Knee Injuries, Meniscus; Derangement, Meniscus Lesion, Meniscus Tear, Osteoarthritis, Knee
Conditions
Keywords
Knee Osteoarthritis, manual therapy intervention; rehabilitation, Menisci;
Brief summary
The objective of this study is to find out the effects of Mulligan's Squeeze technique added as a complementary treatment to the conventional physiotherapy for the management of meniscal derangement in knee osteoarthritis patients.
Detailed description
This study was performed to determine the consequences of conventional physical therapy with and without Mulligan's Squeeze technique for meniscal derangement treatment in patients with knee osteoarthritis. This research study was a randomized controlled trial. The sample size was of 26 subjects. The subjects were nominated in accordance to the inclusion and exclusion criteria. They were equally and randomly divided into two groups. One group received Mulligan's Squeeze technique along with conventional physiotherapy exercises, with hot pack prior to the exercise session. The control group was only given conventional therapy exercises with hot pack application prior to any exercise. The treatment was given for two weeks and a total of six sessions, three sessions each week. The primary outcome measures were Numerical Pain Rating Scale (NPRS) for pain rating and goniometer to record range of knee flexion. The secondary outcome measures were Patient-specific functional scale (PSFS) and Knee-injury osteoarthritis outcome score (KOOS). The measurements were taken at baseline, at end of first week and after the second week. The data was analyzed by using IBM SPSS software version 27.
Interventions
OTHERMulligan's Squeeze Technique - manual therapy
This technique was introduced by Brian R. Mulligan. In this technique the therapist places thumb along the tender joint margin and applies force centrally. The patient actively flexes knee and therapist progressively enhances force and at end applies overpressure. This force is decreased as knee moves towards extension. This method helps to maintain the meniscus in its normal position and corrects the derangement of meniscus.
OTHERConventional Physiotherapy
It includes stretching and strengthening exercises of muscles of the knee joint.
Sponsors
University of Faisalabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
The participants were randomly allocated to both groups and they did not know which one was experimental or control group.
Intervention model description
It was a randomized controlled trial with two groups. One group was experimental while other group was active control group.
Eligibility
Sex/Gender
ALL
Age
30 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* • Pain during maximal knee flexion, pain when maximal extension of knee occurs * Both genders were taken; male and female * Age between 30 to 55 years * Tenderness along the line of joint * Complain or history of abnormal clicking sounds and/or popping of knee * If any of the mentioned special tests are positive: Apley's compression and distraction test, the Disco test or Thessaly's test with almost 20° flexed position of knee, and McMurray's test * Participants who were willing to take part in the study
Exclusion criteria
* • Presence of any knee co-morbidities * Knee OA of Grade 4 * ACL or some other knee ligament injury/tears * Contusion present on knee, fracture of knee * Knee dislocation * Knee instability due to any ligamentous injury * Constant pain or discomfort due to underlying reasons (e.g. hyper-algesia), and any other wound or ailment * Participant not willing to be a part of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Rating Scale (NPRS) | Readings were taken at baseline, after 1st week and at end of 2nd week. | It was used to record the level of knee pain |
| Goniometer | Readings were taken at baseline, after 1st week and at end of 2nd week. | It was used to find out the range of movement of knee flexion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Specific Functional Scale (PSFS) | Readings were taken at baseline, after 1st week and at end of 2nd week. | It was used to find out the independence level and dysfunction level of patient. |
| Knee injury and osteoarthritis outcome score (KOOS) | Readings were taken at baseline, after 1st week and at end of 2nd week. | It is a scale designed specifically for knee problems. It has forty-two questions that cover several aspects of the problems related to knee. |
Countries
Pakistan
Outcome results
None listed