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Completed

NCT Number: NCT06391047

Impact of Mulligan Squeeze Technique on Meniscal Derangement in Knee Osteoarthritis Patients

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.

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Key information

Age range

30 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Allied Hospital

Faisalābad, Punjab Province, 38000, Pakistan

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Mulligan's Squeeze Technique - manual therapy

Other

This technique was introduced by Brian R. Mulligan. In this technique the therapist places thumb along the tender joint margin and applies force centrally. The patient actively flexes knee and therapist progressively enhances force and at end applies overpressure. This force is decreased as knee moves towards extension. This method helps to maintain the meniscus in its normal position and corrects the derangement of meniscus.

Conventional Physiotherapy

Other

It includes stretching and strengthening exercises of muscles of the knee joint.

Primary outcomes

  1. Numerical Pain Rating Scale (NPRS)

    Time frame: Readings were taken at baseline, after 1st week and at end of 2nd week.

    It was used to record the level of knee pain

  2. Goniometer

    Time frame: Readings were taken at baseline, after 1st week and at end of 2nd week.

    It was used to find out the range of movement of knee flexion.

Secondary outcomes

  1. Patient Specific Functional Scale (PSFS)

    Time frame: Readings were taken at baseline, after 1st week and at end of 2nd week.

    It was used to find out the independence level and dysfunction level of patient.

  2. Knee injury and osteoarthritis outcome score (KOOS)

    Time frame: Readings were taken at baseline, after 1st week and at end of 2nd week.

    It is a scale designed specifically for knee problems. It has forty-two questions that cover several aspects of the problems related to knee.

Sponsors and collaborators

Lead sponsor

University of Faisalabad

Other

Registry information

Official study title

The Impact of Mulligan Squeeze Technique as an Adjunct to Conventional Physiotherapy on Meniscal Derangement in Knee Osteoarthritis Patients

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Apr 30, 2024
Registry last updated
Apr 30, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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