Mulligan’s mobilisation with movement: a review of the tenets and prescription of MWMs

Wayne A Hing, Renee Bigelow, Toni Bremner

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Abstract

Introduction: Mulligan’s manual therapy technique at peripheral joints, namely
mobilisation with movement (MWM), has been well documented in research for
over a decade. The specific parameters of MWM prescription are relatively variable
and generally ill defined. The purpose of this review was to critically evaluate the
literature regarding MWM prescription at peripheral joints.
Methods: A search was conducted from 1990 to June 2007, to identify all studies
pertaining to MWM’s at peripheral joints, using the keywords mobilisation with
movement* OR mobilization with movement* OR MWM*; manual therapy AND
(mobilisation* OR mobilization); mulligan mobilisation* OR mulligan mobilization*
from the following databases: Cinahl, Medline and Amed via Ovid, Pubmed
and Medline via Ebsco Health Databases, Cochrane via Wiley and PEDro. Two
researchers independently reviewed all papers and cross-examined reference
lists for further potential studies. Tables were compiled to determine study content
and the specifics regarding MWM prescription; including tenets, technical, and
response parameters.
Results: Twenty-one studies, which have investigated MWM’s at peripheral joints,
were included for analysis. This review highlights that specific parameters identified
for MWM prescription (tenets, technical and response parameters), are variable
and in general inconsistently implemented and explained. The efficacy of MWM’s
at peripheral joints is well established for various joints and pathologies with 20 out
of 21 studies (95%) demonstrating positive effects overall.
Conclusions: A proposed algorithm has been formulated for the integration into
clinical practice to ensure necessary parameters are considered. It would be
advisable that future research has more robust methodology and investigates and/
or implements all necessary established parameters of MWM prescription.
Original languageEnglish
Pages (from-to)144-164
Number of pages21
JournalNew Zealand Journal of Physiotherapy
Volume36
Issue number3
Publication statusPublished - Nov 2008
Externally publishedYes

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Cite this

@article{f62e796ce0134a96bcb836cf4402bd9b,
title = "Mulligan’s mobilisation with movement: a review of the tenets and prescription of MWMs",
abstract = "Introduction: Mulligan’s manual therapy technique at peripheral joints, namelymobilisation with movement (MWM), has been well documented in research forover a decade. The specific parameters of MWM prescription are relatively variableand generally ill defined. The purpose of this review was to critically evaluate theliterature regarding MWM prescription at peripheral joints.Methods: A search was conducted from 1990 to June 2007, to identify all studiespertaining to MWM’s at peripheral joints, using the keywords mobilisation withmovement* OR mobilization with movement* OR MWM*; manual therapy AND(mobilisation* OR mobilization); mulligan mobilisation* OR mulligan mobilization*from the following databases: Cinahl, Medline and Amed via Ovid, Pubmedand Medline via Ebsco Health Databases, Cochrane via Wiley and PEDro. Tworesearchers independently reviewed all papers and cross-examined referencelists for further potential studies. Tables were compiled to determine study contentand the specifics regarding MWM prescription; including tenets, technical, andresponse parameters.Results: Twenty-one studies, which have investigated MWM’s at peripheral joints,were included for analysis. This review highlights that specific parameters identifiedfor MWM prescription (tenets, technical and response parameters), are variableand in general inconsistently implemented and explained. The efficacy of MWM’sat peripheral joints is well established for various joints and pathologies with 20 outof 21 studies (95{\%}) demonstrating positive effects overall.Conclusions: A proposed algorithm has been formulated for the integration intoclinical practice to ensure necessary parameters are considered. It would beadvisable that future research has more robust methodology and investigates and/or implements all necessary established parameters of MWM prescription.",
author = "Hing, {Wayne A} and Renee Bigelow and Toni Bremner",
year = "2008",
month = "11",
language = "English",
volume = "36",
pages = "144--164",
journal = "New Zealand Journal of Physiotherapy",
issn = "0303-7193",
publisher = "Physiotherapy New Zealand",
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}

Mulligan’s mobilisation with movement: a review of the tenets and prescription of MWMs. / Hing, Wayne A; Bigelow, Renee; Bremner, Toni.

In: New Zealand Journal of Physiotherapy, Vol. 36, No. 3, 11.2008, p. 144-164.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Bigelow, Renee

AU - Bremner, Toni

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N2 - Introduction: Mulligan’s manual therapy technique at peripheral joints, namelymobilisation with movement (MWM), has been well documented in research forover a decade. The specific parameters of MWM prescription are relatively variableand generally ill defined. The purpose of this review was to critically evaluate theliterature regarding MWM prescription at peripheral joints.Methods: A search was conducted from 1990 to June 2007, to identify all studiespertaining to MWM’s at peripheral joints, using the keywords mobilisation withmovement* OR mobilization with movement* OR MWM*; manual therapy AND(mobilisation* OR mobilization); mulligan mobilisation* OR mulligan mobilization*from the following databases: Cinahl, Medline and Amed via Ovid, Pubmedand Medline via Ebsco Health Databases, Cochrane via Wiley and PEDro. Tworesearchers independently reviewed all papers and cross-examined referencelists for further potential studies. Tables were compiled to determine study contentand the specifics regarding MWM prescription; including tenets, technical, andresponse parameters.Results: Twenty-one studies, which have investigated MWM’s at peripheral joints,were included for analysis. This review highlights that specific parameters identifiedfor MWM prescription (tenets, technical and response parameters), are variableand in general inconsistently implemented and explained. The efficacy of MWM’sat peripheral joints is well established for various joints and pathologies with 20 outof 21 studies (95%) demonstrating positive effects overall.Conclusions: A proposed algorithm has been formulated for the integration intoclinical practice to ensure necessary parameters are considered. It would beadvisable that future research has more robust methodology and investigates and/or implements all necessary established parameters of MWM prescription.

AB - Introduction: Mulligan’s manual therapy technique at peripheral joints, namelymobilisation with movement (MWM), has been well documented in research forover a decade. The specific parameters of MWM prescription are relatively variableand generally ill defined. The purpose of this review was to critically evaluate theliterature regarding MWM prescription at peripheral joints.Methods: A search was conducted from 1990 to June 2007, to identify all studiespertaining to MWM’s at peripheral joints, using the keywords mobilisation withmovement* OR mobilization with movement* OR MWM*; manual therapy AND(mobilisation* OR mobilization); mulligan mobilisation* OR mulligan mobilization*from the following databases: Cinahl, Medline and Amed via Ovid, Pubmedand Medline via Ebsco Health Databases, Cochrane via Wiley and PEDro. Tworesearchers independently reviewed all papers and cross-examined referencelists for further potential studies. Tables were compiled to determine study contentand the specifics regarding MWM prescription; including tenets, technical, andresponse parameters.Results: Twenty-one studies, which have investigated MWM’s at peripheral joints,were included for analysis. This review highlights that specific parameters identifiedfor MWM prescription (tenets, technical and response parameters), are variableand in general inconsistently implemented and explained. The efficacy of MWM’sat peripheral joints is well established for various joints and pathologies with 20 outof 21 studies (95%) demonstrating positive effects overall.Conclusions: A proposed algorithm has been formulated for the integration intoclinical practice to ensure necessary parameters are considered. It would beadvisable that future research has more robust methodology and investigates and/or implements all necessary established parameters of MWM prescription.

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