The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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The Effects of Mulligan Mobilization with Movement and McKenize Exercise on Pain, Balance, Range of Motion in Patients with Knee Pain

무릎관절 통증 환자에서 멀리건 관절가동술과 맥켄지 운동이 통증과, 균형, 관절가동범위에 미치는 영향

  • Lee, Ho-jong (Dept. of Physical Therapy, Cheongdam Erum Hospital) ;
  • Kim, Jin-young (Dept. of Physical Therapy, Jeonju Vision University) ;
  • Shin, Young-il (Dept. of Prosthetics & Orthotics, Korea National University of Welfare)
  • 이호종 (청담이룸병원 물리치료실) ;
  • 김진영 (전주비전대학교 물리치료학과) ;
  • 신영일 (한국복지대학교 의지보장구과)
  • Received : 2022.07.05
  • Accepted : 2022.08.05
  • Published : 2022.08.31
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Abstract

Background: This study aimed to compare the effects of the Mulligan mobilization with movement and McKenzie exercise after applying conservative physical therapy to patients with knee pain. Methods: Patients were randomly allocatied into two groups: the Mulligan mobilization with movement (10 subjects) and the McKenzie technique (10 subjects). Each group was givenr conservative physical therapy and manual therapy sessions, three times week, for four weeks. The pain intensity was measured using the visual analogue scale (VAS). The cervical range of motion (ROM) was measured with a goniometer. Balance was measured using the modified Berg balance scale (BBS). Results: After four weeks of therapy, VAS (p<.05) decreased significantly, and ROM and balance increased siginficantly in both groups(p<.05). There was a significant improvement in knee extension (p<.05) in the McKenzie group compared to the Mulligan group. No intergroup differences were found with respect to the knee flex, VAS, and BBS (p>.05). Conclusion: The McKenzie exercises are more effective than Mulligan mobilization with movement for improving knee extension. Both interventions have the same effects on pain relief, in increasing knee flexion ROM and improving balance in patients with knee pain.

Keywords

References

  1. Abbott JH, Chapple CM, Fitzgerald GK, et al. The incremetal effects of manual therapy or booster sessions in addition to exercise therapy for knee osteoarthritis: A randomized clinical trial. J Orthop Sports Phys. Ther. 2015;45(12):975-983. https://doi.org/10.2519/jospt.2015.6015
  2. Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport. 2011;14(1):4-9. https://doi.org/10.1016/j.jsams.2010.08.002
  3. Bello AL, Ababio E, Antwi BS, et al. Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder. Ghana Med J. 2014;48(4):214-218. https://doi.org/10.4314/gmj.v48i4.8
  4. Bunt CW, Jonas CE, Chang JG. Knee pain in adults and adolescents: The Initial evaluation. Am Fam Physician. 2018;98(9):576-585.
  5. Chakravarty E, Hubert H, Lingala V, et al. Long distance running and knee osteoarthritis: A prospective study. Am J Prev Med. 2008;35(2):133-138. https://doi.org/10.1016/j.amepre.2008.03.032
  6. Cole B, Finch E, Gowland C, et al. Physical Rehabilitation Outcome Measures. Williams & Wilkins. 1995.
  7. Goulston LM, Kiran A, Javaid MK, et al. Does obesity predicts knee pain over fourteen years in women, independent of radiographic changes. Arthritis Care Res. 2011;63(10)1398-1406. https://doi.org/10.1002/acr.20546
  8. Heng LZ, Singh K, Kumaran PS, et al. A comparative study of Mulligan mobilization with movement technique versus conventional physical therapy on knee strength after total arthroplasty. J Posit Sch Psychol. 2022;6(3):4082-4090.
  9. Jamison DE, Cohen SP. Radiofrequency techniques to treat chronic knee pain: A comprehensive review of anatomy, effectiveness, treatment parameters, and patient selection. J Pain Res. 2018;11:1879-1888. https://doi.org/10.2147/jpr.s144633
  10. Kaya ME, Ercin E, Razak OA, et al. A comparison of two manual physical therapy approaches and electrotherapy modalities for patients with knee osteoarthritis: A randomized three arm clinical trial. Physiother Theory Pract. 2018;34(8):600-612. https://doi.org/10.1080/09593985.2018.1423591
  11. Kim OK. Effect of Kaltenborn-Evjenth Mobilization Techniques on Pain Perception, Range of Motion, and Activities of Daily Living in Patients with Degenerative Knee Arthritis. Yongin University, Master Thesis. 2002.
  12. Lee AR. Prevalence and Risk Factors for Knee Pain in Korean Adults Results from Korea National Health and Nutrition Examination Survey, Catholic University. Master Thesis. 2014.
  13. Lee JA, Lee CH, Park SY, et al. Application of rasch analysis to the Korean berg balance scale. Phy Ther Korea. 2006;13(3);49-56.
  14. Logerstedt DS, Snyder ML, Ritter RC, et al. Knee pain and mobility impairments: meniscal and articular cartilage lesions revision 2018. J Orthop Sports Phys Ther. 2010;40(6):A1-A35. https://doi.org/10.2519/jospt.2018.0301
  15. Lynch G, May S. Directional preference at the knee: A case report using mechanical diagnosis and therapy. J Man Manip Ther. 2013;21(1):60-66. https://doi.org/10.1179/2042618612y.0000000019
  16. McDowell JM, Johnson GM, Hetherington BH. Mulligan concept manual therapy: Standardizing annotation. Man Ther. 2014;19(5);499-503. http://dx.doi.org/10.1016/j.math.2013.12.006
  17. Mulligan BR. Manual Therapy: NAGs, SNAGs, MWMs ect. 6th ed. Orthopedic Physical Therapy Products, Wellington, NZ. 2010.
  18. Rao RV, Balthillaya G, Prabhu A, et al. Immediate effect of Maitland mobilization versus Mulligan mobilization with movement in osteoarthritis knee a randomized crossover trial. J Bodyw Mov Ther. 2018;22(3):572-579. https://doi.org/10.1016/j.jbmt.2017.09.017
  19. Rosedale R, Rastogi R, May S, et al. Efficacy of exercise intervention as determined by the McKenzie system of mechanical diagnosis and therapy for knee osteoarthritis: A randomized controlled trial. J Orthop Sports Phys Ther. 2014;44(3):173-81. https://doi.org/10.2519/jospt.2014.4791
  20. Sit RWS, Chan KKW, Zou D, et al. Clinic-based patellar mobilization therapy for knee osteoarthritis: A randomized clinical trial. Ann Fam Med. 2018;16(6):521-529. https://doi.org/10.1370/afm.2320
  21. Takasaki H, Hall T, Jull G. Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis A prospective case series. Physiother Theory Pract. 2013;29(2):87-95. https://doi.org/10.3109/09593985.2012.702854
  22. Yanardag M, Tarsuslu ST, Yanarda F. Exploring the relationship of pain, balance, gait function an quality of life in older adult with hip and knee pain. Pain Manag Nurs. 2021;22(4):503-508. https://doi.org/10.1016/j.pmn.2020.12.011
  23. Yoon CG. A Meta Analysis of the Effect of Exercise Program in the Patients with Knee Osteoarthritis. Ulgi University. Master Thesis. 2015.
  24. Zakir A, Ahmed SI, Aziz S, et al. Effectiveness of manual therapy versus exercise therapy for the management of knee osteoarthritis in Karachi Pakistan. Int J Physiother. 2016;3(1):86-93. https://doi.org/10.15621/ijphy/2016/v3i1/88918