Mulligan's Mobilisation with Movement (MWM) Relieves Pain and Improves Functional Status in Osteoarthritis Knee

Abstract

Background: There are several manual therapy techniques for limited and painful knee flexion, but there are very few evidence about the effectiveness of Mulligan's Mobilisation With Movement (MWM) in osteoarthritis of the knee. The objective of the study was to find the effect of MWM on pain and functional status in patients with osteoarthritis knee.Methods: 30 patients diagnosed with medial compartment tibiofemoral osteoarthritis of the knee were randomized into two groups ( experimental and control groups ) with 15 subjects in each group.The experimental group received medial glide MWM and medial rotation glide MWM in weight bearing and non-weight bearing positions after which the patients were asked to walk for a while. Conventional therapy in the form of shortwave diathermy (SWD), quadriceps strengthening and stretching of the calf and hamstrings was given to both the experimental and the control group. The intervention regimen lasted for seven days. Outcome measures were WOMAC score, VAS score and distance walked in 6-minute walk test. Result:The study showed significant improvement in VAS (p<0.05 in control group, p<0.001 in experimental group ), WOMAC scale(p<0.05 in control group, p<0.001 in experimental group) and distance walked in 6 minutes(p<0.05 in control group, p<0.001 in experimental group) in both the groups, but all these improvements were highly significant in experimental group ( p< 0.001 ) than those in the control group. Conclusion:Mulligan's MWM is significantly effective in relieving pain and improving functional status in osteoarthritis of the knee.

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

“…These results are in accordance with previous studies utilising mobilisation with movement. 13,14,25,26,30 The experimental group regained full range of motion much earlier, suggesting a quicker time to recovery. 10.0 (50.0%) 13.0 (65.0%) Table 2.…”

“…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…”

“…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.…”

De Quervain’s Tenosynovitis in Postpartum Woman: A Case Report

“…Brian Mulligan in 1984 described the mobilization with movement as a manual therapy technique for treating joint pain, stiffness, and dysfunction . [5] Using either the patient's active participation or the therapist's passive participation, this treatment involves the continuous application of a manual maneuver that applies "gliding" force to a joint with contemporaneous movement of the joint that occurs naturally (osteo-kinematically). [6].…”

Effectiveness of Mobilisation with Movement Versus Conventional Physiotherapy on Pain and Functions Among Patients with Unilateral Medial Compartment Tibiofemoral Knee Osteoarthritis

“…The present study has the approval of the Institutional Local Ethical Committee and informed consent was obtained from all the subjects. The subjects had to meet the following inclusion criteria: age between 45 -70 years, 21 both male and female, unilateral knee OA according to Kellgren and Lawrence (K&L) grade ≥ 2, 22 pain and crepitus in the knee joint during knee movements, medial knee pain, duration of pain more than 2 months whereas exclusion criteria were patient have taken any intra-articular injection within 3 months, metallic implant around knee joint, suspicious of malignancy around knee joint, significant cardiovascular disease, knee injury.…”