Effects of Mulligan Mobilization With Movement as Compared to Kaltenborn Joint Mobilization in the Management of Knee Osteoarthritis

N/AEnrolling By InvitationNCT06444945

Foundation University Islamabad40 enrolled

Overview

This study is a randomised controlled trial and the purpose of this study is to determine the Effects of Mulligan mobilization with movement as compared to Kaltenborn joint mobilization in the management of knee osteoarthritis." To determine the effects of Mulligan MWM as compared to Kaltenborn joint mobilization in terms of pain, function, range of motion and gait in persons with knee osteoarthritis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Knee Osteoarthritis

Interventions

Heating padDEVICE

Heating pad will be used for heating purpose.

Transcutaneous electrical nerve stimulation(TENS)DEVICE

TENS is used for symptomatic pain relief

Mulligan mobilization with movement (MWM)PROCEDURE

It provides short term pain relief and to restore pain-free, functional movements by achieving full range at the joint

Eligibility

Sex: ALLMin age: 40 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals aged 40-70 years (Osama et al, 2022) * Having KOA history of no less than 3 months * Knee pain less than 8/10 on numeric pain rating scale (NPRS). * Radiological evidence of grade III or less on Kellgren classification * Patients referred from rehab department Exclusion Criteria: * Those with signs of serious pathology, such as malignancy, inflammatory disorder or infection. * History of trauma or fractures in lower extremity. * Signs of lumbar radiculopathy or myelopathy. * History of knee surgery or replacement. * Receiving intra-articular steroid therapy in the preceding two months.

Locations (1)

Foundation University Islamabad

Islamabad, Pakistan

Outcomes

Primary Outcomes

knee pain

knee pain will be measured using visual analogue scale (VAS) from 0-100mm.A higher score on VAS indicated greater pain.

Time frame: 2 weeks

Functional disability

knee functional disability will be assessed using Knee Osteoarthritis and Outcome Score(KOOS) with a score ranging from 0-100. A lower score on KOOS signifies greater functional disability

Time frame: 2 weeks

Knee range of motion

knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome.

Time frame: 2 weeks

Stride length

Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis.

Time frame: 2 weeks

Gait velocity

Gait analysis will be done to analyze gait velocity. A greater gait velocity signifies positive outcome and prognosis.

Time frame: 2 weeks

Isometeric Muscle Strength

Isometeric Muscle Strength will be quantified using dynamometer. A higher score on dynamometer signifies greater muscle strength and good prognosis.

Time frame: 2 weeks

Walking related performance fatigability

walking related performance fatigability will be measured using 6 minute walk test. Greater fatigibility indicates poorer outcome.

Time frame: 2 weeks

Functional Capacity

5 repetition sit to stand test will be used to determine knee related functional capacity which will be quantified in terms of time. A smaller time will denote greater functional capacity.

Data from ClinicalTrials.gov

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