This study was introduce to Manual Therapy of Mulligan. The use of sustained natural apophyseal glides (SNAGS) and mobilisation with movement(MWM) for spine and peripheral joints has been developed by Mulligan. A mobilisation is applied parallel or right angles to restricted joint movement. If the applied mobilisation achieves immediate improvement in the functional movement and abolishes the pain the treatment involves sustaining the mobilisation while the patient performs the active movement repetitively. On reassessment of the joint function the movement should remain improved without the mobilisation. Theories as to why these techniques provide rapid improvement in pain-free range are proposed, and general principle of examination and treatment are outlined.