Impact of Mulligan Squeeze Technique on Meniscal Derangement in Knee Osteoarthritis Patients

NCT06391047 | Completed

• 1 other identifier: TUF/DR/SA/MSPP/2024/383
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to find out the effects of Mulligan's Squeeze technique added as a complementary treatment to the conventional physiotherapy for the management of meniscal derangement in knee osteoarthritis patients.

Conditions

Osteoarthritis, Knee; Knee Injuries; Meniscus; Derangement; Meniscus Tear; Meniscus Lesion

Keywords

Knee Osteoarthritis; manual therapy intervention; rehabilitation; Menisci;

Outcome Measures

Primary Outcomes (2)

• Numerical Pain Rating Scale (NPRS)

  It was used to record the level of knee pain

  Readings were taken at baseline, after 1st week and at end of 2nd week.

• Goniometer

  It was used to find out the range of movement of knee flexion.

  Readings were taken at baseline, after 1st week and at end of 2nd week.

Secondary Outcomes (2)

• Patient Specific Functional Scale (PSFS)

  Readings were taken at baseline, after 1st week and at end of 2nd week.

• Knee injury and osteoarthritis outcome score (KOOS)

  Readings were taken at baseline, after 1st week and at end of 2nd week.

Study Arms (2)

Group A

EXPERIMENTAL

Group A was given hot pack at knee joint for 10-15min. Then the Mulligan's Squeeze Technique was applied. The patient in supine lying. The therapist placed thumb on joint line tenderness of knee. With the other thumb, the therapist reinforced the first thumb. The patient was asked to slowly flex knee. The therapist maintaining the thumb contact, applied the force centrally. The force was increased progressively as the knee moved towards full range of available flexion. At the end range, the therapist assisted the tibia to move towards more flexion with ulnar border of their hand. This position was maintained for a few seconds and the overpressure was applied. Then patient was asked to perform knee extension. As the knee moved towards extension the force applied from both thumbs was progressively reduced. At maximal extension, no force was applied. This was repeated 10 times in each set with total 3 sets. After this stretching and strengthening exercises were performed by patient.

Other: Mulligan's Squeeze Technique - manual therapy; Other: Conventional Physiotherapy

Group B

ACTIVE COMPARATOR

Group B was given hot pack at knee joint for 10-15min. Then they were asked to perform stretching and strengthening exercises of the knee with at least 10 repetitions in each set and a total two sets in a day.

Other: Conventional Physiotherapy

Interventions

Mulligan's Squeeze Technique - manual therapy OTHER

This technique was introduced by Brian R. Mulligan. In this technique the therapist places thumb along the tender joint margin and applies force centrally. The patient actively flexes knee and therapist progressively enhances force and at end applies overpressure. This force is decreased as knee moves towards extension. This method helps to maintain the meniscus in its normal position and corrects the derangement of meniscus.

Group A

Conventional Physiotherapy OTHER

It includes stretching and strengthening exercises of muscles of the knee joint.

Group A; Group B

Eligibility Criteria

• Age: 30 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pain during maximal knee flexion, pain when maximal extension of knee occurs
• Both genders were taken; male and female
• Age between 30 to 55 years
• Tenderness along the line of joint
• Complain or history of abnormal clicking sounds and/or popping of knee
• If any of the mentioned special tests are positive: "Apley's compression and distraction test", the "Disco test or Thessaly's test" with almost 20° flexed position of knee, and "McMurray's test"
• Participants who were willing to take part in the study

You may not qualify if:

• Presence of any knee co-morbidities
• Knee OA of Grade 4
• ACL or some other knee ligament injury/tears
• Contusion present on knee, fracture of knee
• Knee dislocation
• Knee instability due to any ligamentous injury
• Constant pain or discomfort due to underlying reasons (e.g. hyper-algesia), and any other wound or ailment
• Participant not willing to be a part of the study

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

Allied Hospital

Faisalābad, Punjab Province, 38000, Pakistan

Location

MeSH Terms

Conditions

Osteoarthritis, Knee; Knee Injuries

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Leg Injuries; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The participants were randomly allocated to both groups and they did not know which one was experimental or control group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr Izza Ayub;PT Lecturer

Model Details: It was a randomized controlled trial with two groups. One group was experimental while other group was active control group.

Study Record Dates

• First Submitted: April 25, 2024
• First Posted: April 30, 2024
• Study Start: February 2, 2024
• Primary Completion: April 22, 2024
• Study Completion: April 25, 2024
• Last Updated: April 30, 2024

Record last verified: 2024-04

Locations

PA (1)