Comparative Effects of Hold Relax Technique and Mulligan Mobilization in Post Operative Knee Joint

Post Operative Pain Clinical Trial

Official title:

Comparative Effects of Hold Relax Technique and Mulligan Mobilization on Pain, ROM and Function in Post Operative Knee Joint: A Randomised Controlled Trail

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05356663
• Other study ID #: REC/Lhr/22/0110 Imbesat
• Status: Recruiting
• Phase: N/A
• Start date: April 15, 2022
• Est. completion date: September 15, 2022

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: Nosheen Manzoor, MS-OMPT
• Phone: 03236877879
• Email: nosheen.manzoor[@]riphahfsd.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to investigate the comparative effects of hold relax technique and mulligan mobilization on pain, ROM and function in post operative knee joint.

Description:

Stiffness or restricted ROM of the knee joint is a term used commonly to describe any traumatic condition occurring within or around the knee joint. It can result from direct and indirect below and is experienced as pain with activity, local tenderness to palpation, and decreased ability to tolerate tension, which results in decreased movement and functional strength. Post-traumatic knee stiffness and loss of range of motion is a common complication of injuries to the knee area. Immobilization of human knees for several weeks or more can result in stiffness and loss of range of motion in the joints. After knee arthroplasties, cruciate ligament repairs and trauma may lead to contracture of muscles and knee instability. Limitations of joint movements both flexion and extension suggests intraarticular pathology.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 34
• Est. completion date: September 15, 2022
• Est. primary completion date: August 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

• Both male and female of age 20 to 40 years
• Knee pain 3 or more on VAS
• Patients with grade 3 or more than 3 power of knee muscle
• Subjects with post traumatic stiffness of knee joint having a minimum of 70 degree of knee flexion

Exclusion Criteria:

• Hypermobile and unstable joint
• Soft tissue injuries
• Joint infection and loosening
• Other complication of post fracture/ TK

Related Conditions & MeSH terms

• Pain, Postoperative
• Post Operative Pain

Intervention

Other:
• Mulligan Mobilization
Medial glide MWM for knee flexion (supine) Lateral glide MWM for knee flexion (supine) Medial glide MWM for knee flexion.( prone ) Lateral glide MWM for knee flexion (prone)
• Hold Relax
Hold-relax technique of PNF included, the affected knee will be flexed passively to the end of range with the therapist's hand on the patient's lower leg. Patients then performed 5 s of quadriceps contraction against the resistance of the therapist. Patients will be asked not to let move. At the end of 5 s, the patients will be asked to totally relax for 10 s and the therapist pushed the knee into more flexion and hold at that newly acquired range

Locations

Country	Name	City	State
Pakistan	Govt. Hospital DHQ	Jhang	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain Rating scale	The most common validated tool for assessment of pain in clinical tests is the numeric pain rating score (NPRS), a 10-point scale where 0 indicates no pain and 10 indicates severe pain	3 months
Primary	Goniometer for Range of motion	It is a technique in which instrument named as goniometer purports to measure accurately the movements present in a simple or composite joint. Actually a goniometer is not used so much to measure the exact number of degrees of the movement in the joint as to find out whether there is increase or decrease of such movements. In order to do this, it is desirable that a goniometer should provide an easy method of reference to the joint or joint being examined and also provide a fixed base line point from which to measure any increase or decrease of movement	3 months
Primary	Time up and go test for functional ability	The test consists of measuring the time it takes for an individual to get up from the chair and walk as fast as possible to a 3-meter walk, turn around, come back and sit down. Time taken to complete the test were measured on stopwatch to the nearest 1/100 of the second	3 months