Effectiveness Of Mulligan Mobilization with Movement Versus Conventional Physiotherapy Exercises in Type 2 Diabetic Individuals with Frozen Shoulder

Background:Introduction: Frozen shoulder frequently affects individuals with diabetes mellitus, resulting in pain, restricted shoulder mobility, and function. Conventional physiotherapy exercises are often prescribed to address these symptoms. Mulligan’s Mobilization with Movement (MWM) is a manual therapy technique increasingly recognized for its benefits in joint dysfunctions. Objective: Aim of this study is to evaluate and compare the effectiveness of Mulligan mobilization with Movement and Conventional Physiotherapy Exercises in Type 2 Diabetic individuals with Frozen shoulder. Methods: A randomized controlled trial was conducted involving 30 Type 2 Diabetic participants diagnosed with Frozen shoulder. Participants were randomly divided into two groups: Experimental Group received Mulligan Mobilization with Movement, and Control Group received Conventional Physiotherapy exercises. Both groups were treated over a period of 4 weeks, with adjunctive ultrasound therapy and Moist heat provided to all the participants. Outcome measures including the Visual Analog Scale (VAS) for pain, shoulder range of motion (ROM) assessed using a goniometer, and Random Blood Sugar (RBS) levels. Evaluations were performed pre- and post-intervention. Results: Both groups exhibited significant improvements in pain levels, ROM, and RBS values post-treatment (p < 0.05). However, Experimental Group (Mulligan Mobilization with Movement) demonstrated greater reduction in pain scores and superior improvements in shoulder ROM compared to Control Group (Conventional Physiotherapy Exercises) (p < 0.01). Although both groups showed slight reduction in RBS levels, there was no statistically significant difference between them. Conclusion: Mulligan Mobilization with Movement is more effective than Conventional Physiotherapy Exercises in reducing pain and enhancing shoulder mobility in Type 2 Diabetic individuals with Frozen shoulder. While minor improvements in glycemic control were observed, further investigation to determine the sustained metabolic benefits of such physiotherapeutic interventions. Integrating MWM into routine rehabilitation may support more efficient functional recovery in Type 2 Diabetic population.