Knee Osteoarthritis
Conditions
Brief summary
This study is a randomised controlled trial and the purpose of this study is to determine the Effects of Mulligan mobilization with movement as compared to Kaltenborn joint mobilization in the management of knee osteoarthritis. To determine the effects of Mulligan MWM as compared to Kaltenborn joint mobilization in terms of pain, function, range of motion and gait in persons with knee osteoarthritis.
Interventions
DEVICEHeating pad
Heating pad will be used for heating purpose.
TENS is used for symptomatic pain relief
It provides short term pain relief and to restore pain-free, functional movements by achieving full range at the joint
PROCEDUREKaltenborn joint mobilization
The purpose of joint mobilization is to restore normal, painless joint function. In restricted joints, this involves the restoration of joint play to normalize the roll-gliding that is essential to active movement.
PROCEDUREResistance Training exercise
Resistance training increases muscle strength by making your muscles work against a weight or force.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention model description
Parallel designed randomized control trial
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Individuals aged 40-70 years (Osama et al, 2022) * Having KOA history of no less than 3 months * Knee pain less than 8/10 on numeric pain rating scale (NPRS). * Radiological evidence of grade III or less on Kellgren classification * Patients referred from rehab department
Exclusion criteria
* Those with signs of serious pathology, such as malignancy, inflammatory disorder or infection. * History of trauma or fractures in lower extremity. * Signs of lumbar radiculopathy or myelopathy. * History of knee surgery or replacement. * Receiving intra-articular steroid therapy in the preceding two months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| knee pain | 2 weeks | knee pain will be measured using visual analogue scale (VAS) from 0-100mm.A higher score on VAS indicated greater pain. |
| Functional disability | 2 weeks | knee functional disability will be assessed using Knee Osteoarthritis and Outcome Score(KOOS) with a score ranging from 0-100. A lower score on KOOS signifies greater functional disability |
| Knee range of motion | 2 weeks | knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome. |
| Stride length | 2 weeks | Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis. |
| Gait velocity | 2 weeks | Gait analysis will be done to analyze gait velocity. A greater gait velocity signifies positive outcome and prognosis. |
| Isometeric Muscle Strength | 2 weeks | Isometeric Muscle Strength will be quantified using dynamometer. A higher score on dynamometer signifies greater muscle strength and good prognosis. |
| Walking related performance fatigability | 2 weeks | walking related performance fatigability will be measured using 6 minute walk test. Greater fatigibility indicates poorer outcome. |
| Functional Capacity | 2 weeks | 5 repetition sit to stand test will be used to determine knee related functional capacity which will be quantified in terms of time. A smaller time will denote greater functional capacity. |
Countries
Pakistan
Outcome results
None listed