Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series

Manual therapy has proven to be a benefit in the management of knee osteoarthritis (OA), but the effects of the method of Mulligan's mobilization with movement (MWM) have yet to be explored in knee OA. As a first step, this case series investigated MWM's immediate and short-term benefits o...

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Main Authors: Takasaki, Hiroshi, Hall, Toby, Jull, Gwendolen
Format: Journal Article
Published: Taylor and Francis 2013
Online Access:http://hdl.handle.net/20.500.11937/36034
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author Takasaki, Hiroshi
Hall, Toby
Jull, Gwendolen
author_facet Takasaki, Hiroshi
Hall, Toby
Jull, Gwendolen
author_sort Takasaki, Hiroshi
building Curtin Institutional Repository
collection Online Access
description Manual therapy has proven to be a benefit in the management of knee osteoarthritis (OA), but the effects of the method of Mulligan's mobilization with movement (MWM) have yet to be explored in knee OA. As a first step, this case series investigated MWM's immediate and short-term benefits over three occasions of treatment in 19 patients with knee OA. Patients (71.1 ± SD 13.9 years, 14 females and 5 males) received individually prescribed MWM and performed self-MWM. Outcome measures included: 1) pain intensity (visual analog scales) during walking, ascending and descending stairs, and sit-to-stand; 2) passive flexion and extension range of motion (ROM); and 3) Activities of Daily Living Scale of the Knee Outcome Survey (KOS-ADLS). Pain and ROM were assessed at baseline, after the initial treatment, before the second treatment and at exit following the fourth consultation. The KOS-ADLS was assessed at baseline and at exit. Significant improvements from baseline were detected in flexion ROM and pain scores in all tasks following the initial treatment (P < 0.05/3). The KOSADLS score improved significantly from baseline (67.1% ± SD 16.6%) to exit (86.3% ± SD 12.6%) (P < 0.001). MWM was associated with immediate pain relief and improved knee function, suggesting its potential as a component of early management of knee OA.
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spelling curtin-20.500.11937-360342017-09-13T15:16:05Z Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series Takasaki, Hiroshi Hall, Toby Jull, Gwendolen Manual therapy has proven to be a benefit in the management of knee osteoarthritis (OA), but the effects of the method of Mulligan's mobilization with movement (MWM) have yet to be explored in knee OA. As a first step, this case series investigated MWM's immediate and short-term benefits over three occasions of treatment in 19 patients with knee OA. Patients (71.1 ± SD 13.9 years, 14 females and 5 males) received individually prescribed MWM and performed self-MWM. Outcome measures included: 1) pain intensity (visual analog scales) during walking, ascending and descending stairs, and sit-to-stand; 2) passive flexion and extension range of motion (ROM); and 3) Activities of Daily Living Scale of the Knee Outcome Survey (KOS-ADLS). Pain and ROM were assessed at baseline, after the initial treatment, before the second treatment and at exit following the fourth consultation. The KOS-ADLS was assessed at baseline and at exit. Significant improvements from baseline were detected in flexion ROM and pain scores in all tasks following the initial treatment (P < 0.05/3). The KOSADLS score improved significantly from baseline (67.1% ± SD 16.6%) to exit (86.3% ± SD 12.6%) (P < 0.001). MWM was associated with immediate pain relief and improved knee function, suggesting its potential as a component of early management of knee OA. 2013 Journal Article http://hdl.handle.net/20.500.11937/36034 10.3109/09593985.2012.702854 Taylor and Francis fulltext
spellingShingle Takasaki, Hiroshi
Hall, Toby
Jull, Gwendolen
Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series
title Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series
title_full Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series
title_fullStr Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series
title_full_unstemmed Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series
title_short Immediate and short-term effects of Mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series
title_sort immediate and short-term effects of mulligan's mobilization with movement on knee pain and disability associated with knee osteoarthritis: a prospective case series
url http://hdl.handle.net/20.500.11937/36034