Mobilization with Movement Increases Subacromial Space More than Passive Joint Mobilization

Researchers used ultrasound imaging to evaluate subacromial space before and after shoulder joint mobilizations on 51 overhead athletes with shoulder pain.

Passive joint mobilizations were effective in improving subacromial space, but an even greater improvement was seen in patients receiving a Mulligan Mobilization with Movement.

Conclusions

Physical therapists may reduce shoulder pain and improve function by increasing subacromial space through application of skilled manual therapy techniques.

References

Khandaloo, A., Taghizadeh Delkhoush, C., Paknazar, F., Ehsani, F., & Shokrian, Z. (2025). A comparison of two mobilization approaches on the acromiohumeral distance in overhead athletes with primary subacromial impingement syndrome: a randomized clinical study. Journal of Manual & Manipulative Therapy, 1-14.