Effect of Maitland Mobilization With Low Level Laser Therapy in Treatment of Patients With Knee Osteoarthritis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Pressure Algometer
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 50 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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.
Exclusion Criteria
- •Patient with history of gout, infection, tumour, autoimmune diseases, trauma or other causes of knee pain or knee deformities.
- •Patient with neurologic dysfunction, or with history of chronic disease that may affect the study.
- •Patient with history of knee intra-articular injection in the past 6 months.
Arms & Interventions
Group A
Group A received LLLT and Maitland mobilization technique along with conventional physical therapy,
Intervention: Low Level laser therapy (Device)
Group A
Group A received LLLT and Maitland mobilization technique along with conventional physical therapy,
Intervention: Maitland mobilization technique (Other)
Group B
received LLLT and conventional physical therapy
Intervention: Low Level laser therapy (Device)
Group C
received Maitland mobilization and conventional physical therapy.
Intervention: Maitland mobilization technique (Other)
Outcomes
Primary Outcomes
Pressure Algometer
Time Frame: 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
Time Frame: 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
Time Frame: Four weeks
Baseline digital absolute + axis TM goniometer was used which consisted of one movable arm and one fixed arm and fulcrum
Secondary Outcomes
- Knee injury and osteoarthritis outcome score short form(Four weeks)
Investigators
Nourhan Kamal Abdel-Shakour
Physical therapist
Cairo University