Zeeshan Mehmood, Naveed Anwar, Sana Tauqeer, Maryam Shabir, Kehkshan Khalid, Sajid Mehmood.
Comparison of maitland mobilization and mulligan mobilization with movement in knee osteoarthritis patients.
Pak J Med Res Jan ;60(3):126-30.

Background: Osteoarthritis has no known cure. The management aims to decrease pain and improve the functional capacity and then the quality of life. Physiotherapy has played vital role to prevent all of these remedies for knee osteoarthritis that would be helping in economic burden as well as relieving symptoms of patients. Objective: The purpose of this study was to determine the outcome and comparative efficacy of Mulligans mobilization with movement and Maitland mobilization in the patients with knee osteoarthritis. Study type, settings & duration: A Quasi Experimental study was conducted at physiotherapy department of Kanaan Physiotherapy and Spine Clinic, Lahore from March to September 2020. Methodology: It was a Quasi Experimental study. Sample size was 56. Subjects were randomly distributed in to two groups with use of lottery method of randomization. Both male and female diagnosed knee osteoarthritis patients aged between 40-60 years were included. Patients having contraindication to mobilization, history of recent fractures were excluded. Group 1 patients got Maitland mobilization treatment and Group 2 got Mulligan mobilization with movement treatment. The goniometry, visual analog scale (VAS), knee range of motion (ROM), and Western Ontario McMaster OA (WOMAC) Index for knee osteoarthritis were used to assess all patients before and after 4 weeks of intervention. Statistical analysis was computed by SPSS version 21.0. Results: Pain decreased to greater extent in post treatment of Mulligan’s MWM group with mean value 2.64±1.13 as compared to 4.93±1.12 of Maitland Mobilization group. WOMAC Score increased to greater extent in post treatment of Mulligan’s MWM with mean value 20±8.52 as compared to Maitland Mobilization group 41.07±9.41 Conclusion: It was indicated that combination of mulligan mobilisation along with supervised exercise program was helpful in pain relief, improving range of motion, strength and functional status in subjects with knee osteoarthritis. Key words: Osteoarthritis, knee, manual therapy, manipulative therapy.

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