Effects Of Maitland's Mobilization At Mid Versus End Range In Knee Osteoarthritis Patients

Knee Osteoarthritis (OA) is the most common form of arthritis affecting mostly elderly people contributing to major cause of disability worldwide.In knee osteoarthritis Maitland's manual therapy technique could be the most effective technique among all in decreasing pain sensitivity and increasing range of motion in knee OA.The aim of this study to compare effects of Maitland's mobilization at mid range versus end range on pain. range of motion and functional disability in patients with knee OA, providing useful insights for healthcare professionals to optimize treatment strategies and enhance outcomes in this context.

Knee Osteoarthritis (OA) is the most common form of arthritis affecting mostly elderly people contributing to major cause of disability worldwide.In knee osteoarthritis Maitland's manual therapy technique could be the most effective technique among all in decreasing pain sensitivity and increasing range of motion in knee OA.The aim of this study to compare effects of Maitland's mobilization at mid range versus end range on pain. range of motion and functional disability in patients with knee OA, providing useful insights for healthcare professionals to optimize treatment strategies and enhance outcomes in this context.

This Randomized Clinical Trial will be conducted at DHQ Gujrat through consecutive sampling technique on 44 patients which will be allocated using simple random sampling through sealed opaque enveloped into (Group A and Group B).Maitland's mobilization at end range(Group A) incorporates the end range Maitland's mobilization,strengthening exercises, knee isometrics, transcutaneous electrical stimulation(TENS) and heating pad .

Maitland's mobilization in Mid range (Group B) will be treated with Mid range Maitland's mobilization, TENS,strengthening exercises,knee isometrics and heating pad.Outcomes, encompassing pain levels, range of motion(ROM), and functional disability will be evaluated through Visual analogue scale (VAS),Goniometer and WOMAC scale.The treatment plan spans 4 weeks, comprising 3 sessions per week. Data will be analyzed during SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups. Data will be collected at baseline and after 4 weeks of follow up.

Eligibility Criteria:
Inclusion Criteria:

* Participants with age between 40 to 60 years.
* Participants of both genders will be included.
* Patient with unilateral/bilateral symptomatic tibiofemoral knee OA.
* Patient suffering from stiffness less than 30 minutes
* Patients with radiologically diagnosed case of grade 2 knee OA according to the Kellgren and Lawrence scale
* Patients with reported peak knee pain of \>3 on visual analogue scale (VAS)

Exclusion Criteria:

* Participants with acute inflammation of knee
* Participants with severe degenerative lumbar spine disease e.g spondylolisthesis
* Participants with systemic inflammatory arthritic or neurological conditions
* Participants with intraarticular injection in the prior 3 months
* Participants with unstable heart condition
* Participants with received physical therapy of knee in last 3 months