Effectiveness of Mulligan’s Squeeze Technique as an Adjunct to Conventional Therapy to Decrease Pain and Improve Range of Motion in Meniscal Tear-a Randomized Controlled Trial

Kasturi, Soumya; Jampa, Naga Sravana Kumar; Mohan, Lalith

doi:10.15621/ijphy/2020/v7i1/193669

Cited by 3 publications

(3 citation statements)

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“…Kasturi et al identified the effectiveness of Mulligan's squeeze technique as an adjunct to conventional therapy to decrease pain and improve range of motion (ROM) in meniscal tears. 9 In this study, the first group was given Mulligan's squeeze technique with 3 sets of 10 repetitions in one session and hold for 10 seconds, and conventional therapy (static quadriceps, static hamstrings and vastus medial obliques strengthening, active hip, knee and ankle ROM exercises, multiple angle isometrics and gait training) with a dose of all exercises performed 10 repetitions, hold for 10 seconds. Meanwhile, the second group was only given conventional therapy with the same dose.…”

Section: Resultsmentioning

confidence: 99%

“…The manual mulligan technique treats pain, limited ROM and symptoms associated with a post meniscus injury. 9 According to Skou et al, neuromuscular and strengthening exercises are appropriate for post-meniscus injury rehabilitation. Parameters such as pain, function in daily living, function in sports recreation and quality of life improved after the intervention was given.…”

Section: Discussionmentioning

confidence: 99%

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Physiotherapy Management in Meniscus Injury

Sari,

Kurniawati

2022

KPC

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Background: Meniscus injury is one of the most common knee injuries in the orthopedic field. This injury often occurs in sports that involve rotating movements, squats/excessive knee joint flexion such as in basketball, soccer or badminton. The medial meniscus is injured more often than the lateral meniscus, and this is due to the tight attachment of the meniscus to the medial collateral ligament of the knee joint, which limits its movement. Injury occurs when the femur rotates about the tibia, or the tibia against the femur, with the knee joint slightly flexed and supporting body weight. Objective: This study aims to summarize secondary data related to meniscus injuries. Methods: The research method used was a literature study using secondary data in the form of journals related to the topic of meniscus injury obtained through Google Scholar, Science Direct, and PubMed. Results: Several studies have shown that someone with a knee injury can be given physiotherapy intervention in the form of exercise that is tailored to the symptoms experienced. Conclusion: Based on the results of a literature review, neuromuscular and strengthening exercises, Mulligan's squeeze technique with conventional therapy, open and closed kinematic chain and education can improve symptoms after meniscus injury.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physiotherapy Management in Meniscus Injury

Sari,

Kurniawati

2022

KPC

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“…Immobilisasi dapat mempengaruhi fungsiotot dan skeletal. Akibat pemecahan protein pada otot, klien mengalami kehilangan masa tubuh yang membentuk sebagian otot (Kasturi et al, 2020). Oleh karena itu penurunan masa otot tidak mampu memepertahankan aktifitas tanpa peningkatan kelelahan.…”

Section: Pembahasanunclassified

Pengetahuan dan Praktik Keluarga Mengenai Pencegahan Komplikasi Imobilisasi

Samaran

2021

Jurnal Keprawatan

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Imobilisasi yang lama dapat memperburuk status fungsional pasien. Keluarga mempunyai peranan penting dalam pencegahan imobilisasi yang terlalu lama salah satunya latihan range of motion. Oleh sebab itu, pengetahuan keluarga harus ditingkatkan demi pelaksanaan range of motion yang sesuai standar yang berakibat pada perbaikan status fungsional pasien. Penelitian ini bertujuan untuk mengetahui efek pendidikan dan pelatihan tentang range of motion terhadap pengetahuan keluarga pasien imobilisasi. Desain penelitian yang digunakan adalah kuasi eksperimen dengan pendekatan one-group pretest–posttest design pada 30 anggota keluarga pasien yang dianjurkan melaksanakan imobilisasi. Teknik sampel yang digunakan adalah consecutive sampling. Standar operating procedure, video gerakan range of motion (ROM), kuesioner sosiodemografi dan lembar observasi digunakan dalam penelitian ini. Analisa data yang digunakan adalah paired t-test. Hasil uji statistik menunjukan bahwa nilai signifikan p-value = 0,300>0.005. Dapat disimpulkan bahwa tidak terdapat perbedaan rata-rata antara pengetahuan dan praktik rom keluarga pasien sebelum dan setelah diberikan materi dan latihan ROM pada imobilisasi.

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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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Effectiveness of Mulligan’s Squeeze Technique as an Adjunct to Conventional Therapy to Decrease Pain and Improve Range of Motion in Meniscal Tear-a Randomized Controlled Trial

Cited by 3 publications

References 0 publications

Physiotherapy Management in Meniscus Injury

Physiotherapy Management in Meniscus Injury

Pengetahuan dan Praktik Keluarga Mengenai Pencegahan Komplikasi Imobilisasi

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

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