Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Basic Science

Background: Shoulder impingement syndrome is one of the most common disorders of the shoulder that have socioeconomic impact on working ability. Shoulder impingement syndrome is a phenomenon of mechanical compression of the rotator cuff against the anterior under surface of the acromion and coracoacromial ligament particularly during arm elevation. Purpose: to compare the effect of Mulligan technique to the effect of laserpuncture on active range of motion of flexion and external rotation, pain intensity and function level in shoulder impingement syndrome patients. Methods: Thirty patients (age: 25-50 years old) and their mean ±SD of age, weight and height were 37.63 ± 6.89 years, 78.13 ± 6.56 Kg and 169.3 ± 7.77cm of both sexes were participated in this study. All subjects had stage II neer classification shoulder impingement syndrome. Patients were assigned into three equal groups Group A: consisted of ten patients were received conventional physical therapy in addition to Mulligan technique. Group B: consisted of ten patients. They received the same conventional protocol as group A in addition to laserpuncture. Group C: consisted of ten patients. They received the same conventional physical therapy as group A only. The 3 groups were assessed clinically by Bubble goniometer and pain intensity and disability level by shoulder pain and disability index (SPADI) at the beginning of the treatment and after four weeks at the end of treatment. Results: There were no significant difference between the effect of mulligan{u2019}s techniques versus laserpuncture on pain severity, and shoulder function in treatment of shoulder impingement syndrome and both had significant difference over control group but mulligan has a significant effect on range of motion in treatment of shoulder impingement syndrome over laserpuncture and control groups. Conclusion: Adding Mulligan technique to traditional treatment as well as laserpuncture is an effective in treating shoulder impingement syndrome but mobilization with movement has more effect when targeting increase restricted range of motion

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