Effects Of Maitland's Mobilization At Mid Versus End Range In Knee Osteoarthritis Patients

NCT06751095 | Not Yet Recruiting DMC

• 1 other identifier: REC/RCR&AHS/24/0114
• Study Type: interventional
• Target: 44
• Locations: 0 countries
• Sites: N/A

Brief Summary

Knee Osteoarthritis (OA) is the most common form of arthritis affecting mostly elderly people contributing to major cause of disability worldwide.In knee osteoarthritis Maitland's manual therapy technique could be the most effective technique among all in decreasing pain sensitivity and increasing range of motion in knee OA.The aim of this study to compare effects of Maitland's mobilization at mid range versus end range on pain. range of motion and functional disability in patients with knee OA, providing useful insights for healthcare professionals to optimize treatment strategies and enhance outcomes in this context.

Conditions

Knee Osteoarthritis

Keywords

joint range of motion; knee osteoarthritis

Outcome Measures

Primary Outcomes (1)

• Numeric Pain Rating Scale

  The Numerical Pain Rating Scale (NPRS) is a commonly used self-report measure to assess the intensity of pain experienced by individuals. Participants rate their pain on a numerical scale, typically ranging from 0 (no pain) to 10 (worst possible pain).

  4 Weeks

Secondary Outcomes (2)

• WOMAC Osteoarthritis INDEX

  4 weeks

• Universal Goniometer

  4 weeks

Study Arms (2)

Maitland's Mobilization in End Range

EXPERIMENTAL

End-range mobilization will be performed individually in flexion and extension end range of the tibiofemoral joint(0-135 degree).

Other: Maitland's Mobilization in End range

Maitland's Mobilization in Mid Range

EXPERIMENTAL

Mid range Maitland's mobilization will be performed in (approx. 50-70° knee flexion) of the tibiofemoral joint.

Other: Maitland's mobilization in Mid range

Interventions

Maitland's Mobilization in End range OTHER

End-range mobilization will be performed individually in flexion and extension end range of the tibiofemoral joint .(0-135 degree)

Maitland's Mobilization in End Range

Maitland's mobilization in Mid range OTHER

Mid range Maitland's mobilization will be performed in (approx. 50-70° knee flexion) of the tibiofemoral joint

Maitland's Mobilization in Mid Range

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants with age between 40 to 60 years.
• Participants of both genders will be included.
• Patient with unilateral/bilateral symptomatic tibiofemoral knee OA.
• Patient suffering from stiffness less than 30 minutes
• Patients with radiologically diagnosed case of grade 2 knee OA according to the Kellgren and Lawrence scale
• Patients with reported peak knee pain of \>3 on visual analogue scale (VAS)

You may not qualify if:

• Participants with acute inflammation of knee
• Participants with severe degenerative lumbar spine disease e.g spondylolisthesis
• Participants with systemic inflammatory arthritic or neurological conditions
• Participants with intraarticular injection in the prior 3 months
• Participants with unstable heart condition
• Participants with received physical therapy of knee in last 3 months

Sponsors & Collaborators

• Riphah International University: lead

Related Publications (3)

• Suzuki Y, Iijima H, Tashiro Y, Kajiwara Y, Zeidan H, Shimoura K, Nishida Y, Bito T, Nakai K, Tatsumi M, Yoshimi S, Tsuboyama T, Aoyama T. Home exercise therapy to improve muscle strength and joint flexibility effectively treats pre-radiographic knee OA in community-dwelling elderly: a randomized controlled trial. Clin Rheumatol. 2019 Jan;38(1):133-141. doi: 10.1007/s10067-018-4263-3. Epub 2018 Aug 30.

  PMID: 30167975 BACKGROUND

• Steultjens MP, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW. Range of joint motion and disability in patients with osteoarthritis of the knee or hip. Rheumatology (Oxford). 2000 Sep;39(9):955-61. doi: 10.1093/rheumatology/39.9.955.

  PMID: 10986299 BACKGROUND

• Pozsgai M, Udvaracz K, Peter IA, Than P, Nusser N. Effect of single end-range and not end-range Maitland mobilization on pressure pain threshold and functional measures in knee osteoarthritis: randomised, controlled clinical trial. Eur J Phys Rehabil Med. 2022 Oct;58(5):774-783. doi: 10.23736/S1973-9087.22.07506-2. Epub 2022 Sep 12.

  PMID: 36094367 BACKGROUND

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

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

Study Officials

• Zainab Amjad Dr., DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Saba Rafique Dr., DPT,MS-OMPT

CONTACT

03034045433; saba.rafique@riphah.edu.pk

Saba Rafique Dr., DPT, MS-OMPT

CONTACT

03034045433; saba.rafique@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 20, 2024
• First Posted: December 27, 2024
• Study Start: January 10, 2025
• Primary Completion: June 25, 2025
• Study Completion: June 30, 2025
• Last Updated: December 27, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share