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IRCT20230202057310N2 IRCT 2023-08-29 Muhammad Nawaz Sharif University of Agriculture Mulligan traction straight leg raise stretch and proprioceptive exercise in treating osteoarthritis Therapeutic utility of Mulligan traction straight leg raise stretch and proprioceptive exercise in treating osteoarthritis 2023-08-31 anticipated 130 Complete https://irct.ir/trial/72189 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Patients were assessed by radiological finding (x-ray) and by physical assessment and by monitoring of biochemical parameters, Randomization description: Allocation concealment occurs and patients will be recruited by using simple randomization through the Lottery method. lottery method carried out through sealed envelopes. Also the data analyser will be kept blind to minimize biasness, Blinding description: Participants will be blinded. Participants will be unaware of the type of treatments that will be evaluated after the completion of the intervention trial. Subjects will be completely unaware of the type and effects of both interventions. And in the same way data analyser will be kept blind by not knowing about the effects and group details. 1 Knee osteoarthritis with grade 1,2 and 3. Intervention 1: Intervention group: Group A will receive proprioceptive exercises, half squats, standing on just one foot, walking on the heel and toes (with eyes open and closed), one-legged balance exercises using a heating pad, and knee flexion and extension exercises while sat in a chair. Proprioceptive Exercise group A will be given 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes. The exercises in their program will develop from static to dynamic, including single-leg stances and balance exercises on unstable surfaces, starting with low-to-moderate intensity balance and stability exercises. Every exercise will be done for 1 to 2 minutes, with a 30-second break in between. Intervention 2: Intervention group: Group-B The total treatment regimen will be 8 weeks, including 24 sessions, participants in the Mulligan Traction Straight Leg Raise Stretch (MT-SLR) group B get the intervention 3 times a week for 30 minutes each session. Every session will involve performing 3 sets of 10 repetitions of straight leg lifts while using manual traction. The traction force will be adjusted according to each individual's comfort level and the repetitions were held for 15–20 seconds each. Intervention 3: Intervention group: Group C will be given both proprioceptive and MT-SLR The total treatment regimen will be 8 weeks, including 24 sessions, participants in the Mulligan Traction Straight Leg Raise Stretch (MT-SLR) get the intervention 3 times a week for 30 minutes each session. Proprioceptive Exercise group will be given in 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes. Yes - There is a plan to make this available What will be shared: The title is COMPARATIVE ANALYSIS OF MULLIGAN AND PROPRICEPTIVE EXERCISES IN KNEE OSTEOARTHRITIS. When: N/A To whom: N/A Conditions: N/A Where to obtain: N/A How to obtain: N/A Comments: N/A
public Saman Iqbal
HBL street, sbzazar station, Bosan road, Multan, Pakistan
Multan Pakistan 66000 034350467357 samaniqbal2019@gmail.com Muhammad Institute of Medical and Allied Sciences, Multan, Pakistan scientific Imran Ahmad Khan
Agriculture Complex, Old Shuja Abad Rd,
Multan Pakistan 66000 +92 333 6120602 imranahmadkhandurrani@gmail.com Muhammad Nawaz Sharif University of Agriculture Pakistan Age 40-65 years Patients with diagnosed OA Both genders Patients with swelling in knee joints Patients with pain in knee joints Difficulty in walking and climbing stairs 40 years 65 years Both Vascular neoplasia Fibromyalgia Radiculopathy Neuropathy Joint fractures Vestibular problems Congenital disorders Tumor M17 Osteoarthritis of knee Treatment - Other Treatment - Other Treatment - Other Intervention group: Group A will receive proprioceptive exercises, half squats, standing on just one foot, walking on the heel and toes (with eyes open and closed), one-legged balance exercises using a heating pad, and knee flexion and extension exercises while sat in a chair. Proprioceptive Exercise group A will be given 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes. The exercises in their program will develop from static to dynamic, including single-leg stances and balance exercises on unstable surfaces, starting with low-to-moderate intensity balance and stability exercises. Every exercise will be done for 1 to 2 minutes, with a 30-second break in between. Intervention group: Group-B The total treatment regimen will be 8 weeks, including 24 sessions, participants in the Mulligan Traction Straight Leg Raise Stretch (MT-SLR) group B get the intervention 3 times a week for 30 minutes each session. Every session will involve performing 3 sets of 10 repetitions of straight leg lifts while using manual traction. The traction force will be adjusted according to each individual's comfort level and the repetitions were held for 15–20 seconds each. Intervention group: Group C will be given both proprioceptive and MT-SLR The total treatment regimen will be 8 weeks, including 24 sessions, participants in the Mulligan Traction Straight Leg Raise Stretch (MT-SLR) get the intervention 3 times a week for 30 minutes each session. Proprioceptive Exercise group will be given in 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes. Pain and functional disability. Timepoint: 8 weeks. Method of measurement: Numerical Pain Rating Scale, Pain catastrophizing scale, The Western Ontario and McMaster Universities Arthritis Index (WOMAC). Range of motion. Timepoint: 8 weeks. Method of measurement: The Western Ontario and McMaster Universities Arthritis Index (WOMAC). Inflammatory biomarkers. Timepoint: 8 weeks. Method of measurement: Complete blood count (CBC) and interleukins measurement. Muhammad Nawaz Sharif University of Agriculture Approved 2023-07-30 The Institutional Ethical Committee of Muhammad Institute of Medical and Allied Sciences, Multan HBL street, Sbzazar metro station, Bosan road, Multan, Pakistan Multan Punjab Pakistan