Effect of Maitland Mobilization With Low Level Laser Therapy in Treatment of Patients With Knee Osteoarthritis

Not Applicable

Completed

• Conditions: Knee Osteoarthritis
• Interventions: Device: Low Level laser therapy; Other: Maitland mobilization technique

• Registration Number: NCT06233955
• Lead Sponsor: Cairo University

Brief Summary

Background: Osteoarthritis is a common cause of chronic pain and disability in elderly people.

Objective: To evaluate the efficacy of low-level laser therapy (LLLT) in combination with Maitland mobilization and conventional physical therapy in patients with chronic knee osteoarthritis.

Design: Pre-test post-test randomized control trial.

Detailed Description

Knee OA is associated with pain and disability, high treatment costs, decreased productivity, and absence from work and thus has a substantial and growing burden on society Objective: To evaluate the efficacy of low-level laser therapy (LLLT) in combination with Maitland mobilization and conventional physical therapy in patients with chronic knee osteoarthritis.

Participants: Seventy five subjects of both genders with age range from 50 to 65 years, with proven bilateral knee OA diagnosed and referred by orthopaedist were recruited for the study and randomly assigned into three groups.

Study Timeline

• Study Start: 2021-07-01
• Primary Completion: 2023-03-01
• Study Completion: 2023-03-01
• Status Verified: 2024-01
• Study First Submitted: 2024-01-23
• Study First Submitted QC: 2024-01-30
• Last Update Submitted: 2024-01-30
• Study First Posted: 2024-01-31
• Last Update Posted: 2024-01-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

Subjects with proven bilateral Knee OA with age range 50- 65 years according to the American College of Rheumatology criteria.

2- Only patients with X-ray stages II and III osteoarthritis selected according to Kellgren & Lawrence classification system.

3- BMI equal to or less than 30 . 4- Patients with Knee pain lasted at least 6 months with intensity at least 3 on VAS scale in activities such as going up-and downstairs, sitting and squatting.

5- Patients with normal mental state. 6- Patients who are not participating in physical therapy in the recent 3 months.

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Exclusion Criteria

1. Patient with history of gout, infection, tumour, autoimmune diseases, trauma or other causes of knee pain or knee deformities.
2. Patient with neurologic dysfunction, or with history of chronic disease that may affect the study.
3. Patient with history of knee intra-articular injection in the past 6 months.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	Maitland mobilization technique	Group A received LLLT and Maitland mobilization technique along with conventional physical therapy,
Group A	Low Level laser therapy	Group A received LLLT and Maitland mobilization technique along with conventional physical therapy,
Group B	Low Level laser therapy	received LLLT and conventional physical therapy
Group C	Maitland mobilization technique	received Maitland mobilization and conventional physical therapy.

Primary Outcome Measures

Name	Time	Method
Pressure Algometer	Four weeks	is a handheld pressure algometer that responds linearly to force application between 0 and 5 Kg and it has a 1-cm2 round rubber tip.
Visual analogue scale	Four weeks	Is a bidirectional 10 cm straight line with two labels, that is, "no pain" and "worst possible pain", located at either end of the line. Patients were instructed to draw a vertical mark on the line indicating their pain level where zero mean no pain and 10 means worst imaginable pain
Knee digital goniometry	Four weeks	Baseline digital absolute + axis TM goniometer was used which consisted of one movable arm and one fixed arm and fulcrum

Secondary Outcome Measures

Name	Time	Method
Knee injury and osteoarthritis outcome score short form	Four weeks	consists of a seven items measure of physical function descended from the items of the function, daily living and function, sports and recreational activity subscales of the KOOS Item responses are coded from 0 to 4, none to extreme respectively. The questionnaire is scored by summing the raw response (range 0-28) and then using the nomogram so the raw score is converted to a true interval score (0-100) where zero means no difficulty and 100 means extreme difficulty

Trial Locations

Locations (1)

Faculty of physical therapy Cairo university; 🇪🇬 Cairo, Dokki, Egypt