Effect of Mulligan's Mobilization on Shoulder Joint Range of Motion and Subacromial Space in Paraplegic Patients

Shoulder Joint Range of Motion and Subacromial Space Changes After Mulligan's Mobilization for Paraplegic Patients with Subacromial Impingement: a Randomized Controlled Trial

The aim of the study is to determine the effect of mulligan's mobilization on shoulder range of motion and subacromial joint space in paraplegic patients with subacromial impingement so, thirty patients will be randomly assigned to two groups group (A) and Group (B)

30 patients will be randomly assigned to two groups Group (A): will receive Mulligan's mobilization plus steroid injection for rotator cuff tendinopathy Group (B): will receive Steroid injection for rotator cuff tendinopathy only

Outcome measures will be:

• shoulder joint range of motion will be measured by laser goniometer
• Subacromial joint space will be measured by 3D ultrasonography

Inclusion Criteria:

• More than one year after traumatic spinal cord injury
• The injury is at the second thoracic level or below.
• No cognitive impairment
• Relying on manual wheelchair for main movement.

Exclusion Criteria:

• No frozen shoulder
• No subluxation