Comparative Effects of Hold Relax Technique and Mulligan Mobilization in Post Operative Knee Joint

Not Applicable

• Conditions: Post Operative Pain
• Interventions: Other: Hold Relax; Other: Mulligan Mobilization

• Registration Number: NCT05356663
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study is to investigate the comparative effects of hold relax technique and mulligan mobilization on pain, ROM and function in post operative knee joint.

Detailed Description

Stiffness or restricted ROM of the knee joint is a term used commonly to describe any traumatic condition occurring within or around the knee joint. It can result from direct and indirect below and is experienced as pain with activity, local tenderness to palpation, and decreased ability to tolerate tension, which results in decreased movement and functional strength. Post-traumatic knee stiffness and loss of range of motion is a common complication of injuries to the knee area. Immobilization of human knees for several weeks or more can result in stiffness and loss of range of motion in the joints. After knee arthroplasties, cruciate ligament repairs and trauma may lead to contracture of muscles and knee instability. Limitations of joint movements both flexion and extension suggests intraarticular pathology.

Study Timeline

• Status Verified: 2022-04
• Study Start: 2022-04-15
• Study First Submitted: 2022-04-26
• Study First Submitted QC: 2022-04-26
• Last Update Submitted: 2022-04-26
• Study First Posted: 2022-05-02
• Last Update Posted: 2022-05-02
• Primary Completion: 2022-08-15
• Study Completion: 2022-09-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Both male and female of age 20 to 40 years

  • Knee pain 3 or more on VAS
  • Patients with grade 3 or more than 3 power of knee muscle
  • Subjects with post traumatic stiffness of knee joint having a minimum of 70 degree of knee flexion

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Exclusion Criteria

• Hypermobile and unstable joint

  • Soft tissue injuries
  • Joint infection and loosening
  • Other complication of post fracture/ TK

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hold relax technique	Hold Relax	Hold relax technique + Baseline treatment (Moist Heat Pack) Group will receive Hold Relax Technique of PNF included, 5 repetitions will be given 3 times/week for 6 weeks.
Mulligan Mobilization with movement	Mulligan Mobilization	Mulligan Mobilization with movement + Baseline treatment (Moist Heat Pack) Group will receive mulligan mobilization with movement with the frequency of 3 sets and 10 repetitions 3 times a week for 6 weeks.

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating scale	3 months	The most common validated tool for assessment of pain in clinical tests is the numeric pain rating score (NPRS), a 10-point scale where 0 indicates no pain and 10 indicates severe pain
Goniometer for Range of motion	3 months	It is a technique in which instrument named as goniometer purports to measure accurately the movements present in a simple or composite joint. Actually a goniometer is not used so much to measure the exact number of degrees of the movement in the joint as to find out whether there is increase or decrease of such movements. In order to do this, it is desirable that a goniometer should provide an easy method of reference to the joint or joint being examined and also provide a fixed base line point from which to measure any increase or decrease of movement
Time up and go test for functional ability	3 months	The test consists of measuring the time it takes for an individual to get up from the chair and walk as fast as possible to a 3-meter walk, turn around, come back and sit down. Time taken to complete the test were measured on stopwatch to the nearest 1/100 of the second

Trial Locations

Locations (1)

Govt. Hospital DHQ; 🇵🇰 Jhang, Punjab, Pakistan