Acute solution, Chronic relief: Don’t 
        Believe Me, Just Watch...Raise Your 
         Expectations for Immediate Clinical 
                                   Results 
                              Robinetta Hudson, MAT, ATC 
                                Amy Richmond, MS, ATC
                               Belinda Sanchez, MS, ATC 
                               Valerie Stevenson, MS, ATC 
                                Russell Baker, DAT, ATC
                                 James May, DAT, ATC
    Athletic Training Programs   Diane Stankevitz, ATC
                                Overview
     •  Background & Foundational Principles
     •  Theories of Efficacy
     •  Overview of the Current Literature
     •  Principles of Treatment
     •  Application Guidelines
     •  Patient Outcomes
     •  Clinical Pearls 
     •  Questions
     •  Learning Lab
    Athletic Training Programs
                        Mulligan Concept
      •   Background
           – Manual therapy technique 
           – Developed by physiotherapist Brian Mulligan 
           – Addresses his joint ‘positional fault’ hypothesis
           – A sustained passive accessory joint mobilization WITH 
              an active or functional movement (Vicenzino, et al, 2011)
    Athletic Training Programs
                        Foundational Principles
         •   The Mulligan Concept was influenced by James Cyriax, Fredrick Kaltenborne, 
             Geoffrey Maitland, and Robin McKenzie (Hing, et al, 2015)
         •   Cyriax
               – passive joint mobilization
         •   Kaltenborn
               – appreciation of joint mechanics
         •   Maitland
               – proper treatment application produces a change in pain
         •   McKenzie
               – patient self-management and repeated movement
     Athletic Training Programs