"Comparison of the Effectiveness of Exercise Therapy VS Mulligan’s Mobilization with Movement on Pain and Activity of Daily Living Among Patients with Knee Osteoarthritis in Household Females"

Abstract

Background: Knee OA is the most common degenerative disease in old individuals which affects ability of walking, sitting and climbing stairs. There are several manual therapy techniques for limited and painful knee flexion, but there is very few evidence about the combined effect of Exercise therapy and Mulligan's Mobilization with Movement (MWM) in osteoarthritis of the knee.Objective: To determine the effect of exercise therapy and mulligan*s mobilization with movement techniques on pain and difficulty in performing ADLs with knee OA in household females. Methodology:It was randomized control trail study. The study was done among the household females with knee OA. The study was completed in six months after the approval of synopsis. The 38 participants involved in this study age ranges from 40-60. The participants were divided into 2 groups. Group A include 19 patients which receive Exercise therapy and group B also include 19 patients which received the MWM. Outcome measures were WOMAC score and VAS score.Results: In this study 38 female participates. The results shows that the participants with different age and percentage. Before treatment the Mean and Standard deviation for VAS scale as follow Mean 7.08 with SD 0.997. After treatment the VAS scale shows Means 3.42 with SD 1.826 for both groups. On the other hand the pre WOMAC index shows the Mean 50.87 with SD 13.368 and post WOMAC index shows Mean 26.97 with SD 14.070 for both groups. Lower score implies a better post-treatment improvement. P-value shows that the mean difference of knee Osteoarthritis before and after treatment is significant. Conclusion:The research shows that that the group which receives the Mulligan's Mobilization with movement are more effective than the group which receives Exercise therapy and is important in the treatment and reducing symptoms of grade I and II knee osteoarthritis among household female patients.