Effects of Mulligan Mobilization With Movement as Compared to Kaltenborn Joint Mobilization in the Management of Knee Osteoarthritis
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Knee Osteoarthritis
- Sponsor
- Foundation University Islamabad
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- knee pain
- Status
- Enrolling by Invitation
- Last Updated
- last year
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
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.
Outcomes
Primary Outcomes
knee pain
Time Frame: 2 weeks
knee pain will be measured using visual analogue scale (VAS) from 0-100mm.A higher score on VAS indicated greater pain.
Isometeric Muscle Strength
Time Frame: 2 weeks
Isometeric Muscle Strength will be quantified using dynamometer. A higher score on dynamometer signifies greater muscle strength and good prognosis.
Knee range of motion
Time Frame: 2 weeks
knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome.
Gait velocity
Time Frame: 2 weeks
Gait analysis will be done to analyze gait velocity. A greater gait velocity signifies positive outcome and prognosis.
Functional disability
Time Frame: 2 weeks
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
Stride length
Time Frame: 2 weeks
Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis.
Functional Capacity
Time Frame: 2 weeks
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.
Walking related performance fatigability
Time Frame: 2 weeks
walking related performance fatigability will be measured using 6 minute walk test. Greater fatigibility indicates poorer outcome.