Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

An Experimental Study on Effects of Mulligan Mobilization Technique and Isometric Exercises in Patients with Osteoarthritis Knee


Affiliations
1 Department of Physiotherapy, College of Applied Education and Health Sciences, Meerut, India
     

   Subscribe/Renew Journal


Introduction: There is lack of evidence of effectiveness of Mulligan mobilization technique and isometric exercises in the treatment of osteoarthritis of knee. So this study is intended to find out the efficacy of these two treatment techniques while treating osteoarthritis of knee.

Material and Method: Thirty subjects were included in the study. They were assigned to group 1 and group 2 with 15 subjects in each group. Group 1 received isometric exercises with mulligan's technique. Group 2 received isometric exercises alone. Both the groups underwent treatment for 3 days a week for 4 weeks. Outcome measures were Western Ontario and McMaster Universities Osteoarthritis Index and 6 minutes Walk test. Data was analyzed using analysis of covariance test.

Results: For pain, F(y-x) was found to be 23.90 with df (1, 27) for group 1. For stiffness, the F(y-x) value is 33.86 with df (1, 27). For physical function, F(y-x) was obtained to be 9.66 with df (1, 27). For six minute walk test, The F(y-x) value was obtained to be 27.269 with the df (1, 27).

Conclusion: Isometric exercises along with manual therapy may not be effective than isometric exercises alone in treating osteoarthritis knee is rejected.


Keywords

Mulligan Technique, Osteoarthritis Knee, Isometric Exercises
Subscription Login to verify subscription
User
Notifications
Font Size


  • Kelsey J.L., Hochberg M.C. Epidemiology of Chronic musculoskeletal disorders, Annu. Rev. Public Health; 9:379-401.
  • Guccione AA. Osteoarthritis, Comorbity and Physical disability. In Osteoarthritis-Public Health implications for an aging population (ed D. Hamerman). Baltimore, MD: The Johns Hopkin University Press, 1997; 84-98.
  • Ettinger WH Jr, Afable RF. Physical disability from knee Osteoarthritis: the role of exercise as an intervention. Med Sci Sports Exercise 1994; 26: 1435-40.
  • Philbin EF, Groff GD, Ries MD, Miller TE. Cardiovascular fitness and health in patients with end-stage Osteoarthritis. Arthritis Rheum 1995; 38: 799-805.
  • Hawker G. Epidemiology of arthritis and Osteoporosis. In: Williams J. Badley EM. eds. Patterns of Health Care in Ontario: Arthritis and Related conditions. Toronto: ICES. 1998:1-10.
  • Ed Wilson, The Mulligan Concept: NAGS, SNAGS and mobilization with movement. Journal of Body work and Movement Therapies (2001); 5(2), 81-89.
  • Deyle. G.D., et al. Physical Therapy Treatment Effectiveness for Osteoarthritis of the knee. A Randomized Comparison of Supervised Clinical Exercise and Manual Therapy Procedures Versus a Home Exercise Programme.Physical Therapy. 2005; 85 (12):1301-1317.
  • Watterson JR, et al. Viscosupplementation: therapeutic mechanisms and clinical potential in osteoarthritis of the knee. J Am Acad Orthop Surg.2000; 8:277–284.
  • Kroesen S, Schmid W, Theiler R. Induction of an acute attack of calcium pyrophosphate dihydrate arthritis by intra-articular injection of hylan G-F 20 (Synvisc). Clin Rheumatol.2000; 19:147–149.
  • Pullman-Mooar S, et al. Are there distinctive inflammatory flares after hylan g-f 20 intraarticular injections? J Rheumatol.2002; 29: 2611–2614.
  • Gosal HS, Jackson AM, Bickerstaff DR. Intraarticular steroids after arthroscopy for osteoarthritis of the knee. J Bone Joint Surg Br.1999; 81:952–954.
  • Ayral X. Injections in the treatment of osteoarthritis. Best Pract Res Clin Rheumatol.2001; 15:609–626.
  • Deyle et.al. Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee. Annals of Internal Medicine 2000; 132 (3) 173-181.
  • Puett DW, Griffin MR. Published trials of nonmedicinal and noninvasive therapies for hip and knee osteoarthritis. Ann Intern Med.1994; 121:133–140.
  • Van Baar ME, Assendelft WJ, Dekker J, et al. Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review of randomized clinical trials. Arthritis Rheum.1999; 42:1361–1369.
  • Fransen M, et al. Therapeutic exercise for people with osteoarthritis of the hip or knee: a systematic review. J Rheumatol.2002; 29:1737–1745.
  • Mohomed NN. Manual physical therapy and exercise improved function in osteoarthritis of the knee. J Bone Joint Surg Am.2000; 82:1324.
  • Ludica CA. Can a program of manual physical therapy and supervised exercise improve the symptoms of osteoarthritis of the knee. J Fam Pract.2000; 49:466–467.

Abstract Views: 612

PDF Views: 5




  • An Experimental Study on Effects of Mulligan Mobilization Technique and Isometric Exercises in Patients with Osteoarthritis Knee

Abstract Views: 612  |  PDF Views: 5

Authors

Deepali Singh
Department of Physiotherapy, College of Applied Education and Health Sciences, Meerut, India

Abstract


Introduction: There is lack of evidence of effectiveness of Mulligan mobilization technique and isometric exercises in the treatment of osteoarthritis of knee. So this study is intended to find out the efficacy of these two treatment techniques while treating osteoarthritis of knee.

Material and Method: Thirty subjects were included in the study. They were assigned to group 1 and group 2 with 15 subjects in each group. Group 1 received isometric exercises with mulligan's technique. Group 2 received isometric exercises alone. Both the groups underwent treatment for 3 days a week for 4 weeks. Outcome measures were Western Ontario and McMaster Universities Osteoarthritis Index and 6 minutes Walk test. Data was analyzed using analysis of covariance test.

Results: For pain, F(y-x) was found to be 23.90 with df (1, 27) for group 1. For stiffness, the F(y-x) value is 33.86 with df (1, 27). For physical function, F(y-x) was obtained to be 9.66 with df (1, 27). For six minute walk test, The F(y-x) value was obtained to be 27.269 with the df (1, 27).

Conclusion: Isometric exercises along with manual therapy may not be effective than isometric exercises alone in treating osteoarthritis knee is rejected.


Keywords


Mulligan Technique, Osteoarthritis Knee, Isometric Exercises

References