Knee Osteoarthritis, Knee Osteoarthritis (Knee OA)
Conditions
Keywords
Knee Osteoarthristis, reflexology, Mulligan's Mobilization
Brief summary
to investigate the effect of adding Reflexlogy to mulligan mobilization and the conventional treatment for patients with Osteoarthritis knees
Detailed description
Knee osteoarthritis (OA), also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage. Treatment by reflexology stimulation increases blood flow to the associated organ or body part. On the other hand, the nerve impulse theory claims that reflexology stimulation boosts nervous connection to the conforming body parts. Regarding to the energy theory; organs and body parts are connected through electromagnetic fields and that these pathways are blocked in states of disease. Finally, lactic acid theory pointed that lactic acid accumulates on the soles of the feet in the form of crystals which promotes free circulation, so reduces regular flow .The effects of foot reflexology on improving physical complains of KOA. Therefore, this study was conducted to evaluate the effectiveness of reflexology foot massage on pain intensity and physical functional abilities among patients with Knee Osteoarthritis. Mulligan's Mobilization with Movement (MWM) advocates therapist-applied accessory gliding force combined with active movement The goal of MWM is to achieve immediate pain relief possibly by regulation of the non-opioid pain sensory pathways and by correction of micro positional faults. These positional faults may result from changes in the shape of articular surfaces, cartilage thickness, fiber orientation in the capsule-ligamentous complex, and the direction of musculo-tendinous pull, causing altered mechanics in the osteoarthritic knees.
Interventions
OTHERReflexology ,mulligan mobilization and conventional
Reflexology is a systematic practice in which applying some pressure to any particular points on the feet and hands give impacts on the health of related parts of the body as (Knee reflex point, Pituitary reflex point, Entire spine, Liver reflex area, Thyroid reflex area ) Mulligan's Mobilization with Movement (MWM) apply accessory gliding force combined with active movement as (Lateral glide MWM for flexion / extension, Medial glide MWM for flexion / extension, Self-medial glide MWM for knee flexion/extension: home exercise)
OTHERreflexology and conventional
Reflexology as (Knee reflex point, Pituitary reflex point, Entire spine, Liver reflex area, Thyroid reflex area ) and conventional methods as (Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound Therapy and exercises) treatment.
OTHERmulligan mobilization and conventional
Mulligan mobilization as (Lateral glide MWM for flexion / extension, Medial glide MWM for flexion / extension, Self-medial glide MWM for knee flexion/extension: home exercise) and conventional methods as (Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound Therapy and exercises) treatment.
OTHERConventional treatment
Conventional methods as (Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound Therapy and exercises) treatment.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Age greater than or equal to 40 years. 2. Body Mass Index ≤30 kg/m². 3. All participants have Calcium Deficiency 4. Osteoarthritis in mild and moderate stage not in the acute stage 5. The subjects were chosen from both genders
Exclusion criteria
1. Deep Vein Thrombosis 2. Fractures 3. Gangrena Patient 4. Osteopenic Patient 5. Lactating or pregnant women 6. Cancer 7. Neurological conditions. 8. Patients with injury including; (lesions, sprain, open wounds, foot ulcer and or burn of the lower extremities), hemorrhage, epilepsy, irregular heartbeat. 9. Vascular (Anticoagulant Therapy, Aortic Aneurysm) 10. Neurological Deficits (multilevel PIVD, Cervical Myelopathy) 11. Psychological Disorders. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual analogue scale | one month | consists of a line, usually 10 cm long, ranging from no pain or discomfort (zero), to the worst pain that could possibly feel (10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Knee Injury and Osteoarthritis Outcome Score (KOOS) | one month | The Knee injury and Osteoarthritis Outcome Score (KOOS) was developed as an extension of the WOMAC Osteoarthritis Index with the purpose of evaluating short-term and long-term symptoms and function in subjects with knee injury and osteoarthritis. The KOOS holds five separately scored subscales: Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related Quality of Life (QOL) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Kinovea | one month | Kinovea is a free software that uses a virtual goniometer to measure joints for measure Flexion and Extension ROM of knee |
Countries
Egypt
Contacts
Primary ContactRania a nassar, master
Outcome results
None listed