Effectiveness of mulligan mobilization versus Maitland mobilization with commonuseofeccentricexerciseforthetreatmentofAchillestendinopathy in football players

The purpose of this study was to compare the effectiveness of Mulligan Mobilization versus Maitland Mobilization with common use of Eccentric Exercise in managing Achilles Tendinopathy of a football player.30 footballers age between18 to 27 years, presenting withachilles tendinopathy were selected based onselectioncriteria by convenient sampling and were randomly allocated into two groups, group A (Mulligan Mobilization along with Eccentric exercise) and Group B (Maitland Mobilization along with Eccentric exercise). Each group had 15 patients and both the groups received intervention for 4 weeks.Data was obtained on pain intensity levels via VISA-A (The Victorian Institute of Sports Assessment Achilles Questionnaire)Statisticalanalysis was donebyusingpairedt'test and independent t'test.The meanscoreofVISA-Aincrease from31.8 to 86.6 in Group-A and in Group-B the mean score increases from 32.06667 to 79.733333. Paired 't'-test revealed thatproblem in Achilles tendinopathy patients has significantly increase in Group-A after applying Mulligan mobilization along with Eccentric exercise for 4 weeks i.e. (p=1.04578E-17), whereas paired'ttesthasalsorevealedthatpainintensityreducedandfunctionalactivityincreasesinATpatientsinGroup-afterapplying Maitland mobilization along with Eccentric exercise for 4 weeks i.e. (p-9.00404E-13). Independent 't test revealed that pain is reduced&functionalactivityincreasesinpatientwithATwasincreasedsignificantlyGroup-AafterapplyingMulliganmobilization along with Eccentric exercise i.e. (P-0.000555828). So, when compared within the groups, both Mulligan mobilization along with Eccentric exercise and Maitland mobilization along withEccentric exercise were effective in reducing the pain & increase in functional activity in patients with AT. But when compared between the groups, Group-A (Mulligan mobilization along with eccentricexercise)wasfoundtobeextremelysignificantinreducingpainintensity&increaseinfunctionalactivityinpatientswith AT.Both groups, Group-A(Mulligan mobilization along with Eccentric exercise) and Group-B (Maitland mobilization along with Eccentric exercise) have shown significant reduction in pain& increase in functional activity in patients with AT. However, MulliganmobilizationalongwithEccentricexercisehasdemonstratedsignificantlybetterimprovementinATpatients.Therefore, 11|PageJournalofhealthphysiotherapyandorthopeadics,January-February2025,Volume2-Issue1DOI: 10.55522/jhpo.V2I1.0016Year 2025 -Volume 2 -Issue 1 ISSN NO: 3049 -2637theresultofthepresentstudyshowsMulliganmobilizationalongwithEccentricexerciseismuchmoreeffectivetreatmentprotocol for patients with AT