Search Results

You are looking at 1 - 10 of 13 items for :

  • "Mulligan Concept" x
Clear All
Restricted access

James May, Ryan Krzyzanowicz, Alan Nasypany, Russell Baker and Jeffrey Seegmiller

Context:

Although randomized controlled trials indicate that the Mulligan Concept (MC) of mobilization with movement can improve pain-free grip strength and pressure pain threshold in patients with lateral epicondylalgia of the elbow, improve ankle dorsiflexion in patients with subacute ankle sprains, and decrease the signs and symptoms of patients with cervicogenic headache, little is known about the clinical application, use, and profile of certified Mulligan practitioners (CMPs) in America.

Objective:

To better understand the use and value of applying the MC philosophy in clinical-care environments from the perspective of American CMPs while establishing a clinical profile of a CMP.

Design:

Quantitative descriptive design. Setting: Online survey instrument.

Participants:

American CMPs.

Data Collection and Analysis:

Online survey instrument.

Results:

CMPs use the MC to treat a broad spectrum of spinal and peripheral clinical pathologies in primarily outpatient clinics with an active and athletic population. American CMPs also find value in the MC.

Conclusions:

American CMPs continue to use and find value in the MC intervention strategy to treat a broad spectrum of spinal and peripheral conditions in their clinical practices.

Restricted access

Alex J. Rhinehart and Caroline C. Guindon

A 21-year-old female NCAA Division III soccer player presented with an insidious onset of posterior ankle pain. Lateral radiographs revealed a Stieda process, leading to a physician diagnosis of posterior ankle impingement (PAI). Mulligan Concept mobilizations with movement (MWM) were used to ameliorate patient complaints. The MWM glide was maintained during activity using a tape application. Return to play and patient improvement occurred dramatically faster while utilizing the MWM technique than other traditional methods used to treat this condition. This case report demonstrates a novel approach to treating Stieda process-related PAI that warrants further clinical inquiry.

Open access

Erica S. Albertin, Emilie N. Miley, James May, Russell T. Baker and Don Reordan

– 8 More recently, clinicians have also begun to utilize joint mobilization and the Mulligan Concept (MC) mobilization with movement (MWM) techniques to increase ROM 3 – 8 ; however, there is a paucity of research on the lasting effects of mobilizations. Given the difficulties in improving ROM

Restricted access

James M. May, Alan Nasypany, Julie Paolino, Russell Baker and Jeffrey Seegmiller

Context:

While the incidence and reinjury rates of lateral ankle sprain (LAS) continue to persist at high rates across many sporting activities, further exploration of assessment and treatment beyond the traditional ligamentous and strength/proprioceptive model is warranted. Further, assessing and treating both arthrokinematic and osteokinematic changes associated with LAS can provide insight into a more diverse approach to treating ankle pathology.

Objective:

To examine the clinical use of the Mulligan Concept mobilization with movement (MWM) while treating patients diagnosed with an acute grade I or II LAS through authentic patient care.

Design:

An a priori case series.

Setting:

Intercollegiate athletic training clinic.

Patients:

Intercollegiate patients diagnosed with an acute grade I or II LAS.

Intervention:

The Mulligan Concept distal fibular anterior to posterior MWM.

Main Outcome Measures:

Pain-Intensity Numeric Rating Scale (NRS) with Non-Weight Bearing (NRS-NWB) and Weight Bearing (NRS-WB), Disablement of the Physically Active Scale (DPAscale), Foot and Ankle Ability Measure (FAAM) with Activity of Daily living (FAMM-ADL) and Sport (FAAM-Sport), Client Specific Impairment Measure (CSIM), Y-Balance Composite (YBC), and Weight Bearing Measure for Dorsiflexion (WBDF).

Results:

Patients who are diagnosed with an acute grade I or II LAS and are treated with the Mulligan Concept report immediate and long-lasting minimal clinically important differences in patient outcome measures.

Conclusion:

Clinicians who examine and use the Mulligan Concept MWM to treat acute LAS can expect immediate positive results that are progressively retained over time specific to patient-centered outcome measures as well as functional clinicianbased measures. Based on the immediate and positive results, clinicians should examine associated osteokinematic and arthrokinematic changes beyond that of the traditional ligamentous model.

Restricted access

Russell T. Baker, Alan Nasypany, Jeff G. Seegmiller and Jayme G. Baker

Restricted access

-hyun Kim * Si-eun Lee * Mi-jin Park * 1 2013 18 18 1 1 25 25 29 29 10.1123/ijatt.18.1.25 Manual Therapy The Mulligan Concept: Mobilizations with Movement Russell T. Baker * MS, MS, ATC Alan Nasypany * EdD, ATC, LAT Jeff G. Seegmiller * EdD, ATC, LAT Jayme G. Baker * DPT, ATC 1 2013 18 18 1 1 30

Restricted access

.2015-0080 Novel Treatment of Apparent Posterior Ankle Impingement Syndrome Related to a StiedaProcess Utilizing the Mulligan Concept: An Exploration Case Study Alex J. Rhinehart * MS, AT, ATC Caroline C. Guindon * LAT, ATC 9 2016 21 5 21 27 10.1123/ijatt.2015-0095 Research Report Sagittal Plane

Restricted access

Original Research Report Mulligan Concept Use and Clinical Profile From the Perspective of American Certified Mulligan Practitioners James May * Ryan Krzyzanowicz * Alan Nasypany * Russell Baker * Jeffrey Seegmiller * 11 2015 24 4 337 341 jsr.2014-0178 10.1123/jsr.2014-0178 The Effects of

Restricted access

Recovery Strategies Among Participants of the BUPA Great North Run: A Cross-Sectional Survey Sarah Shaw * Tina Smith * Jenny Alexanders * Thomas Shaw * Lois Smith * Alan Nevill * Anna Anderson * 11 2017 26 6 478 485 10.1123/jsr.2016-0029 Patient Outcomes Utilizing the Mulligan Concept of

Open access

Victoria Fauntroy, Marcie Fyock, Jena Hansen-Honeycutt, Esther Nolton and Jatin P. Ambegaonkar

reassessed at discharge. All patients were monitored for the rest of the academic semester. Doctoral AT student (with 7-y experience and 1 y using Mulligan concept) gave initial evaluation and subsequent exercises. Attended 12 corrective exercise sessions over 4 wk with the AT or PT, lasting ∼30 min each