Comparing The Effectiveness of Maitland Mobilization, Proprioceptive Exercise and Conventional Therapy on Pain, Functional Ability and Proprioception in Patients with Primary Osteoarthritis Knee – A Randomized Controlled Trial

R. Indhu, Y. Ashraf, R. Mahesh
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Abstract

Background: Osteoarthritis is a degenerative joint disorder affecting the weight bearing area of the joints and the leading cause of pain and disability in world wide. Most common in the middle and elderly population and tends to worsen with age if not treated. This study is to compare the effectiveness of Maitland mobilization, proprioceptive exercise and conventional therapy on pain, functional ability and proprioception in patients with primary OA knee. Methods: It was a single blinded randomized controlled trial.29 individuals with Osteoarthritis knee with Kellgren Grade II and III, age group ranging from 40 -60 years were participated. Based on the selection criteria individuals were randomly assigned using computer software generator into three groups by simple random sampling method. Group A received Maitland mobilization, Group B received proprioceptive exercise and Group C received conventional therapy for 3 days in a week for 4 weeks. After 4 weeks the pain proprioception and functional ability were evaluated using Visual Analogue Scale, modified Western Ontario and McMaster Universities and Active angle reproduction test. Conclusion: Maitland mobilization is more beneficial compared to proprioceptive exercise and Conventional therapy on pain and proprioception. Key words: Maitland mobilization, Osteoarthritis, Proprioception, Range of motion, Visual Analogue Scale
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比较麦特兰运动、知觉运动和传统疗法对原发性膝关节骨性关节炎患者的疼痛、功能能力和知觉的疗效--随机对照试验
背景:骨关节炎是一种退行性关节疾病,影响关节的承重区域,是全球疼痛和残疾的主要原因。骨关节炎最常见于中老年人群,如果不加以治疗,会随着年龄的增长而恶化。本研究旨在比较麦特兰运动疗法、本体感觉运动疗法和传统疗法对原发性膝关节 OA 患者的疼痛、功能能力和本体感觉的效果:这是一项单盲随机对照试验。29 名膝关节骨性关节炎患者参加了试验,他们的膝关节骨性关节炎为 Kellgren II 级和 III 级,年龄在 40-60 岁之间。根据选择标准,采用简单随机抽样法,使用计算机软件生成器将患者随机分配到三组。A 组接受麦特兰运动疗法,B 组接受本体感觉运动疗法,C 组接受为期 4 周、每周 3 天的传统疗法。4 周后,使用视觉模拟量表、改良的西安大略和麦克马斯特大学以及活动角度再现测试对疼痛本体感觉和功能能力进行评估:结论:与本体感觉运动和传统疗法相比,麦特兰运动对疼痛和本体感觉更有益:麦特兰运动 骨关节炎 本体感觉 运动幅度 视觉模拟量表
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