A Study to Analyze the effectiveness of Mobilization with movement in OA knee Dysfunction: A Quasi Experimental Study

Varghese, Jibu George; Dilakshana, S; Ganesh, S Dilli; Varshini, L

doi:10.5958/0974-360x.2019.00380.9

Cited by 2 publications

(1 citation statement)

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“…associated with knee joint pathology. 21,22 The MC incorporates movement with mobilization by combining the patient's active range of motion (AROM) with a clinician's joint glides to attempt to produce immediate changes in the patient's complaints and impairment measures. While consensus on the mechanism of action has not been reached, application of the MC is thought to alter the mechanoreceptive and nociceptive responses to promote immediate improvements in the patient's impairment.…”

Section: A Introductionmentioning

confidence: 99%

The Efficacy of the Mulligan Concept to Treat Meniscal Pathology: A Systematic Review

Reep

Leverett

Heywood

et al. 2022

International Journal of Sports Physical Therapy

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Background Meniscal pathologies are common knee injuries and arthroscopic surgery is the current accepted gold standard for treatment. However, there is evidence to support the use of the Mulligan Concept (MC) Mobilization with Movement (MWM) for meniscal pathologies including the ‘Squeeze’ technique, tibial internal rotation (IR), and tibial external rotation (ER). Hypothesis/Purpose The purpose of this systematic review was to critically appraise the literature to investigate the effectiveness of MC MWMs for meniscal lesions on patient reported pain, function, and multi-dimensional health status in patients with clinically diagnosed meniscal pathologies. Study Design Systematic Review Methods A literature search was completed across multiple databases using combinations of the words “knee, function, mobilization with movement, MWM, mulligan concept, MC, meniscal pathology, meniscal derangement, and meniscal tear.” Studies written within the prior 10 years that examined MC MWM techniques to treat knee meniscal injury were included. Articles that met the inclusion criteria (used MC MWM ‘Squeeze’ technique, tibial IR, or tibial ER for treatment of clinically diagnosed meniscal pathologies; Patient reported outcome [PRO] measures had to be used in the assessment of knee pain or function) were analyzed for quality. Randomized control trials were analyzed using the PEDro scale and the Downs & Black (D&B) checklist, case series were analyzed using the Joanna Briggs Institute (JBI) checklist, and case reports were analyzed using the CARES checklist. Results Six articles met the inclusion criteria and were included in this review, two randomized controlled studies, two case series, and two case reports consisting of 72 subjects. All six papers included reports of improvements in pain and function that were either statistically significant or met the minimal clinically important difference (MCID). Five studies reported the Disablement in the Physically Active (DPA) scale that also demonstrated statistically significant differences or met the MCID. The MC MWM ‘Squeeze’ technique, tibial IR, or tibial ER demonstrated the ability to reduce pain, improve function, and improve patient perceived disability following treatment of a clinically diagnosed meniscal pathology. These studies demonstrated short term results lasting from one week to 21 weeks. Conclusion Treatment interventions incorporating MC MWM techniques demonstrated reduction of pain and improvement in function in the short term in patients with clinically diagnosed meniscal pathologies. Level of Evidence 2a

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Section: A Introductionmentioning

confidence: 99%

The Efficacy of the Mulligan Concept to Treat Meniscal Pathology: A Systematic Review

Reep

Leverett

Heywood

et al. 2022

International Journal of Sports Physical Therapy

View full text Add to dashboard Cite

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Efficacy of Oral Glucosamine Sulphate and Sulfasalazine combination in the treatment of Osteoarthritis

D’Souza¹,

Ramu²,

Reddy³

et al. 2022

RJPT

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Background: Osteoarthritis is a degenerative disorder commonly affecting any joints mostly joints of hands, knees, spine and hips. The disorder occurs when wear and tear of the protective layer of cartilage cushioning the ends of the bones occurs. The symptoms start with pain and stiffness the joints slowly leading to stiffness, tenderness, loss of flexibility, grating sensation, swelling and formation of bone spurs. Osteoarthritis causes deterioration of connective tissue and inflammation of the joint lining. Glucosamine sulphate found in the human body is a naturally occurring chemical which is especially present in the fluid around the joints and is involved in building ligaments cartilage and thick fluid that surrounds the joints. Sulphate part is important for building the cartilage. Sulfasalazine is anti-inflammatory drug and is used to treat and reduce inflammation. In this study the combination of glucosamine sulphate and sulfasalazine is used in combination to test the efficacy in reduction of inflammation and pain in comparison with sulfasalazine alone. Materials and Methods: In this prospective randomized controlled study 60 patients of osteoarthritites between the age group of 18 to 60 years were selected. Patients were divided into two groups (A and B). Age, severity of the disease was taken into consideration while grouping the patients. Group A was treated with Sulfasalazine alone 500mg once a day and group B with combination of Glucosamine Sulphate (oral) 750mg twice a day and Sulfasalazine (oral) 500mg once a day. Assessments of number of swollen joints and VAS and faces pain rating (scale) were carried out once in a month. Results: After six months 67% reduction in number of swollen joints and 76% of duration of morning stiffness in combination therapy was observed compared to 54% and 65% of reduction respectively in sulfasalazine alone. VAS score after six months was found to be 1 in combination therapy and 3 in suflasalazine alone. Conclusion: The study concluded that the combination treatment regimen glucosamine sulfate and oral sulfasalazine improved patient mobility, decreased number of swollen joints and decreased arthritic pain gradually.

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A Study to Analyze the effectiveness of Mobilization with movement in OA knee Dysfunction: A Quasi Experimental Study

Cited by 2 publications

References 0 publications

The Efficacy of the Mulligan Concept to Treat Meniscal Pathology: A Systematic Review

The Efficacy of the Mulligan Concept to Treat Meniscal Pathology: A Systematic Review

Efficacy of Oral Glucosamine Sulphate and Sulfasalazine combination in the treatment of Osteoarthritis

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