-Sethupathy/dfe549fa3234f9d23aa4898c33324219165e5819

Martínez-Cervera, F. V., Olteanu, T. E., Gil-Martínez, A., Díaz-Pulido, B., & Ferrer-Peña, R. (2017). Influence of Expectations Plus Mobilization With Movement in Patient with Lateral Epicondylalgia: a Pilot Randomized Controlled Trial. Journal of Exercise Rehabilitation, 13(1), 101–109. https://doi.org/10.12965/jer.1732848.424

Patel, N. (2013). Effectiveness of Mobilization With Movement of Elbow Compared with Manipulation of Wrist in Patients of Lateral Epicondylitis. International Journal of Physiotherapy and Research, 1(4), 177–182. Retrieved from https://www.ijmhr.org/ijpr_articles_vol1_4/346.pdf

Pristianto, A., Primadasa, G. F., & Murtafiah. (2021). Critical review : Dampak Kondisi Pandemi Covid-19 Terhadap Kualitas Hidup Stroke Survivor. Indonesian Journal of Physiotherapy Research and Education, 2(2), 15–22. Retrieved from https://journal.aptifi.org/index.php/ijopre/article/view/42/19

Rahman, H., Charturvedi, P. A., Apparao, P., & Srithulasi, P. R. (2016). Effectiveness Of Mulligan Mobilisation With Movement Compared to Supervised Exercise Program in Subjects With Lateral Epicondylitis. International Journal of Physiotherapy and Research, 4(2), 1394–1400. https://doi.org/10.16965/ijpr.2016.104

Reyhan, A. C., Sindel, D., & Dereli, E. E. (2020). The Effects of Mulligan’s Mobilization With Movement Technique in Patients with Lateral Epicondylitis. Journal of Back and Musculoskeletal Rehabilitation. https://doi.org/10.3233/BMR-181135

Rudianto, R., & Sinuhaji, S. (2018). Pengaruh Transverse Friction Terhadap Skala Nyeri Pada Kasus Tennis Elbow Di RSU Sembiring Deli Tua. Jurnal Keperawatan Dan Fisioterapi (JKF). https://doi.org/10.35451/jkf.v1i1.105

Shiri, R., & Juntura, V. (2011). Lateral and Medial Epicondylitis: Role of Occupational Factors. Best practice & research Clinical rheumatology. Best Practice and Research: Clinical Rheumatology. Retrieved from https://pdfroom.com/books/the-mulligan-concept-of-manual-therapy/NpgpZ0pb5jr

Welsh, P. (2018). Tendon Neuroplastic Training for Lateral Elbow Tendinopathy: 2 Case Reports. Journal of the Canadian Chiropractic Association, 62(2), 98–104. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173218/

Wolf, J. M. (2015). Tennis Elbow: Clinical Management. In Spinger Science Media. https://doi.org/10.1007/978-1-4899-7534-8

DOI: 10.23917/fisiomu.v4i1.18091

Article Metrics

Abstract view(s): 1214 time(s)
PDF (Bahasa Indonesia): 1285 time(s)

Refbacks

  • There are currently no refbacks.