Comparison of Aquatic and Land-Based Mulligan Mobilization With Movement on Pain, and Function in Patients With Knee Osteoarthritis
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Visual Analog Scale (VAS)
研究概览
简要总结
This study aims to compare the effects of aquatic and land-based Mulligan mobilization with movement in individuals with knee osteoarthritis, with particular focus on their impact on pain and functional outcomes.
详细描述
This study aims to compare the effects of aquatic and land-based Mulligan mobilization with movement in individuals with knee osteoarthritis. Specifically, it will examine and compare the impact of both intervention approaches on pain intensity and functional ability. By evaluating these outcomes, the study seeks to determine whether the aquatic environment offers additional therapeutic benefits over land-based treatment, thereby contributing to improved functional performance and overall quality of life in patients with knee osteoarthritis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 40-65 years
- •Bilateral knee osteoarthritis diagnosed according to the American College of Rheumatology Clinical Classification system for at least 1 year
- •Kellgren & Lawrence grade 2 and 3
- •Able to walk independently/unaided
排除标准
- •Active participation in gyms, pool(swimming), or any other physical activity
- •Intra-articular corticosteroid injections in the last 3 months or hyaluronic knee injection in the last 6 months.
- •History of lower limb trauma/surgery, presence of fracture or lower limb deformity, or planned surgery within the study period
- •Any diagnosed severe cardiovascular, pulmonary, neurological, or psychological disease/impairment.
- •Individuals with aquaphobia (fear of water), discomfort performing aquatic exercises, or allergy/sensitivity to chlorine or other pool treatment chemicals.
研究组 & 干预措施
Aquatic Mobilization with Movement
Mulligan Mobilization with Movement will be administered in the aquatic environment using a belt, following identification of the most pain-free glide in addition to stretches and strengthening of lower limb. The technique will be performed for 10 repetitions over 3 sets and will be progressively advanced from non-weight-bearing mobilization to mobilization with overpressure, and subsequently to weight-bearing mobilization as tolerated by the patient.
干预措施: Aquatic Mobilization with Movement (Other)
Land Mobilization with Movement
Mulligan Mobilization with Movement will be administered on land using a belt, following identification of the most pain-free glide, in addition to stretches and strengthening of the lower limb. The technique will be performed for 10 repetitions over 3 sets and will be progressively advanced from non-weight-bearing mobilization to mobilization with overpressure, and subsequently to weight-bearing mobilization as tolerated by the patient.
干预措施: Land Mobilization with Movement (Other)
结局指标
主要结局
Visual Analog Scale (VAS)
时间窗: 4 weeks
The Visual Analog Scale (VAS) is a straightforward and reliable method for evaluating pain on a continuous visual range.The extreme limits of pain are represented by the straight line's ends, where 0 indicates no pain, and 10 indicates the worst pain a person has ever felt.
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
时间窗: 4 weeks
It is used to assess activities of daily living, functional mobility, gait, general health, and quality of life. It has 24 items divided into 3 subscales: pain (5 items), stiffness (2 items), and physical function (17 items). The scores range from 0 to 4 for each subscale. The score ranges from 0 to 96, where zero indicates no pain, stiffness, and functional limitation. Higher scores indicate worse pain, stiffness, and functional limitation.
次要结局
- Time Up and Go (TUG)(4 weeks)
- Intrinsic Motivational Inventory (IMI)(4 weeks)
- Range of Motion of Knee(4 weeks)