Effectiveness of Maitland mobilisation technique on pain and hand functions in the postoperative management of Colles fracture

Mahakul, Birupakshya; Singh, Harpreet; Sahoo, Jaganath; Samant, Saswat

doi:10.22271/ortho.2017.v3.i3f.69

Cited by 2 publications

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“…These oscillatory movements activate different mechanoreceptors present in the joint and helps in breaking adhesions caused by hypo mobility 9 . The Maitland concept gives five grades of mobilization: grade I-V which are used as per indications and contraindications 10 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Maitland Mobilization and Mulligan Mobilization with movement on pain and hand function in patients having post Colle’s Fracture Stiffness

Javaid¹,

Anwar²,

Asghar³

et al. 2022

PJMHS

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Background: Post-surgical rehabilitation of Colle’s fracture requires manual and exercise therapy to restore normal hand function. Aim: To compare the effectiveness of Maitland mobilization and Mulligan’s mobilization with movement on hand function and pain after Colle’s fracture. Study Design: Non randomized clinical study. Methodology: Study was conducted after ethical approval, at physiotherapy department Mayo hospital Lahore in 2019-20. Sample of 60 patients estimated by epitool, was divided into three equal groups (A, B & C). Subjects were screened on the basis of predefined eligibility criteria. All three groups received the respective therapy along with baseline treatment on alternate days for 4 weeks. Pre and post treatment and follow up assessments included VAS, patient rated wrist evaluation questionnaire and wrist ranges of motion with goniometer. Results: Mean age of participants was 45.38±6.58 years. No significant measures were found in any of the outcome measure between Maitland and Mulligan mobilization (p<0.05). Statistically significant improvement was found in all groups. Conclusion: We concluded that that the Mulligan mobilization with movement was effective to reduce pain and improve hand function in management after Colle’s fracture. Keywords: Colle’s Fracture, Post Fracture Stiffness, Radius Fracture, Mobilization and Mulligan’s Mobilization

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Section: Introductionmentioning

confidence: 99%

Comparison of Maitland Mobilization and Mulligan Mobilization with movement on pain and hand function in patients having post Colle’s Fracture Stiffness

Javaid¹,

Anwar²,

Asghar³

et al. 2022

PJMHS

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“…Colles' Fracture is also called "Dinner Fork" or "Bayonet" deformity, due to peculiar appearance of the forearm. It mainly occurs due to fall on an outstretched hand (FOOSH) [3]. Distal radius fracture is one of the most common types of fractures without the involvement of articular surfaces [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…It mainly occurs due to fall on an outstretched hand (FOOSH) [3]. Distal radius fracture is one of the most common types of fractures without the involvement of articular surfaces [3,4]. Incidence of Colles' fracture is almost 5 times more in women than that of men.…”

Section: Introductionmentioning

confidence: 99%

“…Stiffness usually results from an injury to the soft tissue, articular surfaces or an extended immobilization period in the course of the fracture phase of management [9]. Some of the impediments such as malfunction of median nerve, ulnar nerve, mal-united fracture and postfracture inflexibility which are reported quite often [3].…”

Section: Introductionmentioning

confidence: 99%

“…Many treatments such as Electrotherapy and Exercise therapy programs are utilized in physiotherapy, which further include paraffin wax bath, soft tissue stretches, isometric exercises, active movements and exercises of hand muscles [3].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Mobilization with Movement in Patients with Colles’ Fracture: A Randomized Clinical Trial

Biswas

Srivastava

Mittal

2021

JPRI

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Background: Fracture of the distal radius or Colles’ Fracture mainly occurs due to fall on an outstretched hand and Physiotherapy plays an indispensable role in preventing postoperative complication namely hand stiffness. Mulligan concept of mobilization is a specific form of manual therapy technique that embraces skilled movements which is used to mobilize or manipulate soft tissues and joints with the target to improve tissue extensibility, increase in range of motion of joints, foster relaxation and reduce tissue swelling/ inflammation. Objective: To compare the effectiveness of Mulligan concept of mobilization with movement technique and conventional physiotherapy treatment following postsurgical Colles’ Fracture in terms of range of motion and functional activities. Methods: A total number of 36 patients were recruited for the study. They were divided into two groups: group I and group II. Group I (n= 18) was given mobilization with movement (MWM) along with wax bath and group II (n=18) was given conventional physiotherapy along with wax bath. The interventions were given for 7 days. The value of goniometer and Michigan hand outcome questionnaire (MHOQ) were taken both at baseline and after 7 days of interventions. Results: After intervention, there were no significant differences between the groups as the collected information was summarized by using frequency percentage, for qualitative data; and mean, the standard deviation, Median and Inter Quartile Range (IQR) for quantitative data. To compare the difference in proportion Chi square test was used. To compare the ROM and Michigan Hand Outcome Questionnaire between two groups Independent sample t-test was used. Within the group comparison was analysed by using paired t-test. The p-value less than 0.05 was considered significant for the study. Discussion: This study showed consistent with the previous studies as there was a significant improvement in the range of motion and hand functions between and within the groups. Conclusion: It can be concluded that both the treatments are equally effective.

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Effectiveness of Maitland mobilisation technique on pain and hand functions in the postoperative management of Colles fracture

Cited by 2 publications

References 0 publications

Comparison of Maitland Mobilization and Mulligan Mobilization with movement on pain and hand function in patients having post Colle’s Fracture Stiffness

Comparison of Maitland Mobilization and Mulligan Mobilization with movement on pain and hand function in patients having post Colle’s Fracture Stiffness

Efficacy of Mobilization with Movement in Patients with Colles’ Fracture: A Randomized Clinical Trial

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