Ümit YEŞİL, Emrullah ALKAN, Nihal GELECEK

Omuz Problemlerinde Mulligan Mobilizasyon Yönteminin Etkinliği

Amaç: Ağrı ve hareket kısıtlılığı ile karakterize omuz problemlerinde Mulligan mobilizasyon yönteminin etkinliğinin araştırılmasıdır.Yöntem: Pubmed, Google Scholar ve Pedro arama motorları konu ile ilgili randomize kontrollü çalışmalar açısından tarandı. Üç araştırmacı başlık, özet ve tam metin makalelerden potansiyel olarak uygun olanları seçmek için dahil edilme kriterlerini birbirlerinden bağımsız olarak uyguladılar.Bulgular: Kriterlere uyan 26 randomize kontrollü çalışma derlemeye dahil edildi. Literatüre göre Mulligan mobilizasyon yönteminin, rotator manşet sendromlu, subakromiyal sıkışma sendromlu, donuk omuz sendromlu ve omuz ağrılı hastalarda EHA, ağrı ve fonksiyon açısından kısa dönemde etkili olduğu görülmektedir.Sonuç: Rotator manşet sendromu, subakromiyal sıkışma sendromu, omuz ağrısı ve kısıtlılığı olan hastalar ve donuk omuz sendromu olan hastalarda ağrıyı azaltmak, eklem hareket kısıtlılığını ve fonksiyonu artırmak amacıyla Mulligan mobilizasyon yöntemi kullanılabilir. Mobilizasyonun egzersiz ile birlikte uygulanması daha etkili sonuçlar vermektedir.

Anahtar Kelimeler:

Mulligan mobilizasyon, Rotator manşet, Subakromiyal sıkışma sendromu, Donuk omuz

Effectiveness of Mulligan Mobilization Method in Shoulder Problems

Objective: The present study was aimed to investigate effectiveness of Mulligan mobilization method in shoulder problems characterized by pain and restricted range of motion.Method: PubMed, PEDro and Google Scholar were searched for randomised clinical trials. Three reviewers independently implemented the inclusion criteria to select relevant studies from the title, abstracts and full-text articles.Results: 26 randomized clinical trials were included in the review. According to the literature, Mulligan mobilization method appears to be effective in the short term in terms of range of motion, pain and function in patients with rotator cuff syndrome, subacromial impingement syndrome, frozen shoulder syndrome and shoulder pain.Conclusion: Mulligan mobilization method can be used to reduce pain, increase range of motion and function in patients with rotator cuff syndrome, subacromial impingement syndrome, shoulder pain and limitation, and frozen shoulder syndrome. Application of mobilization together with exercise has been shown to be more effective.

Keywords:

Mulligan mobilization, Rotator cuff, Subacromial impingement syndrome, Frozen shoulder,

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