• Title/Summary/Keyword: Mulligan manual therapy

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The Effects of Mulligan Mobilization with Movement and McKenize Exercise on Pain, Balance, Range of Motion in Patients with Knee Pain (무릎관절 통증 환자에서 멀리건 관절가동술과 맥켄지 운동이 통증과, 균형, 관절가동범위에 미치는 영향)

  • Lee, Ho-jong;Kim, Jin-young;Shin, Young-il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.35-44
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    • 2022
  • Background: This study aimed to compare the effects of the Mulligan mobilization with movement and McKenzie exercise after applying conservative physical therapy to patients with knee pain. Methods: Patients were randomly allocatied into two groups: the Mulligan mobilization with movement (10 subjects) and the McKenzie technique (10 subjects). Each group was givenr conservative physical therapy and manual therapy sessions, three times week, for four weeks. The pain intensity was measured using the visual analogue scale (VAS). The cervical range of motion (ROM) was measured with a goniometer. Balance was measured using the modified Berg balance scale (BBS). Results: After four weeks of therapy, VAS (p<.05) decreased significantly, and ROM and balance increased siginficantly in both groups(p<.05). There was a significant improvement in knee extension (p<.05) in the McKenzie group compared to the Mulligan group. No intergroup differences were found with respect to the knee flex, VAS, and BBS (p>.05). Conclusion: The McKenzie exercises are more effective than Mulligan mobilization with movement for improving knee extension. Both interventions have the same effects on pain relief, in increasing knee flexion ROM and improving balance in patients with knee pain.

Effect of Mulligan Taping and Flossing Bands on Q-angle and Lower Limb Muscular Activity in Men with Chronic Ankle Instability (멀리건 테이핑과 플로싱 밴드가 만성 발목 불안정성 남성 환자의 Q-각과 하지 근 활성도에 미치는 효과)

  • Jeong, Hyo-chang;Park, Se-jin;Yu, Seung-hun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.17-24
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    • 2021
  • Background: The study aimed to examine changes in muscle activity by measuring the Q-angle and lower extremity activity when going down the stairs, after the application of either Mulligan taping or flossing bands to patients with chronic ankle instability. Methods: A total of 19 men with chronic ankle instability in their 20s and 30s participated in the study. Participants were randomly divided into two groups: the Mulligan taping group (n = 9) and the flossing band group (n=10). The Mulligan taping group had three sets of Mulligan joint operations repeated 10 times, after which the Mulligan tape was applied. The flossing band group either performed functional activities or exercised for 2 minutes after flossing band application. After the application of either Mulligan taping or flossing bands, changes in the Q-angle and lower limb muscular activity while going down the stairs were measured and compared. Results: In the Mulligan taping group, the Q-angle significantly decreased from 13.63° to 12.7° during the step down. Similarly, the Q-angle of the flossing band group significantly decreased from 15.95° to 15.48° (p<.05). There was no difference in lower limb muscle activity between the two groups when going down the stairs. The muscle activity of the tibialis anterior significantly increased from 34.12% to 40.2%, and the difference between the two groups were statistically significant (p<.05). Conclusions: The study found that the application of Mulligan taping and flossing bands to patients with chronic ankle instability decreased the Q-angle and lower limb muscle activity when going down the stairs.

The Effects of Shoulder Mulligan Taping and Repeated Measurements on Wrist Flexor Muscle Activity and Grip Strength in Forward Head Posture (전방머리자세 대상자에게 어깨관절 멀리건테이핑 적용이 손목굽힘근의 근활성도와 파악력에 미치는 영향)

  • Oh, Kang-o;Park, Su-hyung;Kim, Dong-woo;Baek, Yong-hyeon;Choi, Su-hong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.1-7
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    • 2018
  • Background: This study was carried out to investigate the effect of mulligan taping group and repeated measurement group on muscle activity and grip strength of adult with forward head posture. Methods: Thirty adults with forward head posture were randomly assigned to each of 15 mulligan taping and repeat measurement groups. The mulligan taping group measured the pre-test and post-test muscle activity and the grip strength three times and compared the mean values. The repeat group was repeatedly measured and measured before and after the experiment, The collected data were analyzed using SPSS statistical program. Results: There was no significant difference between mulligan taping group and repeated measurement group in changes of muscle activity. There was a significant difference between mulligan taping group and repeated measurement group in changes of grip strength. Conclusions: Mulligan taping was applied to an adult with forward head posture, there was no significant change in muscle activity of flexor carpi radialis and palmaris longus, but it seems to improve hand function by re-aligned of nearby muscles by maintaining scapular stability.

The Effect of Mulligan Technique Affecting for Tension Headache (Mulligan 기법이 긴장성 두통에 미치는 영향)

  • Seo, Hyun-Kyu;Kim, Tae-Ho;Gong, Won-Tae
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.1
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    • pp.10-17
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    • 2007
  • Objective : To report the positive effect of Mulligan technique affecting for Tension headache without using the medicinal substances. Methods : Among the students with Tension headache those under and over twenty years of age, and selected twenty students with more longer and severe pain from 170 students in March 2, 2007. Experiment was enforced for twenty minute in a day and two times in a week from second week of April to after four weeks. Results : The Results of this study were summarized by six subjects ; 1. Visual analog scale was positively decreased from 3.05 to 0.75. 2. Brief Pain Inventory on task was positively decreased from 2.90 to 1.10. 3. Brief Pain Inventory of sentiment was positively decreased from 3.90 to 0.75. 4. Brief Pain Inventory on leisure hours was positively decreased from 2.60 to 0.7. 5. Brief Pain Inventory in personal relationship was positively decreased from 2.45 to 0.5. 6. Brief Pain Inventory while sleeping was positively decreased from 2.15 to 0.4. Conclusion : Mulligan technique can affecting the positive effects for those who has Tension headache. It is especially reduces pain from Tension headache.

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Comparison of the Balancing Capacity and Strength of Taping for the Knee Joint and Repeated Measurements (무릎관절 멀리건 테이핑이 균형능력과 각근력에 미치는 효과와 측정의 반복에 의한 효과 비교)

  • Park, Bo-hyun;Choi, Su-hong;Kim, Sung-joong;Park, Su-hyung;Oh, Kang-o
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.9-15
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    • 2018
  • Background: The purpose of this study was to compare the effects of mulligan taping on knee joints on balance ability and strength with repeated measurements. Methods: Seventeen patients were randomly assigned to the 8 taping group and the 9 repeat measurement group. To measure the balance ability, fall risk assessment equipment was used, and the measurement of the muscle strength was performed by using the equipment of the same company. Results: Balanced abilities and muscle strength were increased in groups with taping only after Mulligan taping. Conclusions: The application of mulligan taping did not have the effect of stimulating the inherent receptive sensation. However, active grouping of the knee joint taping only, and muscle strength and muscle strength were increased. It increases the stability and activity of the muscles that operate on the balance of the active knee joint and muscle strength, thereby enhancing exercise prevention and prevention performance and exercise performance.

A Study on the Immediate Effects of Mulligan's Straight Leg Raise with Traction Technique on Limited Straight Leg Raise of Low Back Pain Patients (멀리건의 견인을 동반한 하지직거상 기법이 요통 환자의 제한된 하지직거상에 미치는 즉각적인 영향에 관한 연구)

  • Choi, Yul-Jung;Yoon, Hong-Il;Lee, Jun-Yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.1
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    • pp.55-61
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    • 2013
  • Background: The purpose of this study was to investigate the immediate effects of mulligan's straight leg raise with traction technique on angle of passive straight leg raise and length of hamstring muscle in patients with low back and radiate pain. Methods: Thirty one subjects participated in this study. The subjects were assigned to either the low back pain group (n=17) or the radiate pain group (n=14). Subjects in both groups received 3 times mulligan's straight leg raise with traction. All subjects were examined for the range of motion of lower extremity. The range of motion of lower extremity was composed of angle on straight leg raise and 90-90 straight leg raise. The range of motion of lower extremity was measured using a goniometer. Results: After 3 times of mulligan's straight leg raise with traction, significant improvements on the angle of straight leg raise and 90-90 straight leg raise were observed in the both groups (p<.05). However, there are no significant difference was observed between groups. Conclusion: These results suggest that mulligan's straight leg raise with traction provides an immediately effective in range of motion of lower extremity in patients with low back pain as well as radiate pain. Although more research is required on the effects of long-term mulligan's straight leg raise with traction on range of motion of lower extremity, our results can be useful to establish the standard parameters for range of motion of lower extremity in the clinical setting.

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The Effects of Hold-Relax Technique and Mulligan's Straight Leg Raise with Traction Technique on Flexibility of Shortened Hamstring (유지-이완 기법과 멀리건의 견인을 동반한 뻗은다리올림 기법이 단축된 넙다리뒤근의 유연성에 미치는 영향)

  • Choi, Yul-jung;Sim, Hyun-po;Lee, Jun-yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.1
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    • pp.5-11
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    • 2015
  • Background: The purpose of this study was to investigate the effects of Mulligan's straight leg raise with traction technique and hold-relax technique on flexibility of hamstring in people with shortened hamstring. Methods: Thirty two subjects participated in this study. The subjects were assigned to either the Mulligan's straight leg raise with traction technique group (n=16) or the hold-relax technique group (n=16). 90-90 straight leg raise test was performed for evaluation of hamstring shortening at initial time of study. After intervention, immediate effect (immediately after intervention) and lasted effect (60 min after intervention) were assessed. Results: In the both Mulligan's straight leg raise with traction technique and hold-relax technique groups, significant improvements on flexibility of hamstring was observed in immediately and 60 minute after intervention (p<.05). However, there are no significant difference was observed between groups (p>.05). Conclusion: In the results of this study, both Mulligan's straight leg raise with traction technique and hold-relax technique show immediately and 60 minute after evaluation effectiveness in flexibility of hamstring of people with shortened hamstring. In addition, although the difference is not statistically significant, Mulligan's straight leg raise with traction technique was more increased average extension angle of knee joint at 90-90 straight leg raise test than the hold-relax technique.

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The Effect of Mulligan Treatment and PNF on the Patients with Frozen Shoulder (Mulligan 치료법과 고유수용성 신경근 촉진법이 동결견 환자의 치료에 미친 효과)

  • Yang, Jung-Ae;Yoon, Hong-Il;Park, Huyn-Sik;Shin, Young-Il;Jeon, Beom-Su
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.1
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    • pp.27-36
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    • 2006
  • The purpose of this study was to compare the effects of Mulligan method and PNF method on the pain and limitation of range of motion in patients with frozen shoulder. The subjects of this study were 20 patients, 10(50%) males and 10(50%) females. They visited clinic for physical treatment within 6 months after onset of shoulder pain and limitation of range of motion with frozen shoulder. One group was applied with Mulligan method and other group was with PNF method. The patient were treated 5 times session weekly for 6 weeks from March 4th, 2002. And each treatment session was 15min. with physiotherapy. The pain was measured by visual analogue scale (V AS) and rage of motion (ROM) of flexion, abduction, external rotation, internal rotation were measured by goniometer. The data was analysed by paired T-test and independent T-test. The results of this study were summarized as follow : 1. The ROM of Mulligan method group increase in after treatment in comparison with ROM in before treatment, it is significant increase. Although the V AS of MMG decrease in before than after treatment, it is significant difference. 2. There is significant difference in before and after treatment of ROM of shoulder flexion, abduction, internal rotation, external rotation between PNF method group. The V AS of PMG is decreasing in before than after treatment, it is significant difference. 3. There is significant difference in before movement and after movement ROM of flexion, abduction, internal rotation, external rotation and VAS between Mulligan method session and PNF method session then the scale which measured by Mulligan method was more increased than that of PNF method. The results showed that both Mulligan method and PNF method were effective in pain reduce and ROM increase, but Mulligan method was superior to PNF method in ROM increase and pain reduce.

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The Effects of Kinesio Taping, Mulligan Taping on Pain, Maximum Grip Strength of Men's Artistic Gymnast with Wrist Impingement Syndromes (손목 충돌증후군을 가진 남자 기계체조 선수에게 키네지오 테이핑과 멀리건 테이핑 적용 시 체중 부하 통증과 악력에 미치는 영향)

  • Gyeong-hwan, Shin;Jong-woo, Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.3
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    • pp.9-19
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    • 2022
  • Background: The study objectives were to investigate the effect of Kinesio taping, Mulligan taping on push-off-test and maximum grip strength in elite men's artistic gymnast with wrist impingement syndromes. Methods: The subjects of this study were 18 wrist impingement syndromes men's artistic gymnast and randomly assigned to a Kinesio taping group, Mulligan taping group. Weight-bearing wrist pain and Muscle strength were assessed with push-off-test (POT) and the maximum grip strength (MGS). Results: As a result of the research, there were no significant difference in POT in pre and post group in the Kinesio taping (p>.05). But Mulligan taping group were significant difference in POT (p<.05). In comparison after intervention between each other groups, there was a no significant difference on (p<.05), but no significant difference on post (p>.05). there were significant difference in MGS in both pre and post group in the Kinesio taping and Maximum Grip Strength (p<.05). In comparison after intervention between each other groups, there was a no significant difference on pre (p<.05), but no significant difference on post (p>.05). Conclusion: This results suggests that Mulligan taping are encouraged due to effects on pain, Muscle strength increase in elite men's artistic gymnast with wrist impingement syndromes.

수기요법(手技療法)의 계통과 국내 수기요법 연구현황

  • Gwon, Hwi-Geun;Na, Sam-Sik;Lee, Gi-Nam
    • Journal of Korean Medical Ki-Gong Academy
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    • v.12 no.1
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    • pp.50-77
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    • 2011
  • The social demand of manipulative therapy has increased. but the concept, terminology, classification and system of manipulative therapy is unclear. Therefore, academic organization on manipulative therapy is needed. The aim of this study is overview the evolution of manipulative therapy and based on this, we will find out how manipulative therapy is studied in South Korea. Manipulative therapy reflects medical knowledge and trends at the time. Historically people who work as key roles in evolution of manupulative therapy are Hippocrates, Claudius Galen, Acicenna(Ibn Sīnā), Ambroise Paré, Andreas Vesalius, Pehr Henrik Ling, Florence Nightingale, Andrew Taylor Still, Daniel David Palmer, James Beaver Mennell, James Henry Cyriax, Robin Mckenzie, Freddy Kaltenborn, Brian R Mulligan, George Goodheart, Mikao Usui, Wilhelm Reich, Ida Rolf. As the result of articles search, Massage, Chiropractics, acupressure(acupuncture), Chuna, osteopathy, reflexology, CST, Mulligan techniques, Dongbang whalbub, Kaltenborn-Evjenth orthopedic manual therapy are major subject that studied in South Korea.