The effect of mobilizations on decrease of peripheral and central sensitivity has been proven in KOA. Furthermore, the effect of conservative therapy has also been proven in the increase of pain threshold in KOA. However, no study has investigated the effect of these interventions combined till date in KOA. The aim of the present study is to investigate the short-term and long-term effect of end-range mobilization in addition to conservative therapy on decrease of pressure pain threshold in KOA.
The positive effect of different manual mobilizations have been proven in the management of knee osteoarthritis (KOA). Pressure pain threshold, as a measure of somatosensory function, is a well-applied measurement technique for the pain perception in KOA. The effect of mobilizations on decrease of peripheral and central sensitivity has been proven in KOA. Furthermore, few studies has revealed the effect of conservative therapy as an effective intervention in the increase of pain threshold. However, no study has investigated the effect of these interventions combined till date in KOA, which could give a long-lasting effect in the decrease of sensitization in KOA. Therefore, the aim of the present study is to investigate the short-term and long-term effect of end-range mobilization in addition to conservative therapy on decrease of pressure pain threshold in KOA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
accessory technique applied on the tibiofemoral joint with the aim of increasing extensibility of the periarticular tissues
accessory technique applied on the tibiofemoral joint with the aim of alleviating pain
hands-on cutaneous technique
Miklós Pozsgai
Harkány, Please Select, Hungary
change of peripheral sensitivity
peripheral sensitivity (pressure pain threshold) assessed at the local knee
Time frame: following 3-week rehabilitation
change of peripheral sensitivity
peripheral sensitivity (pressure pain threshold) assessed at the local knee
Time frame: following 3-month
change of central sensitivity
central sensitivity (pressure pain threshold) assessed at the ipsilateral m. extensor carpi radialis longus
Time frame: following 3-week rehabilitation
change of central sensitivity
central sensitivity (pressure pain threshold) assessed at the ipsilateral m. extensor carpi radialis longus
Time frame: following 3-month
change of general pain intensity
general pain intensity from the previous week using the Visual Analogue Scale
Time frame: following 3-week rehabilitation
change of general pain intensity
general pain intensity from the previous week using the Visual Analogue Scale
Time frame: following 3-month
change of Timed Up and Go test
short test for measuring physical performance
Time frame: following 3-week rehabilitation
change of Timed Up and Go test
short test for measuring physical performance
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Time frame: following 3-month
change of pain intensity during physical performance
pain intensity measured during the previously mentioned physical performance test using the 0-10 Numerating Pain Rating Scale, where 0 indicate no pain and 10 indicate worst imaginable pain
Time frame: following 3-week rehabilitation
change of pain during physical performance
pain intensity measured during the previously mentioned physical performance test using the 0-10 Numerating Pain Rating Scale, where 0 indicate no pain and 10 indicate worst imaginable pain
Time frame: following 3-month
degree of knee flexion during passive movement at the onset of knee pain
measurement of degree of knee flexion during passive movement at the onset of knee pain
Time frame: following 3-week rehabilitation
degree of knee flexion during passive movement at the onset of knee pain
measurement of degree of knee flexion during passive movement at the onset of knee pain
Time frame: following 3-month
strength of resistance of passive knee flexion at the onset of knee pain
measurement of strength of resistance arising from the anterior located tissues around the knee during passive knee flexion at the onset of pain
Time frame: following 3-week rehabilitation
strength of resistance of passive knee flexion at the onset of knee pain
measurement of strength of resistance arising from the anterior located tissues around the knee during passive knee flexion at the onset of pain
Time frame: following 3-month