The Effect of Mulligan’s Mobilization with Movement versus Dry Needling on Pain, Function, and Range of Motion among Athletes with Hip Adductor Related Groin Pain and Dysfunction
Date
2021-08-17
Authors
Ayman Khader Saleem Salem
أيمن خضر سليم سالم
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
Abstract
III
Abstract
Background
Injuries are considered a common challenge in the sports field, 31% of the injuries are
muscular, especially in the lower extremities. Injuries in the groin area are a major and
serious problem because they are common, lead to prolonged symptoms, and had a high
recurrence rate.
Study objective
This study aims to highlight and investigate the effectiveness of two common
management practices in physiotherapy, dry needling DN intervention as a soft tissue
technique and Mulligan mobilization with movements MWM as a joint technique.
Methods
A convenience sampling of thirty football players who were diagnosed with hip adductorrelated
groin pain and dysfunction were recruited from different cities in the west bank
who participated in this randomized clinical trial, the participants were randomly divided
into two groups, the dry needling group (15), and dry needling combined with Mulligan
mobilization MWM (15).
Numiric Pain Rating Scale (NPRS), Five-Second Copenhagen Squeeze test, Hip
Abduction Range of Motion, Adductor Squeeze Test, Flexion Abduction External Rotation
Test (FABER), Y Balance Test, and The Copenhagen Hip and Groin Outcome Score
(HAGOS) were used as outcome measures (NPRS and 5-second squeeze test performed
each session for the two groups).
Results
There was a significant improvement in NPRS, ROM, adductor squeeze test, 5
seconds squeeze test, Y balance test, FABER test, and HAGOS score on both groups
between the pre, mid, and post-treatment (p < 0.05), at the same time, both DN and
DN&MWM were equally effective and there was no significant differences in the effect
between both interventions.
Conclusion
Both DN and DN&MWM were equally effective in improving the above-mentioned
clinical variables and can be considered as an effective method in the treatment and
management of hip adductor-related groin pain and dysfunction.
IV
For further similar research comparing mulligan mobilization only versus dry needling
or conventional treatment and considering the effect of using a parallel technique like
a physical agent in augmentation the aimed results are recommended. also testing the
effect of both interventions on add muscle like the EMG. Also, the researcher
recommended the call for a unified protocol and guidelines for adductors-related groin
pain assessment and management protocol.