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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mulligan MWM group | Experimental | Group A receiving Mulligan MWM joint mobilization |
|
| Kaltenborn mobilization group | Experimental | Group B receiving Kaltenborn Joint mobilization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Heating pad | Device | Heating pad will be used for heating purpose. |
|
| Measure | Description | Time Frame |
|---|---|---|
| knee pain | knee pain will be measured using visual analogue scale (VAS) from 0-100mm.A higher score on VAS indicated greater pain. | 2 weeks |
| Functional disability | 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 | 2 weeks |
| Knee range of motion | knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome. | 2 weeks |
| Stride length | Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis. | 2 weeks |
| Gait velocity | Gait analysis will be done to analyze gait velocity. A greater gait velocity signifies positive outcome and prognosis. | 2 weeks |
| Isometeric Muscle Strength | Isometeric Muscle Strength will be quantified using dynamometer. A higher score on dynamometer signifies greater muscle strength and good prognosis. | 2 weeks |
| Walking related performance fatigability | walking related performance fatigability will be measured using 6 minute walk test. Greater fatigibility indicates poorer outcome. | 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shanza Fatima, DPT | Foundation University Islamabad | Principal Investigator |
| Muhammad Osama, PHD* | Foundation University Islamabad | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University Islamabad | Islamabad | Pakistan |
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Parallel designed randomized control trial
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| Transcutaneous electrical nerve stimulation(TENS) | Device | TENS is used for symptomatic pain relief |
|
| Mulligan mobilization with movement (MWM) | Procedure | It provides short term pain relief and to restore pain-free, functional movements by achieving full range at the joint |
|
| Kaltenborn joint mobilization | Procedure | 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. |
|
| Resistance Training exercise | Procedure | Resistance training increases muscle strength by making your muscles work against a weight or force. |
|
| Functional Capacity | 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. | 2 weeks |
| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D004561 | Transcutaneous Electric Nerve Stimulation |
| D009068 | Movement |
| D055070 | Resistance Training |
| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
| D010829 | Physiological Phenomena |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D005081 | Exercise Therapy |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
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