Effect of Mulligans Mobilization With Movement in Osteoarthritis Knee.

Majmaah University50 enrolled

Overview

To evaluate the effect of Mulligan's mobilization with movement in osteoarthritis of the knee.

Patients with knee OA diagnosed at the orthopaedic clinic of Tumair general hospital and referred to the physiotherapy department who attended the rehabilitation centre of Majmaah university will be recruited. Patients will be excluded if they have had a knee or hip injury, sensory deficits in the lower extremity, a history of lower-extremity surgery, a history of a quadriceps or hamstring muscle injury, low back-related leg pain, or any contraindication to manual therapy. The protocol was submitted to and approved by the Rehabilitation Research Chair, King Saud University Research Ethics Committee (RRC-2021-17) Participants will be requested to sign a written informed consent form approved by the institutional ethics committee. A total of 60 participants were randomly assigned to group A (experimental group): Mulligan's mobilization with movement MWM added isometric strength training, and group B (control group): Sham MWM added isometric strength training. Pre and post-test readings were taken at baseline, week 2, and week 4, respectively. The outcome measures for this study will be maximal voluntary isometric contraction of quadriceps strength (measured by ISOMOVE dynamometer), ROM, and Western Ontario and McMaster universities osteoarthritis (WOMAC) index.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

BASIC_SCIENCE

Masking

DOUBLE

Enrollment

Conditions

Osteo Arthritis Knee

Interventions

Mulligan's mobilization with movement MWM added isometric strength trainingBEHAVIORAL

Mulligan's mobilization with movement added isometric exercise: the participants in the experimental group will receive a Mulligan's mobilization with movement added isometric exercise. Treatment will be given for the period of three weeks, for five days a week in both groups. Data will be collected before intervention and after 2nd \& 4th week of intervention.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient with knee OA with radiological evidence of grade 2 or 3 of the Kellgren and Lawrence scale. * Age between 40-65 years, unilateral or bilateral involvement (in the case of bilateral involvement, the more symptomatic knee was included), and pain in and around the knee. Exclusion Criteria: * Patient will be excluded, if they had any deformity of the knee, hip, or back, had any central or peripheral nervous system involvement. * They had received steroids or intra-articular injection within the previous three months, uncooperative patients.

Locations (1)

Rehabilitation center, Majmaah University

Al Majma'ah, Riyadh Region, Saudi Arabia

Outcomes

Primary Outcomes

pain intensity

Visual Analogue scale on 0 to10 cm

Time frame: 6 weeks

Range of Motion

Standard goniometer.

Time frame: 6 weeks

Western Ontario and McMaster universities osteoarthritis (WOMAC) index

Western Ontario and McMaster universities osteoarthritis scale

Time frame: 6 weeks

Data from ClinicalTrials.gov

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