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Mulligan Rotational Movement Versus Medial Gapping Technique in Patients With Knee Osteoarthritis

NCT ID: NCT05338840

Last Updated: 2022-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2022-07-30

Brief Summary

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Knee osteoarthritis is a progressive degenerative and non-inflammatory joint disorder. Due to the extensive use and stress placed on knee joint, it is a common site for painful disorders such as knee osteoarthritis. It is seen that medial side of knee is most commonly affected because of weight bearing on medial side. Symptomatically, the knee joint is most commonly affected in osteoarthritis because it requires support, high mobility, and insufficient internal stability. Osteoarthritis of the knee joint affects three parts of the knee joint (medial, lateral, and patellar-femoral joints) and develops slowly, usually over 10-15 years, interfering with daily activities Slow and gentle movements like Tai Chi, Isometric, iso-kinetic and isotonic exercises are considered helpful in increasing joint range of motion and physical function. Stretching and aquatic therapy can also decrease pain and enhance joint flexibility. The aim of this study is to compare the effects of Mulligan rotational movement vs Medial gapping technique on pain, range of motion and disability in knee osteoarthritis.

This study will be a randomized control trial and will be conducted in Riphah clinics and LGH. The study will be completed within the time duration of six months. Non-probability convenient sampling technique will be used to collect the data. Those who will meet the inclusion criteria will be recruited in the group. The sample size of patients with knee osteoarthritis will be taken in this study to find the effects of Mulligan Rotational movements vs. Medial gap technique, aged between 20-40 years, will be allocated to an intervention or control group. The scales used for recording findings will be goniometer, visual analogue scale and modified disability index. Subjects will randomly divide into control group called group A Taking Mulligan therapy and Interventional group called group B taking Median Gapping Technique. 12 sessions over 6 weeks were performed on both groups. Data analysis will be done by SPSS version 25.

Detailed Description

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Conditions

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Knee Osteoarthritis

Keywords

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Mulligan Rotational Movement Medial Gapping Technique Pain Range of Motion Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MULLIGAN

ROTATIONAL MOVEMENT

Group Type EXPERIMENTAL

MULLIGAN ROTATIONAL MOVEMENT

Intervention Type OTHER

12 sessions over 6 weeks

Medial gapping technique

Medial gapping technique

Group Type EXPERIMENTAL

Medial gapping technique

Intervention Type OTHER

12 sessions over 6 weeks

Interventions

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MULLIGAN ROTATIONAL MOVEMENT

12 sessions over 6 weeks

Intervention Type OTHER

Medial gapping technique

12 sessions over 6 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Post-traumatic stiffness of knee
* Restricted range of knee flexion
* Patients with restricted ROM and with Grade 3 or more than three power of knee muscle

Exclusion Criteria

* Patients with hyper mobile and unstable joints
* Joint infection and loosening,
* Soft tissue injuries around knee joints and
* Other complications of post-fracture
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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hina gul, t-DPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Riphah Rehabilitation Center

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino A, Mont MA. Knee Osteoarthritis: A Primer. Perm J. 2017;21:16-183. doi: 10.7812/TPP/16-183.

Reference Type BACKGROUND
PMID: 29035179 (View on PubMed)

Lalnunpuii A, Sarkar B, Alam S, Equebal A, Biswas A. Efficacy of mulligan mobilisation as compared to Maitland mobilisation in females with knee osteoarthritis: a double blind randomized controlled trial. International Journal of Therapies and Rehabilitation Research. 2017;6(2):37.

Reference Type BACKGROUND

Nazir SNB, Rathore FA. Efficacy of Mulligan joint mobilizations and trunk stabilization exercises versus isometric knee strengthening in the management of knee osteoarthritis: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2024 May 7;16(1):105. doi: 10.1186/s13102-024-00893-7.

Reference Type BACKGROUND
PMID: 38715135 (View on PubMed)

Mehmood Z, Anwar N, Tauqeer S, Shabbir M, Khalid K, Mehmood S. Comparison of Maitland Mobilization and Mulligan Mobilization with Movement in Knee Osteoarthritis Patients. Pakistan Journal of Medical Research. 2021;60(3):126-30

Reference Type BACKGROUND

Rao RV, Balthillaya G, Prabhu A, Kamath A. Immediate effects of Maitland mobilization versus Mulligan Mobilization with Movement in Osteoarthritis knee- A Randomized Crossover trial. J Bodyw Mov Ther. 2018 Jul;22(3):572-579. doi: 10.1016/j.jbmt.2017.09.017. Epub 2017 Sep 28.

Reference Type BACKGROUND
PMID: 30100279 (View on PubMed)

Epskamp S, Dibley H, Ray E, Bond N, White J, Wilkinson A, et al. Range of motion as an outcome measure for knee osteoarthritis interventions in clinical trials: an integrated review. Physical Therapy Reviews. 2020;25(5-6):462-81.

Reference Type BACKGROUND

Other Identifiers

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REC/Lhr/22/0142 Iqra

Identifier Type: -

Identifier Source: org_study_id