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Effect of Mulligan technique on shoulder dysfunction post neck dissection surgeries Cover

Effect of Mulligan technique on shoulder dysfunction post neck dissection surgeries

Open Access
|Sep 2024

Figures & Tables

Fig. 1.

CONSORT flow chart of the study

Mean shoulder flexion, abduction, and external rotation ROM before and after intervention in groups A and B

Shoulder ROM (degrees)Group AGroup B
Mean ± SDMean ± SDMDp-valueEffect size
Flexion
Pre-treatment101.95 ± 14.23100.13 ± 16.211.820.61
Post-treatment121.53 ± 12.34108 ± 15.8713.530.0010.95
MD−19.58−7.87
% of change19.217.86
p = 0.001p = 0.001
Abduction
Pre-treatment90.59 ± 11.8488.76 ± 14.011.830.54
Post-treatment116.76 ± 12.8195.92 ± 14.4820.840.0011.52
MD−26.17−7.16
% of change28.898.07
p = 0.001p = 0.001
External rotation
Pre-treatment63.74 ± 8.5164.21 ± 8.63−0.470.81
Post-treatment82.66 ± 5.3769.92 ± 8.4812.740.0011.79
MD−18.92−5.71
% of change29.688.89
p = 0.001p = 0.001

Characteristics of participants in Group A and Group B, and a comparison between groups

Group AGroup B
Mean ± SDMean ± SDt-valuep-value
Age [years]43.21 ± 6.0142.39 ± 5.410.620.54
BMI [kg/m2]28.29 ± 2.0527.74 ± 2.241.120.27
Time since surgery [months]1.75 ± 0.721.97 ± 1.03−1.080.28
Sex, N (%)
Women26 (68%)24 (63%)2 = 0.23)0.63
Men12 (32%)14 (37%)
Side of ND, N (%)
Dominant side21 (55%)20 (53%)2 = 0.05)0.82
Non dominant side17 (45%)18 (47%)
Type of treatment, N (%)
Chemotherapy & Surgery14 (36.8%)11 (29%)2 = 0.97)0.61
Radiotherapy & Surgery & Chemotherapy 12 (31.6%)16 (42%)
Surgery 12 (31.6%)11 (29%)

Mean SPADI before and after intervention in groups A as well as B

SPADI (%)Group AGroup B
Mean ± SDMean ± SDMDp-valueEffect size
Pre-treatment91.08 ± 4.3791.34 ± 3.89−0.260.78
Post-treatment37.66 ± 5.4870.97 ± 5.84−33.310.0015.88
MD53.4220.37
% of change58.6522.30
p = 0.001p = 0.001
Language: English
Page range: 25 - 33
Submitted on: Mar 4, 2024
Accepted on: Aug 25, 2024
Published on: Sep 3, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Mona Mohamed Amin Ziethar et al., published by Józef Piłsudski University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.