A Case Report Emphasizing the Advantageous Effect of Mulligan Mobilization Technique in the Management of Rotator Cuff Syndrome to Enhance Functional Recovery in a 65-Year-Old Farmer

• Published in: Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e63623
• Main Authors: Sonone, Samiksha V, Patil, Deepali S
• Format: Article
• Language: English
• Subjects: Case reports; Gravity; Injuries; Magnetic resonance imaging; Mobility; Orthopedics; Pain; Pain Management; Physical Medicine & Rehabilitation; Physical therapy; Quality of life; Range of motion; Recovery (Medical); Rehabilitation; Rotator cuff; Transcutaneous electrical nerve stimulation-TENS; Ultrasonic imaging
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.63623

Adults with shoulder pain often have partial rotator cuff injuries (RCIs) as the underlying cause. RC partial tears are one of the common conditions that can have a major influence on a wide range of people, including sportspeople, workers, and sedentary adults with rotator cuff syndrome (RCS). Any injury, disease, or deteriorating condition that affects the shoulder's RC muscles and tendons is recognized as RCS. Subacromial bursitis, RC tendonitis, subacromial impingement syndrome (SIS), rotator cuff tears (RCTs), etc., are a few disorders linked to RCS. For partial RCT, nonoperative treatment options include physical therapy, anti-inflammatories, analgesics, medication, rest or activity adjustments, and corticosteroid injections. We present the case of a 65-year-old male farmer by occupation, suffering from an RCI on the right side. Following a history of trauma to the right shoulder from a collision with a bull on his farm, the patient complained of pain and limitations in his right shoulder joint. The goal of the rehabilitation program was to maximize the patient's recovery through pain management, range-of-motion (ROM) restoration, muscle strength building, and functional activities. To improve muscular strength and preserve the ROM, strengthening exercises and isometrics were all incorporated into the rehabilitation regimen at the same time. The patient's progress was monitored at scheduled times during rehabilitation using the disabilities of arm, shoulder, and hand (DASH) score, visual analog scale (VAS), goniometer for normal ROM, and the upper extremity functional scale (UEFS). In this case study, the care and recovery of a patient with RC tendinopathy who received physical therapy are examined.