Mulligan versus maitland mobilisation in treatment of chronic low back dysfunction / Reda Kotb Abdelrazik Gad Elahk ; Supervised Lilian Albert Zaky , Mohamed Omar Soliman , Ghada Mohamed Rashad Koura

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Musculoskeletal Disorders

Background: Low back dysfunction (LBD) is a common problem which affects the majority of the population. The purpose of this study was to compare between the efficacy of Mulligan and Maitland mobilisation on pain level, ROM, and functional disability in patients with chronic LBD. Subjects: Forty patients from both sexes were diagnosed with chronic LBD, aged 30 to 50 years. Method: Subjects were randomly divided into two groups; group A (n =20) received conventional physical therapy treatment in form of (infrared radiation, ultrasonic and therapeutic exercises for back and abdominal muscles) + Mulligan{u2019}s technique (MWM). Whereas subjects in group B (n =20) were treated by conventional physical therapy treatment (infrared radiation, ultrasonic and therapeutic exercises for back and abdominal muscles) + Maitland{u2019}s mobilisation (P-A mobilization) technique for three times / week for four weeks .patients were assessed before and after treatment by VAS for pain, Oswestry questionnaire for functional disability and modified schober test for ROM . Results: There were statistical significant differences between the two groups in level of pain, and lumbar extension ROM in favor of group A and no differences in functional disability and ROM of flexion right and left side bending Conclusion: MWM is better than P-A mobilisation in reducing level of pain and increasing lumbar extension ROM in individuals with chronic LBD and no one is superior to other in functional disability and ROM of flexion right and left side bending

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