Comparison between effectiveness of Maitland Compression Technique with Medial Glide and Conventional Therapy in Patients with Patellofemoral Osteoarthritis

Joshi, Sneha; Srivastava, Namrata; Kushwah, Saurav Singh

doi:10.5958/0973-5674.2014.00385.2

Cited by 3 publications

(5 citation statements)

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“…Using the modified Downs and Black scale and our assignment of quality, one study was considered excellent (Crossley et al, ), three were considered good (Deyle et al, , ; Dwyer et al, ), one was considered fair (Kappetijn, van Trijffel, & Lucas, ) and seven were considered poor (Joshi et al, ; Ko, Lee, & Lee, ; Lalit et al, ; Narang & Ganvir, ; Pollard, Ward, Hoskins, & Hardy, ; Razek & Shenouda, ; Singh, ). There were a number of problem items that were either not present or unable to be determined within studies, including item 9: Characteristics of patients lost to follow up ; item 16: Data dredging ; item 17: Did the analyses adjust for different lengths of follow up ?…”

Section: Resultsmentioning

confidence: 99%

“…Studies were pooled in meta-analysis, as indicated by sufficient statistical homogeneity utilizing the assumptions checklist for meta-analysis by Draper, Hodges, Mallows, and Pregibon (1993). During the review, we discovered evidence (Sabapathy, Janakiraman, Swarnalatha, & Ayyanar, 2010) of a potential concern about bias in studies reported in the Indian Journal of Physiotherapy and Occupation Therapy (Joshi, Srivastava, & Kushwah, 2014;Lalit, Suhas, & Amita, 2012;Narang & Ganvir, 2014;Razek & Shenouda, 2014;Singh, 2012). The authors of this review noted limited reporting of ethical committee clearance and varied forms of patient consent, concluding that:…”

Section: Discussionmentioning

confidence: 99%

“…Using the modified Downs and Black scale and our assignment of quality, one study was considered excellent (Crossley et al, 2015), three were considered good (Deyle et al, 2000(Deyle et al, , 2005Dwyer et al, 2015), one was considered fair (Kappetijn, van Trijffel, & Lucas, 2014) and seven were considered poor (Joshi et al, 2014;Ko, Lee, & Lee, 2009;Lalit et al, 2012;Narang & Ganvir, 2014;Pollard, Ward, Hoskins, & Hardy, 2008;Razek & Shenouda, 2014;Singh, 2012…”

Section: Risk-of-bias Appraisalmentioning

confidence: 99%

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Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta‐analysis

Salamh

Cook

Reiman

et al. 2016

Musculoskeletal Care

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Manual therapy (MT) is a commonly used treatment for knee osteoarthritis (OA) but to date only one systematic review has explored its effectiveness. The purpos e of the present study was to perform a systematic review and meta-analysis of the literature, to determine the effectiveness and fidelity of studies using MT techniques in individuals with knee OA. Relevant studies were assessed for inclusion. Effectiveness was measured using effect sizes, and methodological bias and treatment fidelity were both explored. Effect sizes were calculated using standardized mean differences (SMD) based on pooled data depending on statistical and clinical heterogeneity, as well as risk of bias. The search captured 2,969 studies; after screening, 12 were included. Four had a low risk of bias and high treatment fidelity. For self-reported function, comparing MT with no treatment resulted in a large effect size (standardized mean difference [SMD] 0.84), as did adding MT to a comparator treatment (SMD 0.78). A significant difference was found for pain when adding MT to a comparator treatment (SMD 0.73). The findings in the present meta-analytical review support the use of MT versus a number of different comparators for improvement in self-reported knee function. Lesser support is present for pain reduction, and no endorsement of functional performance can be made at this time.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Risk-of-bias Appraisalmentioning

confidence: 99%

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Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta‐analysis

Salamh

Cook

Reiman

et al. 2016

Musculoskeletal Care

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“…[12][13][14] One approach is to use combined interventions of manual therapy and exercise. 15,16 Only a few clinical trials, however, have evaluated the role of manual therapy that targets patellofemoral joint osteoarthritis, 17,18 and they are limited by small sample size, lack of methodological rigor, 17 or heterogeneous interventions. 18 We evaluated whether a simple clinic-based patella mobilization therapy (PMT) used in primary care settings could effectively reduce pain and improve function and quality of life in patients with concomitant patellofemoral joint osteoarthritis and tibiofemoral joint osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

Clinic-Based Patellar Mobilization Therapy for Knee Osteoarthritis: A Randomized Clinical Trial

et al. 2018

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PURPOSE We performed a phase 2 randomized clinical trial to evaluate the preliminary effectiveness of a clinic-based patellar mobilization therapy (PMT) in patients with knee osteoarthritis. METHODS We recruited 208 patients with knee osteoarthritis at primary care clinics in Hong Kong. Patients were randomly assigned (1:1) to the intervention group or the control group. The intervention group received 3 PMT treatment sessions from primary care physicians at 2-month intervals, with concomitant prescription of a home-based vastus medialis oblique muscle exercise. The control group received PMT after the study period. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score. Secondary outcomes included the WOMAC composite, function, and stiffness scores; the visual analog scale score for pain; objective physical function tests (30-s chair stand, 40-m walk test, timed up and go test, and EuroQol-5D). All outcomes were evaluated at baseline and at 24 weeks through intention-to-treat analysis. RESULTS We observed no baseline between-group differences. The WOMAC pain score showed greater improvement in the intervention group than in the control group at 24 weeks (between-group difference-15.6, 95% CI,-20.5 to-10.7, P <.001). All secondary outcomes also demonstrated significant betweengroup differences. CONCLUSIONS Patellar mobilization therapy has the potential to reduce pain and improve function and quality of life for patients with knee osteoarthritis. Future clinical trials with comparison to other active comparator controls will help determine the overall efficacy and facilitate the deployment of PMT in realworld practice.

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“… 19 20 Manual therapy is recommended by the National Institute for Health and Care Excellence (NICE) as an adjunctive therapy to exercise for OA. 21 However, only a few clinical trials have evaluated manual therapy that targets PFOA, 22 23 with strength of conclusions limited by small sample size, lack of methodological rigour 22 or heterogeneous interventions (exercise, education, manual therapy and tapping). 23 …”

Section: Introductionmentioning

confidence: 99%

Clinical effectiveness of patella mobilisation therapy versus a waiting list control for knee osteoarthritis: a protocol for a pragmatic randomised clinical trial

et al. 2018

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IntroductionKnee osteoarthritis (KOA) is a common, disabling and costly medical condition. The patellofemoral joint is a critical source of pain in individuals with KOA, and coexistence of patellofemoral osteoarthritis (PFOA) and tibiofemoral osteoarthritis (TFOA) is sometimes observed. The identification of subgroups with PFOA and customised interventions to correct underlying pathomechanics is beneficial for individuals with KOA. This study aims to evaluate whether a clinic-based patella mobilisation therapy (PMT) leads to significant improvement in pain, physical function and quality of life of individuals with KOA.Methods and analysisA total of 208 participants with coexistence of PFOA and TFOA will be recruited. A pragmatic randomised clinical trial will be conducted, and participants will be randomised into the PMT and waiting list groups. For the PMT group, three manual mobilisation sessions, along with home-based vastus medialis oblique muscle exercise, will be conducted at 2-month intervals. The waiting list group will continue to receive their usual care, and as an incentive the waiting list group will be offered PMT after the study period is over. The primary outcome is the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale, and secondary outcomes include the WOMAC function and stiffness subscales, scores for objective physical function tests (the 30 s chair stand, 40-metre fast-paced walk test, the Timed Up and Go Test), and the EuroQol-5D scores. All outcomes will be evaluated at baseline and 6 months using intention-to-treat and incorporating covariate analysis.Ethics and disseminationEthics approval has been obtained (CREC no: 2014.379). Results of the trial will be submitted for publication in a peer-reviewed journal.Trial registration numberChiCTR-IPC-15006618; Pre-results.

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Comparison between effectiveness of Maitland Compression Technique with Medial Glide and Conventional Therapy in Patients with Patellofemoral Osteoarthritis

Cited by 3 publications

References 0 publications

Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta‐analysis

Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta‐analysis

Clinic-Based Patellar Mobilization Therapy for Knee Osteoarthritis: A Randomized Clinical Trial

Clinical effectiveness of patella mobilisation therapy versus a waiting list control for knee osteoarthritis: a protocol for a pragmatic randomised clinical trial

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