Paraffin Wax Bath With Joint Mobilization Technique in Post-traumatic Stiff Knee
Condition: Knee Pain Chronic
Study type: Interventional

Summary: 
      This project will be a Randomized clinical trial conducted to check the effect of paraffin
      wax bath with joint mobilization technique in rehabilitation of post-traumatic stiff knee
      joint. Study duration will be of 8 months, convenient sampling was done, subject following
      eligibility criteria from Jinnah Hospital Lahore, will be randomly allocated in two groups,
      baseline assessment was done, Group A participants were given baseline treatment along with
      paraffin wax bath therapy and Maitland knee joint mobilization, Group B participants will be
      given baseline treatment along with Maitland knee joint mobilization. Assessments will done
      in 4th week and 8th week via, Numeric pain rating scale, goniometer, western Ontario and
      McMaster universities osteoarthritis index,4 sessions per week will given, data will analyzed
      by using SPSS version 25.
    

Detailed description: 
      Knee stiffness is common problem post traumatically due to process of inhibition often occurs
      in the early post-injury phase. This leads to the initiation of muscle atrophy within hours
      of the cessation of normal voluntary muscle activation further; this can result in an
      increase in the viscosity of synovial fluid within the joint, which provides more resistance
      to motion. Maitland mobilization aims to reestablish the spinning, gliding and rolling
      motions of the two joints. Although paraffin bath therapy has various effects such as
      analgesia, reducing chronic inflammation, and increasing connective tissue elasticity, it is
      non-invasive and has few side effects. Paraffin wax therapy, combined with exercises and the
      use of splints, has also been found helpful in restoring the range of movement. The current
      study is to explore the effect of parrafin wax bath therapy in rehabilitation of posttrumatic
      stiff knee range of motion, pain and functional status, and emphasize the importance of
      parrafin wax bath therapy adjunct with mobilization technique in treatment of knee stiffness
    

Intervention name(s): Paraffin wax bath therapy and Maitland joint mobilization techniques; Maitland knee joint mobilization
Intervention type(s): Other; Other
Intervention description(s): In group A Patients will be treated with paraffin wax bath 20 minutes (before any physical therapy treatment)
(Apply a few drops of olive oil into the skin of the area. Dip/pour knee joint area into the wax and leave it in for a few seconds until a layer forms over the area. Wait for the wax to dry. Repeat this process until you have at least 10 layers of wax area to be treated.)
Joint mobilization technique (8-12 glides at knee joint, mobilization grade-I and grade-II will be used for pain management and relaxation, while grade III for improvement in the PROM at knee joint) will be given 4 times a week for 6 weeks (The patient will be positioned in supine lying with the knee slightly flexed and a prop placed under the distal femur. The stabilizing hand will be used to prop the distal femur and the mobilizing hand is placed over the proximal tibia just below the tibial tuberosity. The mobilization itself will be performed by a force perpendicular to the line of the tibia.); Group B will have (8-12 glides at knee joint, mobilization grade-I and grade-II will be used for pain management and relaxation, while grade III for improvement in the PROM at knee joint) 4 times a week for 6 weeks.
Mobilization procedure will be same as above
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Post-traumatic stiff knee; Range of motion; Pain; Mobilization