To Evaluate the Effectiveness of Maitland Technique in Treatment of Knee Osteoarthritis in Female Patients

Abstract

Objective The purpose of this study was to explore the efficacy of knee osteoarthritis treatment with Maitland technique over general exercises in aged female patients. Methodology A Cross sectional experimental study was performed on 80 osteoarthritic female patients of age between 45-60 years which were randomly selected from LNH. They were divided into 2 groups of 40 patients each. Group A received Maitland technique application while Group B received general knee ROM ex's. All participants have received 24 sessions of Maitland and general exercises. Data has been collected and analyzed on SPSS 20through assessment form used by Physiotherapist via pre-and post-evaluation of Visual Analogue Scale, Muscle Power, Muscle Tone and Range of Motion. Results The results revealed that Group A having vasual analogue scale score =5.4 ±0.9, while Group B having vasual analogue scale score=6.25±1.4, the muscle power was 5.0±4.8 in group A, while in group B it was4.05 ±0.58, Geno-Flexion of group A was 129.5±5.2, GenoFlexion of group B was 121.57±10.9. The results of all tests were significant with the P-value < 0.05 of Group A as compared to B. Discussion During the OA of knee joint the decrement of a proteoglycan content of cartilage and the disintegration of collagen fibers occurs, which leads to rise in water content so there will be loss of osmotic pressure. The net result will be the degradation of cartilage, as proteoglycan has protective effects on collagen fibers. Conclusion It was concluded that Maitland technique relieved more effectively the symptoms of knee osteoarthritis in females than general exercises.

Differences in the Effects of Maitland Technique and Muligan Technique on Pain Changes and Functional Walking in People with Osteoarthritis Knee

“…2010) analyzed five randomized, controlled studies comparing the effects of ultrasound and placebo on pain levels and function with a total of 341 osteoarthritis knee patients. In ultrasound there was a difference of 1.2 cm on the VAS scale of 10 cm compared to placebo ultrasound and also there was a significant increase in WOMAC score [8].…”

“…In addition, the strain effect can stimulate mechanoreceptors in joint capsules, where the activity of mechanoreceptors can block nociceptive impulses so that joint pain can decrease [8].…”

Comparison between the effects of Maitland’s mobilization versus its combination with vastus medialis oblique neuromuscular stimulation on two scales (NPRS & WOMAC) in knee osteoarthritis patients

“…Improvement in outcome measure score may be explained due to improved circulation or pain gate mediated analgesia immediately following mobilization of the biomechanically impaired arthritic knee. Author study also reported that Maitland’s technique was effective in reducing the symptoms of knee OA 34 and realigning collagen, when specific movements stress the specific parts of the capsule Mechanical force applied during Maitland’s mobilization may lead to breaking up of adhesions. Maitland’s mobilization mainly consists of rhythmic oscillatory movements which stimulate the Type II dynamic mechanoreceptors and by this way can inhibit the Type IV nociceptive receptors.…”

Efficacy of Maitland Mobilization and Myofascial Trigger Point Release in Patients of Osteoarthritis of Knee

“…The physical findings of Osteoarthritis of knee include: bony enlargement, crepitus, decreased range of motion, jointline tenderness, and pain on passive range of motion. (6) There are two terms of Mobilization and Manipulation, but they have the same meaning and can be changed. The variable speeds and amplitude can vary from a small-amplitude force applied at quick velocity to a big amplitude for ceappliedats low velocity, a continuum of intensities and velocity could be applied to the method.…”