Effectiveness Of Mulligan Mobilization Combined With Conventional Physiotherapy On Pain, Range Of Motion, And Functional Outcomes In Diabetic Frozen Shoulder Patients

Abstract

This study investigates the effectiveness of combining Mulligan Mobilization with conventional physiotherapy in managing frozen shoulder among diabetic patients. The primary aim of this study is to evaluate the impact of this combined treatment approach on pain reduction, range of motion, muscle strength, proprioception, and functional disability. A sample of 50 diabetic patients diagnosed with frozen shoulder participated in the study. The treatment protocol included Mulligan Mobilization and conventional physiotherapy exercises. Outcomes were assessed using standardized pain assessment tools, range of motion measurements, manual muscle testing (MMT), proprioception tests, and the Shoulder Pain and Disability Index (SPADI). Descriptive and inferential statistics, including paired sample t-tests and effect size calculations, were used to analyze the data. The findings indicated significant reductions in pain levels and improvements in range of motion, muscle strength, and proprioception. There were also notable reductions in functional disability scores, enhancing daily living and recreational activities. The effect sizes for pain reduction (Cohen's d = 1.33), range of motion improvement (Cohen's d = 1.20), muscle strength increase (Cohen's d = 1.15), and functional disability improvement (Cohen's d = 1.10) suggest large effects, demonstrating the clinical relevance of the treatment. These results underscore the potential of this integrative approach to significantly improve patient outcomes and quality of life.