Brian Mulligan Manual Therapy Pdf
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Download full-text PDF Introduction When Brian Mulligan first described Mobilization with Movements (MWM) in 1984 he shared his techniques through his original book entitled Mulligan ' s Manual Therapy: NAGS, SNAGS, and MWMs of which there have been six editions over the past 30 years. He presented the application of MWM in a series of case reports. These case studies focused on the clinical reasoning underlying the application of Mulligan Concept, Including consideration of the evidence base. The case studies followed the application of Mulligan Concept from the first session to discharge, showing how the techniques were selected, applied and progressed over the treatment program. ? Concepts Mobilization with Movement techniques are only to be used when they produce no pain on application and because they should be immediately effective if indicated. Mulligan Concept consists on: 1- Positional Fault, 2- Treatment Plane, 3 - Pain Free,4- Repetition. Conclusion These techniques are used to lateral epicondylalgia, cervical, thorasic and lumbar spine, cervicogenic headache and cervicogenic dizziness, temporomandibular joint, shoulder complex, elbow, forearm, wrist, hand, sacroiliac joint, hip, knee, ankle and foot.ResearchGate has not been able to resolve any references for this publication. Essentials of communication in the therapeutic process. Clincial Reasoning, Evidence Based Practice and the relevance of though clinical assessment and reassessment View full-text Article Mobilisations with Movement. Snags, nags and mobilisations with movement integrate well with other concepts of manual therapy. The treatment of specific clinical dysfunctions is described. The purpose of this paper was to define treatment fidelity, review its use in health care research and suggest how it may be utilized in manual therapy research to improve the reliability and validity of the literature. Results. http://www.goldfingers.fr/userfiles/brother-mfc-295cn-all-in-one-printer-manual.xml
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We offer an outline and a table of how manual therapy research may benefit from the concept of treatment fidelity. Discussion. View full-text Discover more Download citation What type of file do you want. RIS BibTeX Plain Text What do you want to download. Citation only Citation and abstract Download ResearchGate iOS App Get it from the App Store now. Install Keep up with your stats and more Access scientific knowledge from anywhere or Discover by subject area Recruit researchers Join for free Login Email Tip: Most researchers use their institutional email address as their ResearchGate login Password Forgot password. Keep me logged in Log in or Continue with LinkedIn Continue with Google Welcome back. Keep me logged in Log in or Continue with LinkedIn Continue with Google No account. All rights reserved. Terms Privacy Copyright Imprint. Manual therapy techniques are described by annotationsutilising a range of acronyms, abbreviations and universal terminology based on biomechanical and anatomical concepts. The various combinations of therapist and patient generated forces utilized in a variety of weight bearing positions, which are synonymous with Mulligan Concept, challenge practitioners existing annotational skills. Therapist or patient application of overpressure and utilisation of treatment belts or manual techniques must be recorded to capture the complete description. The adoption of the Mulligan Concept annotation framework in this way for documentation purposes will provide uniformity and clarity of information transfer for the future purposes of teaching, clinical practice and audit for its practitioners. Download full-text PDF The various combinations of therapist and patient generated forces utilized in a variety of weight-bearing positions, which are synonymous with Mulligan Concept, challenge practi- tioners existing annotational skills. http://www.akademiedersinne.at/files/brother-mfc-260c-manual.xml
Therapist or patient application of overpressure and utilization of treatment belts or manual techniques must be recorded to capture the complete description. The adoption of the M ulligan Concept annotation framework in this way for documentation purposes will provide uniformity and clarity of information transfer for the future purposes of teaching, clinical practice and audit for its practitioners. O 2014 Elsevier Ltd. All rights reserved. 1. Introduction The Mulligan Concept of manual therapy is based on the application of a sustained accessory joint mobilization, often in a weight-bearing position, which utilizes patient generated active or functional tasks through a speci.Accura te annot ation of Mu lligan Con cept man ual thera py is essenti al to ensurefuture qualit y dissemin ationof clinical informat ion within pa tient re cords, re search, e ducatio n, gover nance and aud it. This paper pr esents a docum entatio n framewo rk, based on ex isting annota tion applic able to Mullig an techniq ues, util izing acr onyms, abbrevi ations an d tenets c ommon to est ablish ed manual t herap y approa ches.Th ese annota tions are ba sed on term inology de rived fr om biomechani cal and anatom ical concep ts, which are un iversall y un- derstood by ph ysio therapis ts for describi ng the location and type s of forces applied to t he human body. Annotational methods currently utilized by physiotherapists in manual therapy practice are in.Since Mennell wrote his.Several unique techniq ue acronyms developed by Mulligan ( Mulligan, 1989 ) are already commonplace within the manual therapy literature and physiotherap y patient medical re- cords: these include the terms of sustained natural apophyseal glides (SNAGS), natural apophy seal glides (NAGS), mobilizations with movement (MWM) and pain release phenomenon (PRP). https://labroclub.ru/blog/3i-implants-restorative-manual
MWMs utilize the dual role of both therapist force (accessory glides) and patient effort (active phys- iological or functional movement) and techniques are often carried out in a variety of weight-bear ing positions, with treatment belts and, either additional therapist, assist ant or patien t applied overpre ssure. Consequently these MWM techniques requir e additional annotational detail in comparison to other manual therapy approaches. These mobilizat ion paramet ers corre- spond to.Five McK enzie par ameters (s ide, repe tition, dir ec- tion, start posi tion and overpr essur e) ( McKenzie, 198 1 )a n d.The para meter of gr ade (I e V) is not incl uded in the framew ork as it is not applic able to Mullig an MWM techniq ues. Although th e authors ’ r ecognize that cl inicians al ready undert ake documentat ion of Mulligan techniq ues in patient note s, a concern is raised that the le vel of detail pro vided is often o verly simp listic.The use of abbr eviated ann otatio ns ( Appendi x 1 ) may sa ve time and assist cla rity when Mul ligan Conce pt pract itioners sh are patie nt informat ion. Paun gmali et al. (2 003) describe a technique for lateral epicondy lalgia as fo llows: “ t he phy sical ther apist use d one hand to stabili ze the dista l end of thehumerus on the late ral sidejust proximal to the elbow jo int line while us ing the other han d to apply a late rally direct ed glide of the pro ximalulnar and radius. Thehand applying the latera l glide w as situat ed just dist al to the elbow joint line on the medialside of the ulna. The glid e was pai nlesslyapplied and sust ained for appro ximatel y 6 seconds while the participan t performed the pain-fr ee grippin g action. The gliding pres sure w as then mai ntained until the par ticipant co mplete ly releas ed the grip. T en repet itions of the treatm enttechniquewere applied,with approxi mately15 second s rest inter vals bet ween rep etitions ” (p. 37 6). The corr espondi ng. https://eastwestmacrobiotics.com/images/brewstation-47374-manual.pdf
The pa tient ’ s physiotherapy records would be do cument ed within the proposed an notat ional fram ewor k accordingly as “ sup ly R Elb Lat gl M WM res grip ? 6sec(1 0) ”. 3.1. Mulligan speci ? c annotation rules Techn iques with unique appl ication s have anno tation rule s that may also simplif y recording and there are certa in premises speci.It w ould also appear pe dantic to reco rd whether a tr eat- ment belt was use d for a lumbar SN AG if this was mor e common- place than manua l pelvic stabil ization. Ag ain howev er to maintain consisten cy it should be rec orded as in oth er MWMs it may be more common to perf orm it manuall y. The foll owing ope rational ru les for the annotati onal frame work are ou tlined as follo ws. NAGS and SNA GS e the therapist ’ s contact points are central on the spine unless notated otherwise. Documentation must stip- ulate whether the therapist ’ s contact position is on the right or left of the spinal segment as a SNAG may be ipsilateral or contralateral to the active movement. ? Transverse SNAGS (formerly called positional SNAGS), spinal mobilization with arm movement (SMWAM), and spinal mobi- lization with leg movement (SMWLM) e if the annotation states “ LT 1 ” this notates the therapist contact point: that is, the therapist applies pressure to the left of the T1 spinous process and applies a transverse glide towards the right. ? If overpr essure is applie d then it should be reco rded. Special no - tation should occ ur if it is performed by a third par ty or has a special appl ication: forexample, the patient ’ sp a r t n e ra d m i n i s t e r s the overpr essure during a self-cervic al rotation SNAG. Ot herwise all overpr essure should be consider ed patient generated. ? If a technique has both a manual and a treatment belt method of application then the use of a belt should always be rec orded. When “ belt ” is missing from the annotation the practitioner will assume it is a manual technique. ? https://www.caribbeandentist.com/wp-content/plugins/formcraft/file-upload/server/content/files/1628713378d42c---cadillac-sts-1999-owners-manual.pdf
If more than one corrective glide is applied (for example to the scapula for a scapulothoracic MWM) then the glides should be listed in the order of emphasis or magnitude of force. Forward slash lines separate multiple glides (in keeping with Maitland ’ s combined movements ( Maitland, 19 78 )) and dashes indicate combined glides (for example in the “ Post-sup gl ” of the inferior tibio.Typically, 3 e 4 s are per- formed per segment before retesting (personal communication Brian Mulligan).Worke d examples of key Mul ligan techniques ar e displayed in Appendix 2. If abbr eviations are not accep ted in the therapist ’ sa r e a of practice then it is rec ommended tha t the annotationsbe written in long hand, altho ugh still in the same framewo rk order of parameter descripti on speci ? ed above. Th e authors ha ve speci. Information regarding the therapist or patient application of overpressure, the help of an assistant, or utilization of a treatment belt are required to capture the complet e description of these techniques. Even if the exact order of these parameters is not consistent with the annotational framework, the inclusion of all the components is still considered the minimum requirement for documentation of Mulligan Concept manual therapy techniques. Standardizing annotation will ensure that future comparisons may be made between studies, reproducibility of techniques between practitioners is guaranteed, and accurate patient records exist for audit purposes. Acknowledgements The authors wish to acknowledge those members of the Mul- ligan Concept Teachers Association who provided feedback on the framework and the appendices. Appendix 1 Abbreviations for use in Mulligan Concept annotations. Prone lying sit ? Sitting sl y ? Side lying st ? Standing sup ly ? Supine lying WB ? weight bearing L ? left R ? right ACJ ? acromioclavicular joint Ank.NATURAL apophyseal glide Rev NAG.El ? elevation F ER ? external rotation Ev.Collins N, Teys P, Vicenzino B. BAINIHU.COM/upfiles/editor/files/canon-70-200-manual-pdf
The initial effects of a Mulligan ’ s mobilization with movement technique on dorsi.Man Ther 2004;9:77 e 82. DeSantis L, Hasson SM. Use of mobilization with movement in the treatment of a patient with subacromial impingement: a case report. J Man Manip Ther 2006;14:77 e 87. Edwards B. Manual of combined movements: their use in the examination and treatment of mechanical vertebral column disorders. Edinburgh: Churchill Livingstone; 1992. Grieve GP. Mobilisation of the spine: notes on examination assessment and clinical method. Edinburgh: Churchill Livingstone; 1975. Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K. Ef ? cacy of a C1 e C2 self-sustained natural apophyseal glide (SNAG) in the management of cervi- cogenic headache. J Orthop Sports Phys Ther 2007;37:100 e 7. Hing W, Bigelow R, Bremner T. Mulligan ’ s mobilisation with movement: a review of the tenets and prescription of MWMs. N Z J Physiother 2008;36:144 e 64. Kaltenborn F. Mobilisation of the spinal column. Wellington: New Zealand Uni- versity Press; 1970. Konstantinou K, Foster N, Rushton A, Baxter D, Wright C, Breen A. Flexion mobili- zations with movement techniques: the immediate effects on range of move- ment and pain in subjects with low back pain. J Manip Physiol Therap 2007;30: 178 e 85. Maitland G. Musculo-skeletal examination and recording guide. Adelaide: Lau- derdale Press; 1978. McKenzie R. The lumbar spine: mechanical diagnosis and therapy. Wellington: Spinal Publications; 1981. Mennell J. The treatment of fractures by mobilisation and massage. London: Mac- millan; 191 1. Mintken P, DeRosa C, Little T, Smith B. A model for standardizing manipulation terminology in physical therapy practice. J Man Manip Ther 2008;16:50 e 6. Moutzouri M, Billis E, Strimpakos N, Kottika P, Oldham JA. The effects of the Mul- ligan sustained natural apophyseal glide (SNAG) mobilisation in the lumbar.BMC Musculoskel Disord 2008;9:131 e 40. Mulligan B. {-Variable.fc_1_url-
Manual therapy e “ NAGS ”, “ SNAGS ”, “ PRP ’ S ” etc. Wellington: Plane View Services Ltd; 1989. Paungmali A, O ’ Leary S, Souvlis T, Vicenzino B. Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys Ther 2003;83:374 e 83. Paungmali A, O ’ Leary S, Souvlis T, Vicenzino B. Naloxone fails to antagonize initial hypoalgesic effect of a manual therapy treatment for lateral epicondylalgia. J Manip Physiol Therap 2004;27:180 e 5. Penso M. The effectiveness of mobilisation with movement for chronic medial ankle pain: a case study. S Afr J Physiother 2008;64:13 e 6. Orthopaed Phys Ther Pract 2009;21:33 e 8. Appendix 2 Worked annotations for selected Mulligan Concept manual therapy techniques (abridged a ). OP ? 6 (3) sit L T8 SNAG LF R ? 6 (3) sit L 6th rib MWM Inspiration ? 3 sit R L4 SNAG E ? 6 (3) sit C5 Self towel SNAG Rot R. OP ? 6 sit R Inf RUJ Ant-lat gl MWM Supin. A ? 3 L Kn IR Tape Note: repetitions and sets listed in this table illustrate examples of annotations and are not linked to any recommended treatment prescriptions.Man Ther 2013:372 e 7. Teys P, Bisset L, Vicenzino B. The initial effects of a Mulligan ’ s mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Man Ther 20 08;13:37 e 42. Vicenzino B, Branjerdporn M, Teys P, Jordan K. Initial changes in posterior talar glide and dorsi.J Orthop Sports Phys Ther 2006;36:464 e 71. Vicenzino B, Hing W, Rivett D, Hall T. Mobilisation with movement: the art and the science.The Mulligan approach is a popular manual therapy concept that many physical therapists utilize in a variety of orthopedic disorders and has been shown to improve pain, ROM, and function (Amro et al., 2010;Anandkumar, 2015;Konstantinou et al., 2007;Marron-Gomez, Rodriguez-Fernandez, and Martin-Urrialde, 2015;Shin and Lee, 2014;Takasaki, Hall, and Jull, 2013). https://www.thelawchamber.com/wp-content/plugins/formcraft/file-upload/server/content/files/16287135ccc2a2---cadillac-xlr-v-manual-transmission.pdf
It involves a variety of joint mobilization procedures such as natural apophyseal glide, sustained natural apophyseal glide, and mobilization with movement (MWM) (McDowell, Johnson, and Hetherington, 2014). Clinical diagnosis of anterolateral ankle impingement was based on concordant symptom reproduction with palpatory tenderness and a positive lateral synovial impingement test. This case report is a potential first time description of the successful management of anterolateral ankle impingement utilizing a novel Mulligan’s mobilization with movement procedure (consisting of internal rotation of the distal tibia) and taping with immediate improvements noted in pain, range of motion, and function. The patient was seen twice a week and was discharged after four treatment sessions. A follow-up after 4 months revealed that the patient was pain free and fully functional. View Show abstract. If indicated, the pain will reduce in this period. (6) The primary aim of the study is to find the effectiveness of physical therapy treatment with and without Pain Release Phenomenon. It is one of the new techniques and one of the important advantage of the rational treatment is that further. Effectiveness of Routine Physical Therapy with and Without Pain Release Phenomenon in Patello-Femoral Pain Syndrome Article Full-text available Aug 2015 Sana Shahid Ashfaq Ahmad Umair Ahmed Background: Physical therapy intervention is the mainstay for treating patellofemoral pain syndrome i.e. Retropatellar pain. Despite of the availability of a number of treatment options there is lack of agreement on any specific treatment approach of Patellofemoral pain syndrome. Objective: The objective of this study was to compare the effectiveness of physical therapy treatment with and without Pain Release Phenomenon in patellofemoral pain syndrome. Materials and methods: It was a double blind, randomized controlled trial. 60 participants were randomly assigned to two groups. BAIGIANGTOANHOC.COM/upload/files/canon-70-200-manual-focus-problem.pdf
The treatment was provided for six weeks thrice every week. The baseline measurements were taken at the beginning and at six weeks post-trial. Results: Patients did not differ in baseline pain and disability level in both groups. Conclusions: This study concludes that Pain release phenomenon is an effective technique in reducing pain and improving function of knee in patients with patellofemoral pain when combined with conventional treatment and home exercise plan over a period of six weeks. This translates as: with the patient in supine, the therapist applies a lateral glide as the accessory movement while the patient performs a gripping task using the dynamometer keeping it for 6 sec and repeating the technique for 10 times (Fig. 2).. Influence of expectations plus mobilization with movement in patient with lateral epicondylalgia: A pilot randomized controlled trial Article Full-text available Feb 2017 Francisco Vicente Martinez-Cervera Theodor Emanuel Olteanu Alfonso Gil Martinez Raul Ferrer-Pena The aim of this study was to determine the influence of expectations plus mobilization with movement (MWM) in kinesiophobia, perceived disability and sensorimotor variables in patients with lateral epicondylalgia. A pilot randomized controlled trial in 24 patients with lateral epicondylalgia was conducted. Perceived pain, pain-free grip strength, pressure pain detection threshold, kinesiophobia measured with the short version of Tampa Scale of Kinesiophobia, perceived disability of the upper limb measured with disability of the arm, hand and shoulder questionnaire, and perceived disability specifically for the elbow joint measured with patient-rating tennis elbow evaluation, and also satisfaction were assessed. All patients were treated for three sessions with the MWM technique. Measures were recorded before and after treatment. The effect size was calculated by Rosenthal ?r? for nonparametrical tests. In conclusion this pilot study shows that a positive expectation almost given in a sealed envelope before treatment plus MWM produced changes in kinesiophobia and perceived disability in the immediate term, in patients with lateral epicondylalgia. Third, this study was unable to follow all guidelines suggested by Mulligan, such as self-mobilization at home and having the patient undertake the final overpressure at the end of each movement. 53 Fourth, the possible presence of a carryover effect of the treatment conditions may have contaminated the results of the first treatment condition. Further studies are needed, with different treatment dosage, multiple evaluators, and follow-up.. Immediate Effects of Mobilization With Movement vs Sham Technique on Range of Motion, Strength, and Function in Patients With Shoulder Impingement Syndrome: Randomized Clinical Trial Article Full-text available Nov 2016 Joao Flavio Guimaraes Tania F Salvini Aristides Leite Siqueira Francisco Alburquerque--Sendin Objective. The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) with sham technique on range of motion (ROM), muscle strength, and function in patients with shoulder impingement syndrome. Methods. A randomized clinical study was performed. Effectiveness of Routine Physical Therapy with and Without Pain Release Phenomenon in Patello-Femoral Pain Syndrome Article Full-text available Jul 2016 Sana Shahid Ashfaq Ahmad Umair Ahmed Abstract: Background: Physical therapy intervention is the mainstay for treating patellofemoral pain syndrome i.e. Retropatellar pain. Despite of the availability of a number of treatment options there is lack of agreement on any specific treatment approach of. Patellofemoral pain syndrome. Objective: The objective of this study was to compare the effectiveness of physical therapy treatment withMaterials and methods: It was a double blind, randomizedThe treatment was provided for six weeks thrice every week. The baseline measurements were taken at the beginning and at six weeks posttrial. Six weeks post intervention group B receiving. VAS and Functional index questionnaire were large. Conclusions: This study concludes that Pain release phenomenon is an effectiveView Show abstract. The anterior impingement test (AIT) as described by Ratzlaff et al. (2013) incorporates adding adduction, and then IR, to a hip flexed to 90.0. Often MWMs are performed in functional weight bearing positions (McDowell et al., 2014). The prevalence of OA of the hip is becoming a considerable problem for modern society especially as the incidence of OA of the hip increases with the ageing population (Grimaldi et al., 2009).. The Effects of Caudal Mobilisation with Movement (MWM) and Caudal Self-Mobilisation with Movement (SMWM) in Relation to Restricted Internal Rotation in the Hip: A Randomized Control Pilot Study Article Full-text available Jan 2016 Richie Walsh Sharon Kinsella Background. A loss of internal rotation (IR) of the hip is associated with hip pathology. Improving IR may improve hip range of motion (ROM) or prevent hip pathology. Objectives. The purpose of this study was to compare the immediate effects of caudal mobilisation with movement (MWM) and caudal self-mobilisation with movement (SMWM) on young healthy male subjects with reduced IR of the hip. Design. A randomised controlled trial was performed. Method. The primary outcome measures included the functional internal rotation test (FIRT) for the hip and the passive seated internal rotation test (SIRT) for the hip. Outcomes were captured at baseline and immediately after one treatment of MWMs, SMWMs or control. A two-way analysis of variance (ANOVA), group.Subjects with reduced IR of the hip who receive a single session of MWMs exhibited significantly improved functional IR of their hip than the control group. Conclusions. From the data presented, it can be suggested that caudal MWMs of the hip appear to have a positive effect on functional IR of healthy young hips. This may be due to addressing the positional fault theory or the arthrogenic muscular inhibition theory. SMWMs may be effective in augmenting treatments for patients waiting for hip operations. View Show abstract An empirical, pragmatic approach applying reflection in interaction approach to manual therapy treatments Article Aug 2019 Physiother Theor Pract Neil Tuttle Charles Hazle Background. Objective. To provide a theoretical and practical approach to applying reasoning in interaction in a musculoskeletal setting. The theory is: If an impairment that can be directly targeted by treatment (i.e. pain or limitation of passive movement) is related to patient's active impairments and functional limitations, then moment-to-moment changes in the targeted impairment can be used as feedback to guide real-time treatment modification before formal reassessment of functional limitations and other impairments. Applying the theory to manual therapy results in parameters of techniques such as force, speed, direction and duration no longer being pre-determined, but rather being continually adjusted in real-time according to feedback from the patient through both therapist perception (changes in movement quantity or quality) and patient verbal responses. Conclusion. A process of continuous decision-making is described that the authors believe is used by many experienced clinicians but has not previously been adequately described in the literature.. View Show abstract Effect of mobilization with movement on lateral knee pain due to proximal tibiofibular joint hypomobility Article Jan 2018 Physiother Theor Pract Sudarshan Anandkumar Jack Miller Robert Werstine Steve Young This case report describes a 45-year-old female who presented with lateral knee pain over the right proximal tibiofibular joint (PTFJ) managed unsuccessfully with rest, medications, bracing, injection, and physiotherapy. Clinical diagnosis of PTFJ hypomobility was based on concordant symptom reproduction with palpatory tenderness, accessory motion testing, and restricted anterior glide of the fibula. Intervention consisted of Mulligan’s mobilization with movement and taping over the right PTFJ with immediate improvements noticed in pain, range of motion, and function. A follow-up after 6 months revealed that the patient was pain free and fully functional. View Show abstract Effectiveness of Routine Physical Therapy with and Without Pain Release Phenomenon in Patello-Femoral Pain Syndrome Article Jul 2016 Sana Shahid Ashfaq Ahmad Umair Ahmed Abstract: Background: Physical therapy intervention is the mainstay for treating patellofemoral pain syndrome i.e. Retropatellar pain. Conclusions: This study concludes that Pain release phenomenon is an effectiveView Show abstract Treatment of cervicogenic headaches using Mulligan 'SNAGS' and postural reeducation: a case report Article Jan 2009 C. Richardson View Mulligan's mobilisation with movement: a review of the tenets and prescription of MWMs Article Jan 2008 Wayne Hing Renee Bigelow Toni Bremner View The effectiveness of mobilisation with movement for chronic medial ankle pain: a case study Article Feb 2008 M. Penso Introduction and Purpose: It has been shown that approximatelythirty percent of those sustaining an ankle sprain are likely to develop chronicfunctional limitations. Mulligan has developed mobilisation with movement (MWM)for treatment of joint dysfunction and suggests that it is a positional fault of the jointthat causes pain and movement restriction. Method: This single case reports on the effects of a MWM technique on chronicmedial ankle pain. The patient was a 25-year-old female runner who had experiencedpain since an initial ankle sprain at 8 years of age. The main findings of the subjective and physical examinations were decrease in active and passive dorsiflexion and eversion range of motion (ROM), shortening of gastrocnemiusand soleus muscles and the functional limitation of pain when running. The patient was treated twice with the MWMtechnique.Results: Outcomes of immediate reduction in pain, restoration of full dorsiflexion and eversion ROM, increase in calfmuscle length and pain free running were observed. This was maintained over a four-month follow up period.Conclusion: This case concurs with previous studies detailing increases in range of motion and restoration of painfree movement as well as adding new support for the resolution of chronic pain with MWM. View Show abstract The effects of Mulligan mobilisation with movement and taping techniques on pain, grip strength, and function in patients with lateral epicondylitis Article Full-text available Dec 2010 Hong Kong Physiother J Akram Amro Ina Diener Wafa’ Omar Bdair Dua’ I. Ilyyan This experimental design study investigated the effect of a combination of Mulligan techniques and traditional treatment compared with that of traditional treatment alone in patients with lateral epicondylitis. The applied Mulligan techniques included mobilisation with movement and taping, and were aimed to reduce pain, increase grip strength, and improve activities of daily living. They were evaluated before the treatment, and after 4 weeks, using visual analogue scale, maximum grip strength, and Patient-Rated Tennis Elbow Evaluation.