Impact of Mulligan Squeeze Technique on Meniscal Derangement in Knee Osteoarthritis Patients

Osteoarthritis, Knee Clinical Trial

Official title:

The Impact of Mulligan Squeeze Technique as an Adjunct to Conventional Physiotherapy on Meniscal Derangement in Knee Osteoarthritis Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06391047
• Other study ID #: TUF/DR/SA/MSPP/2024/383
• Status: Completed
• Phase: N/A
• Start date: February 2, 2024
• Est. completion date: April 25, 2024

Study information

• Verified date: April 2024
• Source: University of Faisalabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 26
• Est. completion date: April 25, 2024
• Est. primary completion date: April 22, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 30 Years to 55 Years

Eligibility

Inclusion Criteria:

• • Pain during maximal knee flexion, pain when maximal extension of knee occurs
• Both genders were taken; male and female
• Age between 30 to 55 years
• Tenderness along the line of joint
• Complain or history of abnormal clicking sounds and/or popping of knee
• If any of the mentioned special tests are positive: "Apley's compression and distraction test", the "Disco test or Thessaly's test" with almost 20° flexed position of knee, and "McMurray's test"
• Participants who were willing to take part in the study

Exclusion Criteria:

• • Presence of any knee co-morbidities
• Knee OA of Grade 4
• ACL or some other knee ligament injury/tears
• Contusion present on knee, fracture of knee
• Knee dislocation
• Knee instability due to any ligamentous injury
• Constant pain or discomfort due to underlying reasons (e.g. hyper-algesia), and any other wound or ailment
• Participant not willing to be a part of the study

Related Conditions & MeSH terms

• Knee Injuries
• Meniscus Lesion
• Meniscus Tear
• Osteoarthritis
• Osteoarthritis, Knee

Intervention

Other:
• Mulligan's Squeeze Technique - manual therapy
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.
• Conventional Physiotherapy
It includes stretching and strengthening exercises of muscles of the knee joint.

Locations

Country	Name	City	State
Pakistan	Allied Hospital	Faisalabad	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
University of Faisalabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.
Primary	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.
Secondary	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.
Secondary	Knee injury and osteoarthritis outcome score (KOOS)	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.