PMID- 27525181
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160815
LR  - 20220331
IS  - 2159-2896 (Print)
IS  - 2159-2896 (Electronic)
IS  - 2159-2896 (Linking)
VI  - 11
IP  - 4
DP  - 2016 Aug
TI  - AN ALTERNATIVE APPROACH TO THE TREATMENT OF MENISCAL PATHOLOGIES: A CASE SERIES 
      ANALYSIS OF THE MULLIGAN CONCEPT "SQUEEZE" TECHNIQUE.
PG  - 564-74
AB  - BACKGROUND: Partial meniscectomy does not consistently produce the desired 
      positive outcomes intended for meniscal tears lesions; therefore, a need exists 
      for research into alternatives for treating symptoms of meniscal tears. The 
      purpose of this case series was to examine the effect of the Mulligan Concept 
      (MC) "Squeeze" technique in physically active participants who presented with 
      clinical symptoms of meniscal tears. DESCRIPTION OF CASES: The MC "Squeeze" 
      technique was applied in five cases of clinically diagnosed meniscal tears in a 
      physically active population. The Numeric Pain Rating Scale (NRS), the Patient 
      Specific Functional Scale (PSFS), the Disability in the Physically Active (DPA) 
      Scale, and the Knee injury and Osteoarthritis Outcomes Score (KOOS) were 
      administered to assess participant pain level and function. OUTCOMES: 
      Statistically significant improvements were found on cumulative NRS (p </= 0.001), 
      current NRS (p </= 0.002), PSFS (p </= 0.003), DPA (p </= 0.019), and KOOS (p </= 0.002) 
      scores across all five participants. All participants exceeded the minimal 
      clinically important difference (MCID) on the first treatment and reported an NRS 
      score and current pain score of one point or less at discharge. The MC "Squeeze" 
      technique produced statistically and clinically significant changes across all 
      outcome measures in all five participants. DISCUSSION: The use of the MC 
      "Squeeze" technique in this case series indicated positive outcomes in five 
      participants who presented with meniscal tear symptoms. Of importance to the 
      athletic population, each of the participants continued to engage in sport 
      activity as tolerated unless otherwise required during the treatment period. The 
      outcomes reported in this case series exceed those reported when using 
      traditional conservative therapy and the return to play timelines for meniscal 
      tears treated with partial meniscectomies. LEVELS OF EVIDENCE: Level 4.
FAU - Hudson, Robinetta
AU  - Hudson R
AD  - The University of Idaho, Moscow, ID, USA.
FAU - Richmond, Amy
AU  - Richmond A
AD  - The University of Idaho, Moscow, ID, USA.
FAU - Sanchez, Belinda
AU  - Sanchez B
AD  - The University of Idaho, Moscow, ID, USA.
FAU - Stevenson, Valerie
AU  - Stevenson V
AD  - The University of Idaho, Moscow, ID, USA.
FAU - Baker, Russell T
AU  - Baker RT
AD  - The University of Idaho, Moscow, ID, USA.
FAU - May, James
AU  - May J
AD  - The University of Idaho, Moscow, ID, USA.
FAU - Nasypany, Alan
AU  - Nasypany A
AD  - The University of Idaho, Moscow, ID, USA.
FAU - Reordan, Don
AU  - Reordan D
AD  - Jacksonville Physical Therapy, Jacksonville, OR, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Int J Sports Phys Ther
JT  - International journal of sports physical therapy
JID - 101553140
PMC - PMC4970847
OTO - NOTNLM
OT  - Knee pain
OT  - meniscus
OT  - mobilization with movement
EDAT- 2016/08/16 06:00
MHDA- 2016/08/16 06:01
PMCR- 2016/08/01
CRDT- 2016/08/16 06:00
PHST- 2016/08/16 06:00 [entrez]
PHST- 2016/08/16 06:00 [pubmed]
PHST- 2016/08/16 06:01 [medline]
PHST- 2016/08/01 00:00 [pmc-release]
PST - ppublish
SO  - Int J Sports Phys Ther. 2016 Aug;11(4):564-74.