Research Article
Volume 11 Issue 6 - 2020
Comparison between Maitland Mobilization with Conventional Physiotherapy and Mulligan Mobilization with Conventional Physiotherapy for the Treatment of Knee Osteoarthritis Patient at CRP
Md Nazmul Huda1, Mohammad Anwar Hossain2 and Mst Rabea Begum3
1Clinical Physiotherapist, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh
2Associate Professor and Head, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh
3Incharge of Physiotherapy Services, Physiotherapy Department (Paediatrics), Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh
*Corresponding Author: Mst Rabea Begum, Incharge of Physiotherapy Services, Physiotherapy Department (Paediatrics), Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh.
Received: March 29, 2020; Published: May 05, 2020




Abstract

Purpose: The study was conducted to identify and investigate the therapeutic effectiveness of Maitland mobilization along with conventional physiotherapy and Mulligan mobilization along with conventional physiotherapy for the treatment of knee osteoarthritis. This study has made the comparison, in order to discover the most effective treatment protocol to alleviate the symptoms of the condition.

Objectives: To assess the effect on pain after introducing of Maitland mobilization along with conventional physiotherapy Mulligan mobilization along with conventional physiotherapy for knee osteoarthritis patient, to measure the severity of pain by using Numeric pain rated scale (NPRS) to identify the severity of pain, to assess functional disability by western Ontario and McMaster Universities Index (WOMAC).

Methodology: A clinical trial was conducted. 14 samples were randomly selected into 2 groups from Musculoskeletal Unit, Physiotherapy Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar. Initially all the subjects were assessed by Peripheral Assessment Form at the clinical settings and then data were collected by questionnaires, Numeric pain rated scale (NPRS) was used to assess pain intensity and using Western Ontario and McMaster Universities Index (WOMAC) for functional disability of the patients. Experimental Group A received of Maitland mobilization along with conventional physiotherapy while experimental Group B received Mulligan mobilization along with conventional physiotherapy.

Results: The study has used statistical analysis by paired t test and unrelated t test to compare the Experimental group A and Experimental Group B and analyses by interpreting the probability level of significance of t value. The results were found to be significant for t value.

Conclusion: The study concluded that the Mulligan mobilization with conventional physiotherapy technique is significantly capable of producing beneficial effects on pain reduction.

Keywords: Mobilization; Maitland Mobilization; Mulligan Mobilization; Osteoarthritis

References

  1. Bosomworth NJ. “Exercise and knee osteoarthritis: benefit or hazard?” Canadian Family Physician 9 (2009): 871-878.
  2. Murphy L., et al. “Lifetime risk of symptomatic knee osteoarthritis”. Arthritis Care and Research9 (2008): 1207-1213.
  3. Srikanth VK., et al. “A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis”. Osteoarthritis and Cartilage9 (2005): 769-781.
  4. Al-Arfaj A and Al-Boukai AA. “Prevalence of radiographic knee osteoarthritis in Saudi Arabia”. Clinical Rheumatology 2 (2002): 142-145.
  5. Rinkle H., et al. “Comparison of McConnell patellar taping versus mobilization with movement in chronic knee osteoarthritis”. Indian Journal of Physiotherapy and Occupational Therapy--An International Journal4 (2010): 132-136.
  6. Malgaonkar PP., et al. “Short term effect of mulligans mobilization versus kinesio taping on knee pain and disability for osteoarthritis of knee”. International Journal of Physiotherapy 4 (2014): 233-240.
  7. Emrani A., et al. “Isokinetic strength and functional status in knee osteoarthritis”. Journal of Physical Therapy Science2 (2006): 107-114.
  8. Colbert CJ., et al. “Excess body weight and four‐year function outcomes: Comparison of African Americans and whites in a prospective study of osteoarthritis”. Arthritis Care and Research1 (2013): 5-14.
  9. Marmon AR., et al. “Perception and presentation of function in patients with unilateral versus bilateral knee osteoarthritis”. Arthritis Care and Research3 (2013): 406-413.
  10. Nam CW., et al. “Effects of the MWM technique accompanied by trunk stabilization exercises on pain and physical dysfunctions caused by degenerative osteoarthritis”. Journal of Physical Therapy Science9 (2013): 1137-1140.
  11. Shenouda MM. “Efficacy of Extracorporeal Shock Wave Therapy Versus Mobilization with Movement on Pain, Disability and Range of Motion in Patients With knee Osteoarthritis”. Bulletin of Faculty of Physical Therapy1 (2013).
  12. WHO Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium, World Health Organization. The burden of musculoskeletal conditions at the start of the new millennium: report of a WHO Scientific Group. World Health Organization (2003).
  13. Kiran A., et al. “Comparison of efficacy of mulligan's mobilization with movement with maitland mobilization along with conventional therapy in the patients with knee osteoarthritis: A randomized clinical trial”. Libyan International Medical University Journal 1 (2018): 26.
Citation: Mst Rabea Begum., et al. “Comparison between Maitland Mobilization with Conventional Physiotherapy and Mulligan Mobilization with Conventional Physiotherapy for the Treatment of Knee Osteoarthritis Patient at CRP”. EC Orthopaedics 11.6 (2020): 01-07.

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