Effects of Mulligan Mobilization With Movement as Compared to Kaltenborn Joint Mobilization in the Management of Knee Osteoarthritis

Knee Osteoarthritis Clinical Trial

Official title:

Effects of Mulligan Mobilization With Movement as Compared to Kaltenborn Joint Mobilization in the Management of Knee Osteoarthritis

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT06444945
• Other study ID #: FUI/CTR/2024/13
• Status: Enrolling by invitation
• Phase: N/A
• Start date: June 10, 2024
• Est. completion date: December 30, 2024

Study information

• Verified date: June 2024
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 40
• Est. completion date: December 30, 2024
• Est. primary completion date: December 10, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 70 Years

Eligibility

Inclusion Criteria:

• Individuals aged 40-70 years (Osama et al, 2022)

• Having KOA history of no less than 3 months

• Knee pain less than 8/10 on numeric pain rating scale (NPRS).

• Radiological evidence of grade III or less on Kellgren classification

• Patients referred from rehab department

Exclusion Criteria:

• Those with signs of serious pathology, such as malignancy, inflammatory disorder or infection.

• History of trauma or fractures in lower extremity.

• Signs of lumbar radiculopathy or myelopathy.

• History of knee surgery or replacement.

• Receiving intra-articular steroid therapy in the preceding two months.

Related Conditions & MeSH terms

• Knee Osteoarthritis
• Osteoarthritis
• Osteoarthritis, Knee

Intervention

Device:
• Heating pad
Heating pad will be used for heating purpose.
• Transcutaneous electrical nerve stimulation(TENS)
TENS is used for symptomatic pain relief

Procedure:
• Mulligan mobilization with movement (MWM)
It provides short term pain relief and to restore pain-free, functional movements by achieving full range at the joint
• Kaltenborn joint mobilization
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
Resistance training increases muscle strength by making your muscles work against a weight or force.

Locations

Country	Name	City	State
Pakistan	Foundation University Islamabad	Islamabad

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	Knee range of motion	knee range of motion will be measured using a goniometer. A higher ROM signifies positive outcome.	2 weeks
Primary	Stride length	Gait analysis will be done to analyze stride length. A greater stride length signifies positive outcome and prognosis.	2 weeks
Primary	Gait velocity	Gait analysis will be done to analyze gait velocity. A greater gait velocity signifies positive outcome and prognosis.	2 weeks
Primary	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
Primary	Walking related performance fatigability	walking related performance fatigability will be measured using 6 minute walk test. Greater fatigibility indicates poorer outcome.	2 weeks
Primary	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