Immediate effects of Maitland mobilization versus Mulligan Mobilization with Movement in Osteoarthritis knee- A Randomized Crossover trial

Rao, Ramya; Balthillaya, Ganesh M; Prabhu, Anupama; Kamath, Asha

doi:10.1016/j.jbmt.2017.09.017

Cited by 21 publications

(43 citation statements)

References 15 publications

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“…These results are consistent with previous studies investigating the efficacy of mobilisation with movement for the management of symptomatic knee osteoarthritis. 12–14,25,26…”

Section: Discussionmentioning

confidence: 99%

“…These results are consistent with previous studies investigating the efficacy of mobilisation with movement for the management of symptomatic knee osteoarthritis. [12][13][14]25,26 The improvement seen in both groups is likely partly explained by the positive effects of exercise. A Cochrane systematic review conducted by Fransen et al 9 provides high to moderate quality evidence for the beneficial effects of exercise in knee osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

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Long term efficacy of mobilisation with movement on pain and functional status in patients with knee osteoarthritis: a randomised clinical trial

2020

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Objectives: To evaluate the long term effect of mobilisation with movement on disability, pain and function in subjects with symptomatic knee osteoarthritis Design: A randomised controlled trial. Setting: A general hospital Subjects: Forty adults with knee osteoarthritis (grade 1–3 Kellgren–Lawrence scale). Interventions: The experimental group received mobilisation with movement and usual care (exercise and moist heat) while the control group received usual care alone in six sessions over two weeks. Main Measures: The primary outcome was the Western Ontario McMaster University Osteoarthritis index, higher scores indicating greater disability. Pain intensity over 24 hours and during sit to stand were measured on a 10 centimetre visual analogue scale. Functional outcomes were the timed up and go test, the 12 step stair test, and knee range of motion. Patient satisfaction was measured on an 11 point numerical rating scale. Variables were evaluated blind pre- and post intervention, and at three and six months follow-up. Results: Thirty five participants completed the study. At each follow-up including six-months, significant differences were found between groups favouring those receiving mobilisation with movement for all variables except knee mobility. The primary outcome disability showed a mean difference of 7.4 points (95% confidence interval, 4.5 to 10.3) at six-months and a mean difference of 13.6 points (95% confidence interval, 9.3 to 17.9) at three-months follow-up. Conclusion: In patients with symptomatic knee osteoarthritis, the addition of mobilisation with movement provided clinically significant improvements in disability, pain, functional activities and patient satisfaction six months later.

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“…These results are consistent with previous studies investigating the efficacy of mobilisation with movement for the management of symptomatic knee osteoarthritis. 12–14,25,26…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long term efficacy of mobilisation with movement on pain and functional status in patients with knee osteoarthritis: a randomised clinical trial

2020

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“…Secondly, comorbid MPS may be more resistant to treatment than primary MPS, as the comorbid medical condition may serve as a perpetuating factor, irritating the muscles and preventing resolution. These concepts have been demonstrated in patients with painful osteoarthritis of the knee, where treatment of the myofascial component led to a clinically meaningful but short-lived effect [ 45 , 48 , 49 ]. Finally, when treating a patient with a pain syndrome accompanied by comorbid MPS, clinicians are sometimes faced with a dilemma: does the patient’s pain stem from poor control of the primary pain condition or from the contribution of a putative myofascial component?…”

Section: Discussionmentioning

confidence: 99%

“…Active myofascial trigger points were detected in 75% of participants’ vastus medialis muscles and in 65% of their vastus lateralis muscles. Finally, several studies have explored the clinical efficacy of treating the myofascial component of OA-related pain, mostly showing short-term favorable results in pain and function [ 45 , 48 , 49 ]. In a randomized controlled trial including 40 patients undergoing total knee replacement, dry needling of the hip and calf muscles under anesthesia resulted in decreased post-surgical analgesic consumption, as well as decreased pain intensity one month post-surgery, when compared to sham needling [ 50 ].…”

Section: Methodsmentioning

confidence: 99%

The Case for Comorbid Myofascial Pain—A Qualitative Review

Vulfsons

Minerbi

2020

IJERPH

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Myofascial pain syndrome is widely considered to be among the most prevalent pain conditions, both in the community and in specialized pain clinics. While myofascial pain often arises in otherwise healthy individuals, evidence is mounting that its prevalence may be even higher in individuals with various comorbidities. Comorbid myofascial pain has been observed in a wide variety of medical conditions, including malignant tumors, osteoarthritis, neurological conditions, and mental health conditions. Here, we review the evidence of comorbid myofascial pain and discuss the diagnostic and therapeutic implications of its recognition.

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“…[17] The amplitude of mobilization movement, as well as the direction (cranial-caudal) were kept constant over time to answer the research question. In contrast, therapeutical mobilization techniques normally varies in grade, frequency, repetitions and duration of the mobilization session, taking the irritability of the joint complex into account [18]. Therefore, in a normal therapeutic setting, it would be appropriate to constantly adapt entire mobilization technique, to achieve a potential maximal mobilization effect.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a New Device for Passive Continuous Patellar Mobilization.

Hohenauer

Stoop

et al. 2020

IJMBS

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Patellafemoral joint diseases are commonly treated from physiotherapists. Patellar mobilisations can be performed either manually, but automated, passive continuous mobilisation devices are popular and frequently used in the clinical practice. The Patello device is a new developed product, but its effectiveness has not been verified yet. The purpose of this pilot-study was to investigate the effects of this passive continuous motion device (CPMD) on patellar cranial-caudal translation. Nine healthy participants (mean age: 36.0±10.74 yrs, mean height: 172.7±8.1 cm, mean mass: 72.4±8.6 kg) volunteered for this study. The participants’ right knee was investigated and placed at a flexion angle of 45° inside the device. The Patella bone was fixed to the device with two pincers to ensure full contact. A total of 50 repetitions, with a constant mobilisation speed, was conducted and the degree of translation was assessed after 1, 10, 20, 30 and 50 repetitions. The results of this pilot-study indicate, that the CPMD was effective to translate the patella within the trochlear groove after 1 (mean translation: 0.819cm, p<0.001), up to 50 repetitions (mean translation: 0.774 cm, p<0.001) compared to baseline. No significant differences (p>0.05) were observed between the repetitions. In conclusion, the CPMD proved to be effective to mobilize the patellar bone in a healthy population. Further studies should investigate the possible effects of passive continuous mobilisations in a clinical setting.

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Immediate effects of Maitland mobilization versus Mulligan Mobilization with Movement in Osteoarthritis knee- A Randomized Crossover trial

Cited by 21 publications

References 15 publications

Long term efficacy of mobilisation with movement on pain and functional status in patients with knee osteoarthritis: a randomised clinical trial

Long term efficacy of mobilisation with movement on pain and functional status in patients with knee osteoarthritis: a randomised clinical trial

The Case for Comorbid Myofascial Pain—A Qualitative Review

Efficacy of a New Device for Passive Continuous Patellar Mobilization.

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