Thomas Mitchell's favorite MWM's Thomas Mitchell: My Favourite MWM's

Mobilisation with Movement (MWM) are an important part of my clinical toolbox. I consider them to be a potentially useful adjunct to core management strategies for musculoskeletal problems. This presentation will look at the MWM techniques I find most useful in my clinics to empower patients with their own self-MWM’s. I shall discuss when the use of MWM is, and is not, indicated, as well as MWM as an assessment tool from a symptom modification framework. I shall also consider case examples of patients presenting with knee pain and tennis elbow where holistic assessment and management is discussed, including the use of self-MWM. https://pathways.nice.org.uk/pathways/osteoarthritis https://mattlowpt.files.wordpress.com/2018/09/managing-complexity-in-msk-conditions-in-touch-article.pdf https://www.nhs.uk/live-well/healthy-weight/start-the-nhs-weight-loss-plan/ https://www.nhs.uk/live-well/sleep-and-tiredness/how-to-get-to-sleep/ https://www.oakneepain.co.uk/treatment https://www.nhs.uk/live-well/exercise/walking-for-health/ https://www.who.int/dietphysicalactivity/factsheet_recommendations/en/ Dabholkar A, Kumari S, Yardi S, (2014) Comparative Study of Short Term Response between Maitland Mobilization and Mulligan's Mobilization with Movement of Hip Joint in Osteoarthritis of Knee Patients Identified as Per Clinical Prediction Rule. Indian Journal of Physiotherapy and Occupational Therapy Volume : 8, Issue : 4 (6-10) Takasaki, Hiroshi, Hall, Toby and Jull, Gwendolen (2013). Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis--a prospective case series. Physiotherapy Theory and Practice 29 (2) 87-95. Rao RV, Balthillaya G,Prabhu A,Kamath A (2017) Immediate effects of Maitland mobilization versus Mulligan Mobilization with Movement in Osteoarthritis knee- A Randomized Crossover trial. Journal of Bodywork and Movement Therapies, 28 Sep 2017, 22(3):572-579 Kiran A, Ijaz MJ, Qamar MM, Basharat A, Rasul A, Ahmed W. (2018) Comparison of efficacy of mulligan's mobilization with movement with maitland mobilization along with conventional therapy in the patients with knee osteoarthritis: A randomized clinical trial. Libyan International Medical University Journal. 2018 Jan 1;3(1):26. Mutlu E, Ercin E,Ozdıncler Ones A (2016) A comparison of two manual physical therapy approaches and electrotherapy modalities for patients with knee osteoarthritis: A randomized three arm clinical trial. Physiotherapy Theory and Practice Volume 34, 2018 - Issue 8 Walsh, R. and S. Kinsella (2016). The effects of caudal mobilisation with movement (MWM) and caudal self-mobilisation with movement (SMWM) in relation to restricted internal rotation in the hip: a randomised control pilot study. Manual therapy 22: 9‐15. Walsh, R. and S. Kinsella (2016) The effects of caudal mobilization with movement (MWM) in relation to restricted internal rotation in the hip. A randomized control pilot study. Manual Therapy(70): 11-11. Smith, D. A., J. Saranga, A. Pritchard, N. A. Kommatas, S. K. Punnoose and S. T. Kale (2016). Effect of a lateral glide mobilisation with movement of the hip on vibration threshold in healthy volunteers. Journal of bodywork and movement therapies. (no pagination), 2016 Date of Publication: July 28. Beselga, C., F. Neto, F. Alburquerque-Sendín, T. Hall and N. Oliveira-Campelo (2016). Immediate effects of hip mobilization with movement in patients with hip osteoarthritis: a randomised controlled trial. Manual therapy 22: 80‐85. Jeon I, Kwon Y, Yi C, Cynn H, Hwang U (2015) Ankle-Dorsiflexion Range of Motion After Ankle Self-Stretching Using a Strap. Journal of Athletic Training 2015;50(12):1226–1232 Kang M, Oh-YunKwon J, Weon J, An D, W (2015) Immediate combined effect of gastrocnemius stretching and sustained talocrural joint mobilization in individuals with limited ankle dorsiflexion: A randomized controlled trial. Manual Therapy, Volume 20, Issue 6, December 2015, Pages 827-834 https://pathways.nice.org.uk/pathways/low-back-pain-and-sciatica Hidalgo, B., L. Pitance, T. Hall, C. Detrembleur and H. Nielens (2015). Short- term effects of Mulligan mobilization with movement on pain, disability, and kinematic spinal movements in patients with nonspecific low back pain: a randomized placebo-controlled trial. Journal of manipulative and physiological therapeutics 38(6): 365‐374. Lopez-Lopez, A., J. L. Alonso Perez, J. L. González Gutierez, R. La Touche, S. Lerma Lara, H. Izquierdo and J. Fernández-Carnero (2015). Mobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: randomized controlled trial. European journal of physical and rehabilitation medicine 51(2): 121‐132 Hall, T., H. T. Chan, L. Christensen, B. Odenthal, C. Wells and K. Robinson (2007). Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. Journal of orthopaedic and sports physical therapy 37(3): 100‐107. Hidalgo, B., T. Hall, J. Bossert, A. Dugeny, B. Cagnie and L. Pitance (2017). "The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review." Journal of Back & Musculoskeletal Rehabilitation 30(6): 1149- 1169. https://www.nhs.uk/live-well/quit-smoking/ https://www.nhs.uk/live-well/exercise/couch-to-5k-week-by-week/ Paungmali, A., S. O'Leary, T. Souvlis and B. Vicenzino (2003). Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Journal of Orthopaedic & Sports Physical Therapy 33(8): 482-483 176. Vicenzino, B., J. A. Cleland and L. Bisset (2007). Joint manipulation in the management of lateral epicondylalgia: a clinical commentary. J Man Manip Ther 15(1): 50-56. Vicenzino, B., D. Smith, J. Cleland and L. Bisset (2009). Development of a clinical prediction rule to identify initial responders to mobilisation with movement and exercise for lateral epicondylalgia. Manual Therapy 14(5): 550-554 Holmes M, Taylor T, Miller C (2019) Early outcomes of ‘The Birmingham Wrist Instability Programme’: A pragmatic intervention for stage one scapholunate instability. Hand Therapy, Vol 22, Issue 3, 2017 Kim G, Weon J, Kim M, Koh E, Jung D (2019) Effect of weight-bearing wrist movement with carpal-stabilizing taping on pain and range of motion in subjects with dorsal wrist pain: A randomized controlled trial. Journal of Hand Therapy, https://doi.org/10.1016/j.jht.2019.02.001