EFFECTIVENESS OF MULLIGAN MOBILIZATION VERSUS MAITLAND MOBILIZATION WITH COMMON USE OF ECCENTRIC EXERCISE FOR THE TREATMENT OF ACHILLES TENDINOPATHY IN FOOTBALL PLAYERS EFFECTIVENESS OF MULLIGAN MOBILIZATION VERSUS MAITLAND MOBILIZATION WITH COMMON USE OF ECCENTRIC EXERCISE FOR THE TREATMENT OF ACHILLES TENDINOPATHY IN FOOTBALL PLAYERS

Abstract

BACKGROUND AND PURPOSE: 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.

METHODS: 30 footballers age between 18 to 27 years, presenting with achilles tendinopathy were selected based on selection criteria 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.

OUTCOMES MEASURES: Data was obtained on pain intensity levels via VISA- A (The Victorian Institute of Sports Assessment Achilles Questionnaire)

RESULTS: Statistical analysis was done by using paired t' test and independent t' test. The mean score of VISA-A increase from 31.8 to 86.6 in Group-A and in Group-B the mean score increases from 32.06667 to 79.733333. Paired 't'-test revealed that problem 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

't test has also revealed that pain intensity reduced and functional activity increases in AT patients in Group- after applying Maitland mobilization along with Eccentric exercise for 4 weeks i.e. (p-9.00404E-13). Independent 't test revealed that pain is reduced & functional activity increases in patient with AT was increased significantly Group-A after applying Mulligan mobilization 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 with Eccentric 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 eccentric exercise) was found to be extremely significant in reducing pain intensity & increase in functional activity in patients with AT.

CONCLUSION: 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, Mulligan mobilization along with Eccentric exercise has demonstrated significantly better improvement in AT patients. Therefore, the result of the present study shows Mulligan mobilization along with Eccentric exercise is much more effective treatment protocol for patients with AT.