Tip

The common fault with SELF SNAGS for the lumbar spine. Brian Mulligan: “the common fault that we encounter, with “SELF SNAGS”, is when the patient fails to maintain the pull up along the treatment plane as the movement takes place. He starts correctly , but forgets to keep pulling up towards his chin as he […]

Research

EFFICACY OF MULLIGAN MOBILIZATION VERSUS MUSCLE ENERGY TECHNIQUE IN CHRONIC SACROILIAC JOINT DYSFUNCTION group 1: MWMS + conventional therapygroup 2: Muscle energy technique (MET) + conventional therapygroup 3: conventional therapy only Easa Alkady, S. M., Kamel., R. M., AbuTaleb. , E., Lasheen., Y., & Alshaarawy. , F. A. (2017). EFFICACY OF MULLIGAN MOBILIZATION VERSUS MUSCLE […]

Metatarsalgia

Metatarsalgia (Pain under the transverse arch). Brian Mulligan: “If pain under the heads of the middle metatarsals can be reproduced with toe flexion or extension, this could be due to a metatarsal head positional fault and a “MWM” should be tried. With the patient’s foot on the plinth stand distal and grasp the head of […]

The knee joint

Brian Mulligan: “MWMS should always be tried when there is a loss of movement that is obviously not the result of serious trauma. There are two techniques, you can use. The first is the medial or lateral glide MWM.The second, as expected, is the rotation MWM, because the knee is a hinge joint. A general […]

Research

Effect of Manual Therapy and Conventional Physiotherapy on pain, movement, and function following Acute and Sub-acute Lateral Ankle sprain: A Randomized Clinical Trial Two groups:group 1: MWMS and conventional physiotherapygroup 2: conventional physiotherapy alone Conclusion: MWM with conventional physiotherapy is significantly more effective than conventional physiotherapy alone in reducing pain and improving ankle dorsiflexion ROM […]

The shoulder girdle

Brian MULLIGAN:“The shoulder girdle, wonderful to treat with scapular MWMS.” “After injuries etc. scapular positional faults can occur, may of which can be seen and measured. When these are manually corrected, and offending movements are undertaken, the outcomes can be astonishing. Acute shoulder injuries or chronic can respond. The corrections require skill and usually an […]

Rigid or elastic tape?

A controlled laboratory study by Grant J.K. Mackay, Sarah M. Stearne, Catherine Y. Wild,  Erin P. Nugent, Alexander P. Murdock, Benjamin Mastaglia, and Toby M. Hall proved that Mulligan knee taping with both rigid and elastic tape reduced pain across all 3 tasks and altered tibiofemoral rotation during the SLSq and running tasks. Clinical Relevance: […]

Long term efficacy of mobilization with movement on pain and functional status in patients with knee osteoarthritis: A randomized clinical trial

group 1: Mobilisation with movement and usual caregroup 2: Usual care alone Conclusion In patients with symptomatic knee osteoarthritis, the addition of mobilisation with movement provided clinically significant improvements in disability, pain, functional activities and patient satisfaction six months later. Authors: Aishwarya Nigam, Kiran H Satpute and Toby M Hall ABSTRACT Objectives To evaluate the […]

The Client Specific Impairment Measure

“The CSIM (the Client Specific Impairment Measure) is fundamentally the most critical element of the MWM because it connects the treatment effect to the patient’s specific problem. In doing so, it guides the application of the MWM in terms of the practitioner’s selection, modification and progression of the various parameters of a technique, In this […]

The Sprained Ankle Tape

Brian Mulligan: “What should never be done is to tape the foot to prevent plantar flexion and inversion as the texts books suggest. This inhibits normal ankle movement and will slow down the healing process. It is pointless but sadly, it is taking many years for textbooks to change. A study was done in Perth […]

MULLIGAN™ Concept is a “patient-centered approach to healthcare

The application of MWM requires the patient to actively participate in their management and promotes patient-centered, collaborative clinical reasoning in several ways. This active participation of the patient is needed: -to determine the CSIM (Client-Specific Impairment Measure). The use of the CSIM in relation to the MWM is essential. The CSIM is the active movement […]

The Lumbar Spine (SNAGS & Self-SNAGS)

THE RULE OF THREE Brian Mulligan: “Do not overdo the SNAGS. As soon as an improvement is brought about on day one, stop and see them two days later. As a matter of fact we now teach “the rule of three”. On day one when treating a patient with marked pain and thus distress, we […]

Lumbar Extension Self-SNAG

Brian Mulligan: “Let us assume that you have a central low pain in your back when you arch backwards. Place the belt across your back at lower waist level. It lies across what is called the lordosis. That is the forward curve in the middle of our backs that is present when standing erect. It […]

Ankle joint movement losses

Brian Mulligan: “When confronted with a patient with a chronic loss of dorsi flexion or plantar flexion, ask if he has ever sprained his ankle. You will find that most have had an ankle sprain or fracture. This why I use the following technique as a first choice.” MWM for loss of dorsiflexion with foot […]