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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Group A was given hot pack at knee joint for 10-15min. Then the Mulligan's Squeeze Technique was applied. The patient in supine lying. The therapist placed thumb on joint line tenderness of knee. With the other thumb, the therapist reinforced the first thumb. The patient was asked to slowly flex knee. The therapist maintaining the thumb contact, applied the force centrally. The force was increased progressively as the knee moved towards full range of available flexion. At the end range, the therapist assisted the tibia to move towards more flexion with ulnar border of their hand. This position was maintained for a few seconds and the overpressure was applied. Then patient was asked to perform knee extension. As the knee moved towards extension the force applied from both thumbs was progressively reduced. At maximal extension, no force was applied. This was repeated 10 times in each set with total 3 sets. After this stretching and strengthening exercises were performed by patient. |
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| Group B | Active Comparator | Group B was given hot pack at knee joint for 10-15min. Then they were asked to perform stretching and strengthening exercises of the knee with at least 10 repetitions in each set and a total two sets in a day. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mulligan's Squeeze Technique - manual therapy | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Pain Rating Scale (NPRS) | It was used to record the level of knee pain | Readings were taken at baseline, after 1st week and at end of 2nd week. |
| Goniometer | It was used to find out the range of movement of knee flexion. | Readings were taken at baseline, after 1st week and at end of 2nd week. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Specific Functional Scale (PSFS) | It was used to find out the independence level and dysfunction level of patient. | Readings were taken at baseline, after 1st week and at end of 2nd week. |
| Knee injury and osteoarthritis outcome score (KOOS) |
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Inclusion Criteria:
• Pain during maximal knee flexion, pain when maximal extension of knee occurs
Exclusion Criteria:
• Presence of any knee co-morbidities
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Allied Hospital | Faisalābad | Punjab Province | 38000 | Pakistan |
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It was a randomized controlled trial with two groups. One group was experimental while other group was active control group.
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The participants were randomly allocated to both groups and they did not know which one was experimental or control group.
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| Conventional Physiotherapy | Other | It includes stretching and strengthening exercises of muscles of the knee joint. |
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It is a scale designed specifically for knee problems. It has forty-two questions that cover several aspects of the problems related to knee.
| Readings were taken at baseline, after 1st week and at end of 2nd week. |
| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| D007718 | Knee Injuries |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D007869 | Leg Injuries |
| D014947 | Wounds and Injuries |
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