Effect of Different Mobilization Techniques With Common Use of Interferential Therapy in Patients With Knee OA

NCT06025929 | Completed

• 1 other identifier: BIMLS/67/2017
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to determine the effects of different manual mobilization techniques on pain, muscle strength, and functional limitations in individuals with knee osteoarthritis (Knee OA). A double-blinded pretest-posttest experimental study. This research employed a two-arm parallel group randomized comparative design. A total of thirty participants diagnosed with knee osteoarthritis were randomly assigned and equally divided into groups 1 and 2, each containing 15 participants. Both Group 1 and Group 2 underwent Maitland and Mulligan mobilization techniques, alongside a common Interferential therapy (IFT) regimen, over the course of three sessions per week for a duration of four weeks. The assessment of pain and functional disability outcomes was conducted through the application of The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores at the baseline and four weeks following the intervention. To determine the effects of the intervention within and between the groups, the outcome scores were subjected to analysis using both dependent and independent t-tests.

Conditions

Knee Osteoarthritis

Keywords

Maitland mobilization; Mulligan mobilization; Knee pain; Interferential therapy; WOMAC; Functional limitation

Outcome Measures

Primary Outcomes (1)

• Functional limitations

  Functional limitations was assessed using the Western Ontario and McMaster Universities (WOMAC) index. It includes five questions about pain, two about stiffness, and 17 on degree of disability of activities of daily living. The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function.

  4 weeks

Study Arms (2)

Maitland Group

EXPERIMENTAL

Maitland Group received Maitland's mobilization techninque in addition to an intereferential therapy.

Other: Maitland's mobilization technique; Other: Interferential Therapy (IFT)

Mulligan Group

ACTIVE COMPARATOR

Mulligan Group received Mulligan's mobilization techninque in addition to an intereferential therapy.

Other: Mulligan's mobilization techniques; Other: Interferential Therapy (IFT)

Interventions

Maitland's mobilization technique OTHER

Maitland's mobilization technique was performed on the patients with its all components, such as 1. Distraction 2. Anteroposterior glides 3. Posteroanterior glides 4. Medial glides and 5. Lateral glides.

Maitland Group

Mulligan's mobilization techniques OTHER

Mulligan's mobilization technique was performed on the patients with its all components using a therapeutic belt, such as 1. Medial mobilization with movement (MWM) for Knee flexion 2. Medial mobilization with movement (MWM) for Knee extension 3. Lateral mobilization with movement (MWM) for Knee flexion 4. Lateral mobilization with movement (MWM) for Knee extension.

Mulligan Group

Interferential Therapy (IFT) OTHER

Interferential Therapy was performed on the patients with the following parameters: career frequency 4000Hz; waveform: rectangular; sweep time: 1 second rise and fall and 5 second stay; Treatment duration: 10 minutes; sweep frequency: 10 to 130 Hz. The current intensity was adjusted until the subject reported feeling a strong tingling sensation without causing muscle contraction. A aquatic gel was applied before straping the electopads over treatment area for smooth electrical conduction.

Maitland Group; Mulligan Group

Eligibility Criteria

• Age: 45 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Sub-acute or chronic osteoarthritis of knee.
• Age between 45-65 years.
• Gender Male and female.
• Subjects willing to participate in the study

You may not qualify if:

• Presence of R.A, polyarthritis or systemic inflammatory arthropathies.
• History of total knee arthroplasty or major knee trauma injury.
• Fracture of lower limb within the past 6 months.
• Hip or ankle instability, excessive weakness, surgery or major trauma injury.
• Intra-articular steroid injection in knee joint within 3 months.
• Cognitive problems.
• Patient with severe cardiac or pulmonary disorders.
• Peripheral vascular disease.
• Tumour/malignancies/infections.
• Metallic implants in the lower limbs.
• Any severe deformity around the knee joint.
• Kellgren and Lawrence (KL) system47: up to grade 0-III.
• History of neurological and psychological disorders.
• High risk health status- e.g.- uncontrolled hypertension, diabetes, heart disease, angina type pain, nocturnal dyspnoea, shortness of breathing, tachycardia etc.
• Contraindications of IFT and mobilization.

Sponsors & Collaborators

• King Saud University: lead
• Burdwan Institute of Medical and Life Sciences (BIMLS): collaborator

Study Sites (1)

Department of Rehabilitation Sciences, College of applied Medical Science, King Saud University

Riyadh, 11433, Saudi Arabia

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Interventions

Electric Stimulation Therapy

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• AMIR IQBAL, MPT

  King Saud University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prinicipal Investigator

Study Record Dates

• First Submitted: August 29, 2023
• First Posted: September 6, 2023
• Study Start: April 10, 2017
• Primary Completion: September 14, 2017
• Study Completion: October 30, 2017
• Last Updated: September 8, 2023

Record last verified: 2023-09

Locations

SA (1)