EFFICACY OF MULLIGAN MOBILISATION AS COMPARED TO MAITLAND MOBILISATION IN FEMALES WITH KNEE OSTEOARTHRITIS:A DOUBLE BLIND RANDOMIZED CONTROLLED TRIAL

Both Mulligan and Maitland mobilisation along with supervised exercise program have been proved effective in decreasing pain, disability, improve range of motion and strength in patients having knee osteoarthritis. There is lack of literature comparing the efficacy of these two techniques in the fem...

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Published in:International journal of therapies and rehabilitation research Vol. 6; no. 2; p. 37
Main Authors: Lalnunpuii, Angie, SARKAR, BIBHUTI, ALAM, SARFARAZ, EQUEBAL, DR, BISWAS, DR
Format: Journal Article
Language:English
Published: Trichy International Journal of Therapies and Rehabilitation Research 2017
Subjects:
Arthritis
Body mass index
Double-blind studies
Females
Isometric
Knee
Manipulative therapy
Osteoarthritis
Pain
Patients
Physical therapy
Quadriceps muscle
Rehabilitation
Rheumatology
Statistical analysis
Studies
ISSN:2278-0343, 2278-0343
Online Access:Get full text
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Summary:Both Mulligan and Maitland mobilisation along with supervised exercise program have been proved effective in decreasing pain, disability, improve range of motion and strength in patients having knee osteoarthritis. There is lack of literature comparing the efficacy of these two techniques in the female population. Conflicting results and lack of evidence puts this domain of research to be more explored. To find out and compare the efficacy of Mulligan mobilisation and Maitland mobilisation along with Supervised Exercise Program in females with Knee Osteoarthritis. 45 subjects with knee osteoarthritis were included and randomly assigned into 3 groups. Group-A (n=15) received Mulligan mobilisation along with supervised exercise program, Group-B (n=15) received Maitland mobilisation along with supervised exercise program and Group-C (n=15) received supervised exercise program alone thrice weekly for 4 weeks. Pain intensity during activities (measured using VAS), passive knee ROM (Universal goniometer), Maximum voluntary isometric strength of quadriceps (Handheld Dynamometer) and functional disability (WOMAC) were measured at pre-treatment, post treatment and at one week follow up. Statistically significant improvement was found in all the three groups for all outcome parameters (p<0.05). In between group analysis of post intervention and follow up data, Group-A shown significant improvement in VAS, ROM and WOMAC score compared to Group-B & Group-C but Quadriceps strength has shown insignificant changes in all the groups. Mulligan mobilisation along with supervised exercise program is more effective than Maitland mobilisation and supervised exercise program in relieving pain, increasing range of motion, strength and functional capacity in females with knee osteoarthritis.
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ISSN:2278-0343
2278-0343
DOI:10.5455/ijtrr.000000241