Maitland mobilisation improves all ranges of motion in non-traumatic shoulder injury: A randomised controlled trial.

Background: Shoulder pathologies are common causes of pain and functional limitation, often requiring physiotherapeutic interventions. Evidence comparing the effectiveness of manual therapy and exercise-based approaches in non-traumatic shoulder conditions remains limited. Objectives: To compare the...

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Publicado en:South African Journal of Physiotherapy Vol. 82; no. 1; pp. 1 - 11
Autores principales: Lalwani-Mangtani, Karishma. C., Ramos-Luzardo, Álvaro, Chirino, Ricardo, Saavedra, Pedro, Fernández-Valerón, Pilar
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: African Online Scientific Information System PTY LTD 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
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        atl: Maitland mobilisation improves all ranges of motion in non-traumatic shoulder injury: A randomised controlled trial.
      aug:
        au:
          Lalwani-Mangtani, Karishma. C.
          Ramos-Luzardo, Álvaro
          Chirino, Ricardo
          Saavedra, Pedro
          Fernández-Valerón, Pilar
        affil: University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
      sug:
        subj:
          Range of Motion
          Shoulder Injuries Therapy
          Physical Therapy
          Kinesiotherapy
          Shoulder Pain Therapy
          Pain Management
          Functional Status
          Quality of Life
          Treatment Outcomes
          Human
          Randomized Controlled Trials
          Random Assignment
          Diathermy
          Transcutaneous Electrical Nerve Stimulation (Iowa NIC)
          Questionnaires
          Scales
          Spain
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Short Form-36 Health Survey (SF-36)
          Flexion
          Extension
          Abduction
          Adduction
          T-Tests
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Background: Shoulder pathologies are common causes of pain and functional limitation, often requiring physiotherapeutic interventions. Evidence comparing the effectiveness of manual therapy and exercise-based approaches in non-traumatic shoulder conditions remains limited. Objectives: To compare the effectiveness of Maitland mobilisation (MAIT) versus kinesiotherapy (KINE) in improving pain, function, quality of life, and range of motion (ROM) in patients with non-traumatic shoulder pathology. Method: Fifty-nine patients (63 shoulders) were randomly assigned to KINE (KINE; n = 32) or MAIT (MAIT; n = 31) over 15 sessions (three per week for 5 weeks). Both groups also received shortwave diathermy, transcutaneous electrical nerve stimulation, and exercises. Outcomes included the Disabilities for the Arm, Shoulder and Hand (DASH), American Shoulder and Elbow Surgeons (ASES) scale, Visual Analogue Scale (VAS) for pain, Short Form Health Survey, and ROM assessed with a Qualisys motion capture system. Assessments were performed at baseline, post-treatment, and 2-week follow-up. Results: While both groups showed significant improvements in pain, function, and quality of life after treatment, maintained at 2-week follow-up, MAIT also improved all outcome measures across all ROMs. Percentage changes from baseline were significantly greater in the MAIT group for most variables at both time points. A greater proportion of patients in the MAIT group exceeded the minimal clinically important difference (MCID) for DASH, ASES, and VAS. Conclusion: Although both approaches produced positive outcomes, MAIT demonstrated superior effectiveness compared with KINE. Clinical Implications: Maitland mobilisation may be recommended as a preferred intervention for non-traumatic shoulder pathology in clinical practice, offering broader improvements in function, pain, and mobility without additional treatment burden.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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