Comparing the Effectiveness of Mulligan Movement With Mobilization and Proprioceptive Neuromuscular Facilitation Techniques in Rehabilitation of Rotator Cuff Syndrome: a Randomized Controlled Trial

dc.authorid Atici, Emine/0000-0002-6547-4798
dc.authorid Aydin, Gamze/0000-0002-4952-2825
dc.authorscopusid 59946962800
dc.authorscopusid 57199328282
dc.authorscopusid 57218324164
dc.authorscopusid 6505468973
dc.authorwosid Aydin, Gamze/Abf-3175-2021
dc.authorwosid Atıcı, Emine/Aal-5444-2020
dc.contributor.author Kirkaya, Adem Can
dc.contributor.author Atici, Emine
dc.contributor.author Aydin, Gamze
dc.contributor.author Surenkok, Ozgur
dc.date.accessioned 2025-07-15T19:03:09Z
dc.date.available 2025-07-15T19:03:09Z
dc.date.issued 2025
dc.department Okan University en_US
dc.department-temp [Kirkaya, Adem Can] Istanbul Okan Univ, Inst Grad Educ, Dept Physiotherapy & Rehabil, Istanbul, Turkiye; [Atici, Emine; Aydin, Gamze; Surenkok, Ozgur] Istanbul Okan Univ, Fac Hlth Sci, Div Physiotherapy & Rehabil, Istanbul, Turkiye en_US
dc.description Atici, Emine/0000-0002-6547-4798; Aydin, Gamze/0000-0002-4952-2825; en_US
dc.description.abstract Purpose This study aims to compare the effectiveness of Mulligan Movement with Mobilization Techniques (MWMs) and Proprioceptive Neuromuscular Facilitation Techniques (PNF) on pain intensity, range of motion (ROM), proprioception, scapular dyskinesis, functionality, and quality of life (QoL) in individuals with Rotator Cuff Syndrome (RCS). Methods In this randomized, controlled, three-arm clinical trial, we recruited patients with Rotator Cuff Syndrome. During the study period, 70 patients diagnosed with Rotator Cuff Syndrome were screened and 60 eligible volunteers were enrolled. Patients were randomly allocated (1:1:1) into one of three groups: the control group (conservative treatment alone), the MWMs group (MWMs plus conservative treatment), and the PNF group (PNF plus conservative treatment). Each group underwent a total of 20 treatment sessions following prescribed programs, lasting 45 min per session and conducted five days a week. Pain intensity was evaluated using the Visual Analog Scale; joint ROM was measured with a Goniometer; proprioception was assessed using the Angle Reproduction Test; scapular dyskinesis was evaluated using the Lateral Scapular Slide Test; functionality was assessed with the Western Ontario Rotator Cuff Index; and QoL was evaluated using the Short Form-36. Results In the comparison between groups, MWMs had a significant effect on pain intensity, proprioception sense of 90 degrees abduction movement and functionality (eta 2 (%95 CI): 0.393 (0.185; 0.531); 0.198 (0.033; 0.352); 0.429 (0.221; 0.561), respectively). It was observed that the control group was superior to other treatments in quality of life, except for the mental health sub-dimension (p < 0.05). Conclusion The three interventions compared in patients with RCS have shown positive effects, with the MWMs found to be particularly superior in reducing pain, improving proprioception, and enhancing functionality, making it a valuable option for rehabilitation in clinical practice. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.doi 10.1007/s43465-025-01435-0
dc.identifier.issn 0019-5413
dc.identifier.issn 1998-3727
dc.identifier.scopus 2-s2.0-105008246321
dc.identifier.scopusquality Q3
dc.identifier.uri https://doi.org/10.1007/s43465-025-01435-0
dc.identifier.uri https://hdl.handle.net/20.500.14517/8049
dc.identifier.wos WOS:001509357100001
dc.identifier.wosquality Q4
dc.language.iso en en_US
dc.publisher Springer Heidelberg en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.subject Pain en_US
dc.subject Functionality en_US
dc.subject Mobilization en_US
dc.subject Proprioceptive Neuromuscular Facilitation en_US
dc.subject Rotator Cuff en_US
dc.title Comparing the Effectiveness of Mulligan Movement With Mobilization and Proprioceptive Neuromuscular Facilitation Techniques in Rehabilitation of Rotator Cuff Syndrome: a Randomized Controlled Trial en_US
dc.type Article en_US

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