Original Research Article
Year: 2018 | Month: July-September | Volume: 3 | Issue: 3 | Pages: 160-167
The Effect of Mobilization with Movement versus Conventional Treatment on Range of Motion in Patients with Post-Traumatic Stiffness of Knee Joint: A Randomized Clinical Trial
Dr. Sumit Raghav1, Dr. Anshika Singh1, Dr. Gaurav Pratap Tyagi2, Dr. Kapil Rastogi2
1Assistant Professor, 2Clinical Physiotherapist, Subharti College of Physiotherapy, SVSU, Meerut
ABSTRACT
Introduction: Stiffness or restricted ROM of the knee joint is a term used commonly to describe any traumatic condition occurring within or around the knee joint. It can result from direct and indirect below and is experienced as pain with activity, local tenderness to palpation, and decreased ability to tolerate tension, which results in decreased movement and functional strength. Knee joint is one of the most susceptible joint to trauma in lower limb. Treatment begins with avoidance of aggravating signs and symptoms. Other means of treatment include hot therapy and icing the injured knee and around the knee joint, ultrasound therapy, CPM (continuous passive motion) and range of motion exercises of the joint. Movement with mobilization has become an important therapeutic regimen and broadly used in case of restricted range of motion of the joint or stiffness of the joint.
Material and Method: The study was of a double blind, randomized clinical trial with 30 subjects, 7 were female, 23 were male and all subjects were assigned according to criteria (inclusion & exclusion) and carried out at physiotherapy OPD of CSS Hospital, Meerut. Range of motion of the knee joint & pain were assessed by using the goniometry & VAS score respectively. The subjects were reassessed after completion of 4 weeks of intervention. The collected data were of mean and standard deviation of goniometry and VAS score and has been analyzed using SPSS software. The study was done to find out the comparative effect of mobilization with movement versus conventional treatment on patients with post traumatic knee joint stiffness.
Results: The results showed that there was significant difference in pain and range of motion with their VAS and goniometry score (p=0.001) respectively.
Conclusion: Study concluded that the difference from 1st to 28th day in VAS & goniometry score which shows that MWM is more effective than conventional treatment (CPM) to decrease pain and improve range of motion in post traumatic knee joint stiffness.
Keywords: MWM (Mobilization with Movement), CPM (Continuous Passive Motion), VAS (Visual Analogue Scale), Goniometry, ROM (Range of Motion), knee joint stiffness.