Mobilization or Mulligan?

M and MHave you been interested about the Mulligan Concept? Interested in knowing whether mobilization techniques and Mulligan Techniques are the same? Also why do I now about the Mulligan Concept and have access to it even if I am an Occupational Therapist?

What are mobilizations? You see mobilizations are basically a process of moving adjacent joints and are usually named by what you are trying to mobilize notably spinal mobilization and extremity mobilization. These mobilizations are commonly done so as to make the structures around the joint more mobile or can be used as an assessment tools to note whether there is a problem with the mobility of a joint. The most common misconception about mobilizations is that it is not as effective as spinal manipulation which is not entirely correct as some cases can be helped by just mobilizations without the manipulations. The effects of the mobilizations can be instant or delayed. The results can either be an increase or decrease in the pain or tightness depending on the effect of the mobilization on the joint.

What is a Mulligan Technique? First of all there is no Mulligan Techniques. There is only a Mulligan Concept and the concepts are applied to the body positions affected by pain. As you have noted the Mulligan Concept can only be used when there is pain in the certain portion of the body. One of the Key points in using the Mulligan Concept in treatment is that it can only be repeated in sets of three with 5 repetitions per position as Mulligan is an assess and treat system. It can also be placed as a touch and go system meaning if it does not work after three sets move on to other techniques or systems given that the concept therapy was done correctly. The effects of the Mulligan Concept is instant and long lasting if there is no instant effect on the pain after trying the concept in the joint position move on.

The difference between mobilization and the Mulligan concept is quite noticeable as such while Mulligan has some mobilizations techniques integrated from other systems mulligan is not a system of mobilization it is more like a system that works on pain instantly that is why the Mulligan Concept has exercises that the client can do at home as home exercises so as to manage the pain. Mobilizations however can be used in a wide range of conditions depending on how the therapist assesses the condition. The primary difference between mobilization and the Mulligan concept is that mobilization is a passive technique which means there is no active participation from the client while the Mulligan concept needs active participation from the client.

As to who has access to mobilization and the Mulligan Concept therapy. Mobilization as of the moment this article is being written is part of the general manual therapy technique which as of the moment can be used by anyone as long as they have basic knowledge of human anatomy. Mulligan on the other hand can only be used by Physical therapist and Osteopaths. I am not sure why Occupational therapist are technically not allowed to take part in the Mulligan Courses as of the moment but that is the situation now. So why do I have basic knowledge about the Mulligan Concept therapy even though I am an Occupational Therapist? The thing is I happen to be an Osteopath as well and is one of the ways in which you can get access to the Mulligan Concept training which is a good system specifically for treating oneself. As such while there is no direct way that Occupational Therapist can get access to Mulligan Concept trainings as long as there is a will there is a way.

Those are the basic difference between the Mulligan Concept and Mobilizations.

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