Ep. 056 | Mobilisation with Movement (MWM) | Thomas Mitchell

Physiotutors Podcast

02-09-2023 • 52 mins

Welcome to Physiotutors podcast episode 56 with Thomas Mitchell. Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association, so the perfect person to talk to about the Mobilizations with Movement abbreviated as MWM.

He is also an instructor for our online courses and has developed the complete upper limb focus together with Andrew Cuff.


00:00 Introduction
00:48 Definition of mobilizations with movement
02:42 Discussion on Mulligan's positional fault concept
04:14 Importance of symptom modification
06:39 Principles of mobilizations with movement
08:20 The concept of "Pill" in mobilizations with movement
10:36 The "Crocks" principle in mobilizations with movement
12:17 Empowering patients through functional positions
13:41 Personal adjustments in practice based on Mulligan's concept
15:33 Importance of Self-Treatment and Patient Expectations
17:03 Discussion on Plausible Fallacies and Patient Beliefs
18:40 Understanding Mulligan Concept and Pragmatic Approach
19:24 Explaining Treatment to Patients
20:40 Thomas Online Course
21:18 Differentiating MWM from Other Manual Therapy Techniques
23:16 Patient Control and Bottom-Up Approach in MWM
27:51 Evidence and Systematic Reviews on MWM
33:23 Importance of self-treatment and clinical expertise
35:57 Application of MWMS in chronic pain patients
37:40 Challenges with musculoskeletal rehab in the UK
40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain's disease
44:34 Benefits of mobilizations with movement
47:36 Learning resources for Mulligan concept and MWMs
49:17 Thomas closing thoughts
51:08 Outro

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