2024, Vol. 5, Issue 1, Part B
Effectiveness of mulligan’s mobilization and lateral heel wedges on pain and physical function among knee osteoarthritis subjects: A simple experimental study
Author(s): Shawn Thomas Vinu Thomas, Ilakiya Subramani, Sivakumar Chinnusamy and Pradeepa Mani
Abstract: Background: Osteoarthritis is a chronic disorder of synovial joints in which there is progressive softening and disintegration of articular cartilage and accompanied by new growth of cartilage and bone at the joint margins (osteophytes), cyst formation and sclerosis in the subchondral bone, mild synovitis and capsular fibrosis. It is primarily a non-inflammatory disorder but inflammation occurs eventually.Objectives: The study's primary objective was to find out the efficacy of multiple therapeutic interventions consisting of Mulligan’s Mobilization and Lateral Wedge Insole on Pain and Physical Function in Osteoarthritis Subjects.Subjects and Methods: The study design was a simple experimental study. The subjects with knee osteoarthritis were selected for this study. It is a convenient sampling technique and sample size is 15 subjects. Subjects with the age group between 45-60 years were enrolled for this study. The study duration was 6 months. The objective and the aim of the study were clearly explained to the ethical committee of PPG college of physiotherapy and permission was obtained. Treatment group was subjected to the movement with mobilization and lateral heel wedges for 12 weeks. Mobilization techniques were given totally 3 sessions per week and Lateral heel wedges were made to wear for 12 weeks. Before starting the treatment, instructions were given to the patient. Subjects were selected according to the selection criteria. Subjects were given with Mulligan’s Mobilization and Lateral heel wedges to reduce pain and to improve physical function. The pre-test and post-test were taken using VAS scale and WOMAC index. The treatment duration was 12 weeks.Results: The statistical analysis states that the all subjects showed improvement in VAS and WOMAC scale scores with the calculated 't' value using the paired 't' test of VAS and WOMAC were 14.02 and 24.6 respectively, which was greater than the table value of 2.145 (p<0.05). They showed significant differences in pain intensity, and knee physical function after Movement with mobilization and Lateral heel wedges.Conclusion: There is a significant reduction in pain intensity and improvement in physical function following the application of 12 weeks of Mulligan’s Mobilization techniques along with Lateral heel wedges in Knee Osteoarthritis Subjects. Clinical Implications: Mulligan's MWM along with Lateral Heel Wedges improves the mechanical alignments of the knee, reducing knee pain and improves the physical functional ability of the primary knee osteoarthritis subjects. Increasing physical function controls knee OA symptoms and improve joint function.
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How to cite this article:
Shawn Thomas Vinu Thomas, Ilakiya Subramani, Sivakumar Chinnusamy and Pradeepa Mani. Effectiveness of mulligan’s mobilization and lateral heel wedges on pain and physical function among knee osteoarthritis subjects: A simple experimental study. International Journal of Childhood and Development Disorders. 2024; 5(1): 83-87.
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