Clinical trial NCT06391047: Impact of Mulligan Squeeze Technique on Meniscal Derangement in Knee Osteoarthritis Patients
Official title: The Impact of Mulligan Squeeze Technique as an Adjunct to Conventional Physiotherapy on Meniscal Derangement in Knee Osteoarthritis Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoarthritis, Knee
Knee Injuries
Meniscus; Derangement
Meniscus Tear
Meniscus Lesion
Keywords: Knee Osteoarthritis
manual therapy intervention; rehabilitation
Menisci;
Lead sponsor: University of Faisalabad
Sponsor class: OTHER
First posted: 2024-04-30
Enrollment: 26
Sex: ALL
Minimum age (years): 30
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: It was a randomized controlled trial with two groups. One group was experimental while other group was active control group.
Primary purpose: TREATMENT

Brief summary: The objective of this study is to find out the effects of Mulligan's Squeeze technique added as a complementary treatment to the conventional physiotherapy for the management of meniscal derangement in knee osteoarthritis patients.

Detailed description: This study was performed to determine the consequences of conventional physical therapy with and without Mulligan's Squeeze technique for meniscal derangement treatment in patients with knee osteoarthritis. This research study was a randomized controlled trial. The sample size was of 26 subjects. The subjects were nominated in accordance to the inclusion and exclusion criteria. They were equally and randomly divided into two groups. One group received Mulligan's Squeeze technique along with conventional physiotherapy exercises, with hot pack prior to the exercise session. The control group was only given conventional therapy exercises with hot pack application prior to any exercise. The treatment was given for two weeks and a total of six sessions, three sessions each week. The primary outcome measures were Numerical Pain Rating Scale (NPRS) for pain rating and goniometer to record range of knee flexion. The secondary outcome measures were Patient-specific functional scale (PSFS) and Knee-injury osteoarthritis outcome score (KOOS). The measurements were taken at baseline, at end of first week and after the second week. The data was analyzed by using IBM SPSS software version 27.

Eligibility criteria: Inclusion Criteria:

* • Pain during maximal knee flexion, pain when maximal extension of knee occurs

  * Both genders were taken; male and female
  * Age between 30 to 55 years
  * Tenderness along the line of joint
  * Complain or history of abnormal clicking sounds and/or popping of knee
  * If any of the mentioned special tests are positive: "Apley's compression and distraction test", the "Disco test or Thessaly's test" with almost 20° flexed position of knee, and "McMurray's test"
  * Participants who were willing to take part in the study

Exclusion Criteria:

* • Presence of any knee co-morbidities

  * Knee OA of Grade 4
  * ACL or some other knee ligament injury/tears
  * Contusion present on knee, fracture of knee
  * Knee dislocation
  * Knee instability due to any ligamentous injury
  * Constant pain or discomfort due to underlying reasons (e.g. hyper-algesia), and any other wound or ailment
  * Participant not willing to be a part of the study

Primary outcomes:
measure: Numerical Pain Rating Scale (NPRS)
timeFrame: Readings were taken at baseline, after 1st week and at end of 2nd week.
measure: Goniometer
timeFrame: Readings were taken at baseline, after 1st week and at end of 2nd week.
Secondary outcomes:
measure: Patient Specific Functional Scale (PSFS)
timeFrame: Readings were taken at baseline, after 1st week and at end of 2nd week.
measure: Knee injury and osteoarthritis outcome score (KOOS)
timeFrame: Readings were taken at baseline, after 1st week and at end of 2nd week.
Other outcomes:
Locations:
city: Faisalābad
country: Pakistan
facility: Allied Hospital
state: Punjab
Study officials:
References: