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Effects of Maitland and medial/lateral mulligan mobilization in knee osteoarthritis: a randomized clinical trail

. Hamna Afzal, Junaid Walayat, Salman Bashir, Hafiza Anam Amjad, Alisha Ehsan & Ume-Mariam


Abstract

Objective: To determine the effects of maitland and medial/lateral mulligan mobilization on pain, function and range of motion in Knee osteoarthritis.

Methods: A randomized clinical trial was performed. 20 subjects were recruited according to sample selection criteria and were assigned to Group A and B, Group A received conventional physical therapy and Maitland mobilization. Group B received conventional physical therapy and Mulligan medial/lateral glide. Assessment of pain, function and Knee range of motion (ROM), was taken using Numeric pain rating scale (NPRS), Modified Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Goniometer. Total 18 sessions were given to each patient in 6 weeks with 3 sessions per week. Both groups were reassessed after 3 weeks and 6 weeks of treatment. Follow up was taken 3 weeks after completion of treatment. Data was analysed by using SPSS 21.

Results: There was a significant change within both groups in terms of NPRS, WOMAC and ROM with p- value of < 0.05 Both were effective but Maitland mobilization showed clinical statistical significance as compared to Mulligan mobilization.

Conclusion: Both treatment strategies were effective in decreasing pain, improving ROM and regaining functional status but using Maitland mobilization is more efficient to treat Knee osteoarthritis.

Clinical Trial Registration No: IRCT20200619047835N1

Index Terms- osteoarthritis, Maitland mobilization, Range of motion (ROM).

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