Comparative Effects of Hold Relax Technique and Mulligan Mobilization in Post Operative Knee Joint

NCT ID: NCT05356663

Last Updated: 2022-05-02

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-15
• Study Completion Date: 2022-09-15

Brief Summary

The aim of this study is to investigate the comparative effects of hold relax technique and mulligan mobilization on pain, ROM and function in post operative knee joint.

Detailed Description

Stiffness or restricted ROM of the knee joint is a term used commonly to describe any traumatic condition occurring within or around the knee joint. It can result from direct and indirect below and is experienced as pain with activity, local tenderness to palpation, and decreased ability to tolerate tension, which results in decreased movement and functional strength. Post-traumatic knee stiffness and loss of range of motion is a common complication of injuries to the knee area. Immobilization of human knees for several weeks or more can result in stiffness and loss of range of motion in the joints. After knee arthroplasties, cruciate ligament repairs and trauma may lead to contracture of muscles and knee instability. Limitations of joint movements both flexion and extension suggests intraarticular pathology.

Conditions

Post Operative Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Mulligan Mobilization with movement

Mulligan Mobilization with movement + Baseline treatment (Moist Heat Pack) Group will receive mulligan mobilization with movement with the frequency of 3 sets and 10 repetitions 3 times a week for 6 weeks.

Group Type: EXPERIMENTAL

Mulligan Mobilization

Intervention Type: OTHER

Medial glide MWM for knee flexion (supine) Lateral glide MWM for knee flexion (supine) Medial glide MWM for knee flexion.( prone ) Lateral glide MWM for knee flexion (prone)

Hold relax technique

Hold relax technique + Baseline treatment (Moist Heat Pack) Group will receive Hold Relax Technique of PNF included, 5 repetitions will be given 3 times/week for 6 weeks.

Group Type: EXPERIMENTAL

Hold Relax

Intervention Type: OTHER

Hold-relax technique of PNF included, the affected knee will be flexed passively to the end of range with the therapist's hand on the patient's lower leg. Patients then performed 5 s of quadriceps contraction against the resistance of the therapist. Patients will be asked not to let move. At the end of 5 s, the patients will be asked to totally relax for 10 s and the therapist pushed the knee into more flexion and hold at that newly acquired range

Interventions

Mulligan Mobilization

Medial glide MWM for knee flexion (supine) Lateral glide MWM for knee flexion (supine) Medial glide MWM for knee flexion.( prone ) Lateral glide MWM for knee flexion (prone)

Intervention Type: OTHER

Hold Relax

Hold-relax technique of PNF included, the affected knee will be flexed passively to the end of range with the therapist's hand on the patient's lower leg. Patients then performed 5 s of quadriceps contraction against the resistance of the therapist. Patients will be asked not to let move. At the end of 5 s, the patients will be asked to totally relax for 10 s and the therapist pushed the knee into more flexion and hold at that newly acquired range

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Both male and female of age 20 to 40 years

• Knee pain 3 or more on VAS
• Patients with grade 3 or more than 3 power of knee muscle
• Subjects with post traumatic stiffness of knee joint having a minimum of 70 degree of knee flexion

Exclusion Criteria

• Hypermobile and unstable joint

• Soft tissue injuries
• Joint infection and loosening
• Other complication of post fracture/ TK

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Nosheen Manzoor, MS-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Govt. Hospital DHQ

Jhang, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Nosheen Manzoor, MS-OMPT

Role: CONTACT

nosheen.manzoor@riphahfsd.edu.pk

03236877879

Facility Contacts

Nosheen Manzoor

Role: primary

Nosheenmanzoor_444@yahoo.com

03236877879

Other Identifiers

REC/Lhr/22/0110 Imbesat

Identifier Type: -

Identifier Source: org_study_id