Effects of Compression Mobilization in OA Patients

NCT04944056 | Completed

• 1 other identifier: Shakeeba Shahzadi 00189
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The study Design was randomized control trial in which data was collected From Riphah Rehabilitation And Research Center and Pakistan Railway Hospital-IIMCT. Convenient sampling technique was used for data collection. 39 patients having knee osteoarthritis were recruited in this study. After taking consent from patients, patients were divided randomly into two groups through lottery method. The Experimental Group received compression mobilization with Conventional Physiotherapy (n = 19) and the Control group received Conventional Physiotherapy (n = 20). Research data was collected through structural questionnaire. the main variables were ROM, MMT, Muscle length and mBBS.

Conditions

Osteo Arthritis Knee

Keywords

NPRS, mBBS, MMT, O.A

Outcome Measures

Primary Outcomes (4)

• Vernier Calliper For Joint Gap Measurement.

  Vernier caliper, instrument for making very accurate linear measurements introduced in 1631 by Pierre Vernier of France. It can be used for joint space via x-ray radiograph of a joint.

  2 weeks

• Numeric Pain Rating Scale

  Numeric pain rating scale is a scale used to quantify pain intensity. It is divided into eleven equal parts; for example 0 - 10. O means that there is no pain at all, 1 - 3 divisional range falls in the mild category pain , 4 - 6 indicates the symptoms of moderate pain while 7 - 10 reading symptoms the severity of pain.

  2 weeks

• Goniometry for knee ROM

  The Range of motion was assessed by Goniometer. The placement of goniometer for flexion as follows the Axis of goniometer was placed at lateral epicondyle of femur laterally , stationary arm was along femur and the moving arm was along the fibula and the patient position was supine then ask the patient to flex knee until hip flexion came up to 90 degrees while monitors the measurements through goniometer .

  2 weeks

• Modified Berg Balance tool

  The Berg Balance Scale (BBS) is based on 14 items common to daily life activities used to evaluate functional balance .here berg balance scale is used to assess patients proprioception through different tasks.

  2 weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

It includes ultrasound therapy, glides, exercises and home plan.

Other: conventional physiotherapy

Experimental Group

EXPERIMENTAL

It includes ultrasound therapy, glides, exercises, compression mobilization and home plan.

Other: compression mobilization

Interventions

conventional physiotherapy OTHER

* Ultrasound therapy 3-4 minutes. * Tibiofemoral AP and PA glides 1 set x10reps x 3 sets. * Patellar glides 1 set x 5 reps x 3 sets. * Quads isometrics 1 set x 10 reps. * Hams self stretching 1 sets x 10 reps. Home plan: * Quads isometrics 1 set x 10 reps. * Hams self stretching 1 sets x 10 reps. * Active range of motion.

Control Group

compression mobilization OTHER

* Ultrasound therapy 3-4 minutes. * Tibiofemoral AP and PA glides 1 set x10reps x 3 sets. * Patellar glides 1 set x 5 reps x 3 sets. * Quads isometrics 1 set x 10 reps. * Hams self stretching 1 sets x 10 reps. * Compression mobilization 1 set x 10 reps x 3sets. Home plan: * Quads isometrics 1 set x 10 reps. * Hams self stretching 1 sets x 10 reps. * Active range of motion.

Experimental Group

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age Limit 30 to 60
• Unilateral OA Knee
• Moderate OA

You may not qualify if:

• No Associated Bone Disease
• Lumber Radiculopathy
• Osteoporosis
• Any MSK Deformity

Sponsors & Collaborators

• Mir Arif Hussain: lead

Study Sites (1)

Riphah Rehabilitation And Research Center and Pakistan Railway Hospital-IIMCT

Islamabad, Capital, 44000, Pakistan

Location

Related Publications (12)

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  PMID: 23194896 BACKGROUND

• Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010 Jan;18(1):24-33. doi: 10.1016/j.joca.2009.08.010. Epub 2009 Sep 2.

  PMID: 19751691 BACKGROUND

• Brandt KD, Fife RS, Braunstein EM, Katz B. Radiographic grading of the severity of knee osteoarthritis: relation of the Kellgren and Lawrence grade to a grade based on joint space narrowing, and correlation with arthroscopic evidence of articular cartilage degeneration. Arthritis Rheum. 1991 Nov;34(11):1381-6. doi: 10.1002/art.1780341106.

  PMID: 1953815 BACKGROUND

• van Saase JL, van Romunde LK, Cats A, Vandenbroucke JP, Valkenburg HA. Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis. 1989 Apr;48(4):271-80. doi: 10.1136/ard.48.4.271.

  PMID: 2712610 BACKGROUND

• Rhon D. Re: Zhang W, Moskowitz RW, Nuki G, et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 2008;16:137-62. Osteoarthritis Cartilage. 2008 Dec;16(12):1585; author reply 1589. doi: 10.1016/j.joca.2008.04.019. Epub 2008 Jun 2. No abstract available.

  PMID: 18515155 BACKGROUND

• Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian J Intern Med. 2011 Spring;2(2):205-12.

  PMID: 24024017 BACKGROUND

• Fransen M, Bridgett L, March L, Hoy D, Penserga E, Brooks P. The epidemiology of osteoarthritis in Asia. Int J Rheum Dis. 2011 May;14(2):113-21. doi: 10.1111/j.1756-185X.2011.01608.x.

  PMID: 21518309 BACKGROUND

• Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT. Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: The Framingham Study. Am J Epidemiol. 2002 Dec 1;156(11):1021-7. doi: 10.1093/aje/kwf141.

  PMID: 12446258 BACKGROUND

• Haq SA, Darmawan J, Islam MN, Uddin MZ, Das BB, Rahman F, Chowdhury MA, Alam MN, Mahmud TA, Chowdhury MR, Tahir M. Prevalence of rheumatic diseases and associated outcomes in rural and urban communities in Bangladesh: a COPCORD study. J Rheumatol. 2005 Feb;32(2):348-53.

  PMID: 15693098 BACKGROUND

• Nelson AE, Braga L, Renner JB, Atashili J, Woodard J, Hochberg MC, Helmick CG, Jordan JM. Characterization of individual radiographic features of hip osteoarthritis in African American and White women and men: the Johnston County Osteoarthritis Project. Arthritis Care Res (Hoboken). 2010 Feb;62(2):190-7. doi: 10.1002/acr.20067.

  PMID: 20191517 BACKGROUND

• Kon E, Mandelbaum B, Buda R, Filardo G, Delcogliano M, Timoncini A, Fornasari PM, Giannini S, Marcacci M. Platelet-rich plasma intra-articular injection versus hyaluronic acid viscosupplementation as treatments for cartilage pathology: from early degeneration to osteoarthritis. Arthroscopy. 2011 Nov;27(11):1490-501. doi: 10.1016/j.arthro.2011.05.011. Epub 2011 Aug 10.

  PMID: 21831567 BACKGROUND

• Takasaki H, Hall T, Jull G. Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis--a prospective case series. Physiother Theory Pract. 2013 Feb;29(2):87-95. doi: 10.3109/09593985.2012.702854. Epub 2012 Jul 30.

  PMID: 22844980 BACKGROUND

Study Officials

• Shakeeba Shahzadi, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Head

Model Details: The experimental Group received compression mobilization with Conventional Physiotherapy and the control group received Conventional Physiotherapy

Study Record Dates

• First Submitted: June 22, 2021
• First Posted: June 29, 2021
• Study Start: June 21, 2021
• Primary Completion: July 11, 2021
• Study Completion: July 11, 2021
• Last Updated: September 5, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)