Manual of Mulligan Concept, Dr. Deepak Kumar

Acknowledgements
First and foremost, the author is highly grateful to the Almighty who provided him enough strength and courage to undertake this arduous and challenging task in the service of mankind.

A great debt of gratitude is expressed to my mentors specially Prof. Jaspal Singh Sandhu, Prof. Krishan Broota & Dr. A.G. Dandapani who have always been a source of great encouragement and inspiration for me. Their steadfast support for this work is deeply and wholeheartedly appreciated.

It is my proud privilege to place on record my deep sense of gratitude and indebtedness to Brian Mulligan, a legend in the field of manual therapy, who guided me with his scholarly advice, meticulous care and warm affection. He is well-known for his innovative and practical approach in the field of manual therapy i.e. mulligan, concept. His learnt advice, insightful criticisms, and patient encouragement helped me immensely in writing this book. He has actively supported me in my determination to find and realise my potential, and helped me in the completion of this arduous work. He played an extremely important role in shaping my career and taking it to such great heights. I owe him a lot.

The author will be lacking in sincerity if the sincere efforts of Ms. Dawn Mulligan, Ms. Barbara Hetherington, Ms. Chanchal and all the members of MCTA are not acknowledged with thanks who helped in more than one way in the completion ofthis work.

I sincerely express my humble gratitute to Dr. Shekhar Agarwal (Director, Sant Parmanand Hospital, Delhi) forgiving me the opportunity to treat his valuable patients using Mulligan Concept. His constant guidance and willingness to share his vast knowledge made me undertake this project and helped me to complete the assigned task.

This work owes a debt to Ms. Gurpreet Kaur, Ms. Bhini Semwal, Mr. Pardeep Kumar and Ms. Adhya Kumar for their valuable pieces of advice and suggestions with insightful criticism. Without their continuous support and help, this book would not have been possible. Special thanks are also due to Mr. Amit Chaudhary, Ms. Parul Gupta, Mr. Gaurang Baxi, Mr. Jibu G. Varghese, Ms. Sreelekha Nair, Mr. Tanmay Kumar, Mr. Ashish Singla, Ms. Akanksha Kapoor, Ms. Priyanka Gawdeand Mr. Mukesh Nayak of physiotimes for helping a great deal in the work of illustrations.

The authoralso wish to express his grateful appreciation to Mr. Subhash Chander Rahi of Punjabi University, Patiala for his kind help in editing this book and making excellent suggestions for its improvement. Heartfelt thanks to Mr. Sandeep Malhotra for his valuable suggestions in the printing of this book. The practical experience gained through teaching our students has been incorporated in this book, thus, they also deserve my appreciation and thanks.

The constant moral support and co-operation extended to the author by the members of his family during this entire work is in no way less important; and they all deserve to be appreciated.

There are a number of people who contributed directly or indirectly, but their names couldn't be mentioned here; they all deserve our thanks.

Preface
This book has been written for physiotherapists who practice manual therapy, and for those clinicians who are keen on getting an insight into the Mulligan concept. From its introduction and especially in the recent past, Mulligan concept has gained a lot of popularity because of its instantaneous and effective results.

The Mulligan concept is one of the preferred concepts in the field of manual therapy. It is often the first choice of treatment among clinicians because this concept allows the patients to perform the offending movements in a functional position, that too in a pain-free way, hence, making the outcome very rewarding.

This concept was pioneered and established by the legendary Brian Mulligan, a physiotherapist from New Zealand. He has taught in 91 cities in the United States of America and 20 countries of the world. Today, he is recognised as an icon in the field of manual therapy. Mulligan concept is taught all over the world by the accredited teachers who are members of the 'Mulligan Concept Teachers Association1. The Physiotherapists who successfully complete the examination process are recognized as Certified Mulligan Practitioners and are entitled to use the following credentials 'CMP1.

This book is authored by Dr. Deepak Kumar. Dr. Kumar is a formar member of the MCTA and has trained thousands of physiotherapists in Mulligan Concept during the last eleven years. He graduated from National Institute (1993) & completed his PG in Sports Physiotherapy (2000) and Doctorate (PhD) in Mulligan Concept (2012). He has also been to Curtin University, Australia, to get his super specialization in Manipulative Physiotherapy (2002).

The thought process behind this book has been to elaborate the Mulligan Concept in a step by • step manner to ensure easy understanding and comprehension of the techniques used in the Concept. Its systematic approach to teaching the principles behind the Concept makes it particularly valuable to the physical therapists practicing Mulligan concept.

This book features descriptions of the techniques used in the Mulligan Concept with a detailed set of illustrations in a sequential manner. Emphasis has been laid on the patient's position, therapist's position, hand and belt placement including method of delivery of treatment with proper communication and reasoning throughout this book. The accurate application of the techniques is necessary to obtain optimal results; and the book emphasizes on this through demonstration of precautions to be taken. In this book, a free-flow of language is used to ensure that the user is able to actually feel the practical essence and easily understands the details.

We hope that our persistent efforts of more than 4 years in the making of this book turn out fruitful for the students. Hope that the fellow practitioners and clinicians find this book useful and its suggestions worthy of adoption and implementation in clinical practice.

The readers are welcome to approach the author of this book regarding any valuable critique or drawbacks that one comes across, if any, in this literature.

We hope that this book would help the clinicians in revising and improvising their clinical skills and thereby help the mankind to be free of musculoskeletal pain in a pain-free way.