To determine the effects of Maitland mobilization and Mulligan medial/lateral glide
on pain intensity, knee ROM and functional performance in patients with knee
osteoarthritis.
Design
Two groups, parallel group, double blinded, Randomized Controlled Trial.
Settings and conduct
Riphah College of Rehabilitation & Allied Health Sciences
The way forward day care centre, Lahore
Participants/Inclusion and exclusion criteria
INCLUSION CRITERIA: Old adults ( age above 60 years) Male and female Patients who met the American College of Rheumatology clinical criteria for knee osteoarthritis Radiological evidence of knee OA grades 0 , 1 and 2 as per Kellgren Lawrence grading system Pain intensity of at least 3 on Visual Analogue Scale (VAS) Willing to participate in research project EXCLUSION CRITERIA: Infection or inflammatory disorder History of surgery or trauma on knee Malignancy Systemic illness Rheumatoid Arthritis Fracture, any situation which is contraindicate mobilization Osteoporosis Current use of any medication or physiotherapy treatment Cognitive impairments
Intervention groups
Group A: Maitland mobilization with conventional physical therapy
Group B: medial/lateral mulligan mobilization with conventional physical therapy
Main outcome variables
Pain, Range of motion (ROM), Functional disability
NPRS, Goniometer, Modified Western Ontario and McMaster Universities Arthritis Index ( WOMAC scale)
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20200619047835N1
Registration date:2020-08-24, 1399/06/03
Registration timing:registered_while_recruiting
Last update:2020-08-24, 1399/06/03
Update count:1
Registration date
2020-08-24, 1399/06/03
Registrant information
Name
Junaid Walayat
Name of organization / entity
Riphah International University
Country
Pakistan
Phone
+92 68 3768660
Email address
junaidwalayat76@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-04-01, 1399/01/13
Expected recruitment end date
2020-09-30, 1399/07/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
"Effects of Maitland mobilization and mulligan medial/lateral glide mobilization in knee osteoarthritis."
Public title
"Effects of Maitland mobilization and mulligan medial/lateral glide mobilization in knee osteoarthritis."
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Middle & old adults (age above 60 years)
Male and female
Patients who met the American College of Rheumatology clinical criteria for knee osteoarthritis
Radiological evidence of knee OA grades 0, 1 and 2 as per Kellgren Lawrence grading system
Pain intensity of at least 3 on Visual Analogue Scale (VAS)
Willing to participate in research project
Exclusion criteria:
Infection or inflammatory disorder
History of surgery or trauma on knee
Malignancy
Systemic illness
Rheumatoid Arthritis
Fracture, any situation which is contraindicate mobilization
Osteoporosis
Current use of any medication or physiotherapy treatment
Cognitive impairments
Age
From 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Outcome assessor
Sample size
Target sample size:
22
Randomization (investigator's opinion)
Randomized
Randomization description
written conset form will be taken. after enrollment into study , patient will be allocated either group A or group B by lottery method. No. of chits will be equal to total sample size, odd numbers will be allocated to Group A and even number will be allocated to Group B. each patient will be requested to draw a chit from the box and after that patient will be recruited into either Group A or Group B
Blinding (investigator's opinion)
Double blinded
Blinding description
Assessor Blind: Data safety will be ensured by assigning Specific Identity numbers and all consent, readings forms will be placed in locker to blind Assessors
Participant Blind : study participants are unaware of the group allocations in such a way equal time is given to each patient, session schedule for each patient is different. the patients does not know who is receiving which intervention.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
secretary ethical review committee, Riphah College of Rehabilitation and Allied Health Sciences
Street address
28-M, Quaid-e-Azam Industrial Estate, Kot Lakhpat, Lahore.
City
Lahore
Postal code
54000
Approval date
2020-02-08, 1398/11/19
Ethics committee reference number
Ref. No,RCR & AHS/REC/MS-NMPT/005
Health conditions studied
1
Description of health condition studied
knee osteoarthritis
ICD-10 code
M17
ICD-10 code description
Osteoarthritis of knee
Primary outcomes
1
Description
Pain
Timepoint
Before treatment, during treatment at 3rd week and after treatment at 6th week, Follow up in 9th week
Method of measurement
The Numeric Pain Rating Scale (NPRS)
Secondary outcomes
1
Description
Range of motion ROM
Timepoint
Before treatment, during treatment at 3rd week and after treatment at 6th week, follow up in 9th week
Method of measurement
Goniometer
2
Description
Functional disability
Timepoint
Before treatment, during treatment at 3rd week and after treatment at 6th week, follow up in 9th week
Method of measurement
Modified Western Ontario and McMasterUniversities Arthritis Index( WOMAC scale)
Intervention groups
1
Description
Intervention group A: Maitland mobilization with conventional physical therapy
Category
Other
2
Description
Intervention group B: medial/lateral mulligan mobilization with conventional physicaltherapy
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
The Way Forward Daycare centre for senior citizens