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THU0618-HPR Immediate Effects of Mulligan's Concept Mobilization with Movement on Knee Pain and Functions in Patients with Knee Osteoarthritis
  1. D. Oskay1,
  2. H. Altmış2,
  3. I. Düzgün3,
  4. B. Elbasan1
  1. 1Physiotherapy And Rehabilitation, Gazi University Faculty Of Health Science
  2. 2Gazi University Institute of Health Sciences
  3. 3Physiotherapy And Rehabilitation, Hacettepe University Faculty of Health Sciences, Ankara, Turkey

Abstract

Background Knee osteoarthritis (KOA) is a frequent cause of knee pain which can be successfully managed by physiotherapy. Joint mobilization has been shown to be a useful modality to reduce knee pain. Mulligan's concept of mobilization with movement (MWM) is a contemporary form of joint mobilization, consisting of a therapist-applied pain-free accessory gliding force combined with active movement. There are reports of immediate pain relief and improved function in response to these techniques in several musculoskeletal disorders.

Objectives To investigate the immediate effect of Mulligan's concept of MWM and Mulligan taping technique on function and pain in patients with KOA.

Methods Sixty patients (with the mean age of 59±7,21) with the grade of 2 or 3 KOA according to the Kellegren and Lawrence included into the study. Patients randomly divided into 3 groups. Therapist applied MWM and Mulligan taping technique for group 1, MWM and placebo taping for group 2, just placebo taping for group 3. Demographics, pain severity in the rest, pain severity during the performance of the tests and tests scores before and after the applications (MWM and tapings) of the therapist were recorded for all groups. Functional status assessed with a group of functional tests including lift test (LT), pick-up test (PT), repeated sit-to-stand test (RST), Sock Test, Stair Ascending and Descending Test (SAD), Straight line walking test (SLW), Timed Up & Go Test (TUG). Pain severity was assessed with visual analog scale (VAS).

Results In all groups there is a significant difference between pain levels and functional test scores before and after the applications (p<0,05). After the applications there is a significant difference between group 1 and 3 in the comparison of the all groups functional tests scores and pain levels during the tests (p<0,05). Additionally after the application of MWM and tapings there is a significant difference between group 1 and 2 just for RST, SAD and SLW scores (p<0,05).

Conclusions This randomized clinical trial revealed that Mulligan's Concept is an important method in recovery of knee function and reduction of pain in OA patients. Application of MWM with Mulligan taping is more effected on immediate reduction in pain during the function than only application of MWM.

Disclosure of Interest None declared

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