Effects of Mulligan’s Rotation Mobilization With Movement and Taping on Knee Pain, Foot Posture and Functional Status in medial compartment Knee Osteoarthritis.
Corresponding Author(s) : Dr Priyanka Mehendale
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 9 No. 2 (2021): 2021 Volume - 9 Issue - 2
Abstract
Background: Mulligan’s Mobilization With Movement (MWM) and taping techniques are known to be effective in reducing pain, increasing Knee range of motion and improving function in patients with Knee osteoarthritis (OA). This study specifically focussed on determining the effect of Mulligan’s Rotation MWM and taping not only on local parameters at the site of application of the glide at the knee, but also distally at the foot.
Methods: This Quasi experimental study was performed on a purposive sample of 54 individuals responding to Mulligan’s Internal or External Rotation glide, in the age group of 50 to 70 years having Grade 2/3 medial compartment Knee OA on Kellgren and Lawrence classification for Knee OA.Outcome measures included the Visual Analogue Scale (VAS) for Knee pain, Navicular Height (NH), Foot Posture Index (FPI), Aggregated Locomotor Function (ALF) Score, Knee Range of motion (ROM) using goniometer, Tibial Torsion Angle and Quadriceps Angle (Q angle) using goniometer. Outcomes were assessed at baseline and 24 hours after application of the last treatment session. All participants underwent treatment sessions of therapist-applied MWM and taping daily for 4 consecutive days after the baseline assessment. Tape was removed prior to the post-intervention assessment.
Results: 65% of patients responded to an Internal Rotation Mulligan glide in this study. Statistically significant improvements from baseline were seen in all outcome measures except the Q angle. Knee pain intensity reduced at rest, during lunging and during performance of most-offending movement post-treatment compared to the baseline (p <0.001). Time required for performance of functional activities including locomotion, sit-to-stand and staircase ascending-descending was statistically significantly reduced post-treatment as demonstrated by a lowered ALF score (p <0.001). Foot posture changes seen post-treatment included a statistically significant increase in the NH (p<0.001) and a reduction in the FPI score (p=0.021). A statistically significant reduction in the Tibial torsion angle was seen post-treatment compared to the baseline (p< 0.031).
Conclusion: In this study conducted in patients with medial compartment Knee OA; Mulligan’s Rotation MWM and taping were associated not only with reduced Knee pain, increased Knee range of motion and improved locomotor function; but also changes in foot posture.
Background: Mulligan’s Mobilization With Movement (MWM) and taping techniques are known to be effective in reducing pain, increasing Knee range of motion and improving function in patients with Knee osteoarthritis (OA). This study specifically focussed on determining the effect of Mulligan’s Rotation MWM and taping not only on local parameters at the site of application of the glide at the knee, but also distally at the foot.
Methods: This Quasi experimental study was performed on a purposive sample of 54 individuals responding to Mulligan’s Internal or External Rotation glide, in the age group of 50 to 70 years having Grade 2/3 medial compartment Knee OA on Kellgren and Lawrence classification for Knee OA.Outcome measures included the Visual Analogue Scale (VAS) for Knee pain, Navicular Height (NH), Foot Posture Index (FPI), Aggregated Locomotor Function (ALF) Score, Knee Range of motion (ROM) using goniometer, Tibial Torsion Angle and Quadriceps Angle (Q angle) using goniometer. Outcomes were assessed at baseline and 24 hours after application of the last treatment session. All participants underwent treatment sessions of therapist-applied MWM and taping daily for 4 consecutive days after the baseline assessment. Tape was removed prior to the post-intervention assessment.
Results: 65% of patients responded to an Internal Rotation Mulligan glide in this study. Statistically significant improvements from baseline were seen in all outcome measures except the Q angle. Knee pain intensity reduced at rest, during lunging and during performance of most-offending movement post-treatment compared to the baseline (p <0.001). Time required for performance of functional activities including locomotion, sit-to-stand and staircase ascending-descending was statistically significantly reduced post-treatment as demonstrated by a lowered ALF score (p <0.001). Foot posture changes seen post-treatment included a statistically significant increase in the NH (p<0.001) and a reduction in the FPI score (p=0.021). A statistically significant reduction in the Tibial torsion angle was seen post-treatment compared to the baseline (p< 0.031).
Conclusion: In this study conducted in patients with medial compartment Knee OA; Mulligan’s Rotation MWM and taping were associated not only with reduced Knee pain, increased Knee range of motion and improved locomotor function; but also changes in foot posture.
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References
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