A Comparative Study on Effectiveness of Mulligan’s Rotation Mobilization with Movement Versus Deep Heating Modality along with Quadriceps Exercises in the Management of Osteoarthrosis Knee Subjects.

INTRODUCTION : Osteoarthrosis is a common musculoskeletal problem that is mostly affects cartilage. Cartilage is the slippery tissue that covers the ends of bones in a joint. Healthy cartilage allows bones to glide over each other. It also helps absorb the shock of movement. In Osteoarthrosis, the top layer of cartilage breaks down and wears away. This allows the bones under the cartilage to rub together. The rubbing causes pain, swelling and decrease in range of motion of the joint. Over time, the joint may lose its normal shape. Also, bone spurs may grow on the edges of the joint. Bits of bone or cartilage can break off and float inside the joint space, which causes more pain and damage. People with Osteoarthrosis often have joint pain and reduced motion. Its affects only joints and not the internal organs. Osteoarthrosis occurs most often in older people. Younger people sometimes get Osteoarthrosis, primarily due to joint injuries. Osteoarthrosis usually happens gradually over time. Some risk factors that might lead to it include, being overweight, due to old age, joints that are not properly formed, a genetic defect in joint cartilage, stresses on the joints from certain jobs and playing sports, estrogen deficiency appears to be a factor in postmenopausal women. Joints affected most commonly are the hip, knee, and inter phalange joints. Signs of Osteoarthrosis are stiffness in a joint after getting out of bed or sitting for a long time, swelling or tenderness in one or more joints, a crunching feeling or the sound of bone rubbing on bone also are signs of osteoarthrosis. OBJECTIVE : To determine the Effectiveness of Mulligan’s Rotation Mobilization with Movement along with Quadriceps exercises in the management of knee Osteoarthrosis. To determine the Effectiveness of Deep Heating Modality along with Quadriceps exercises in the management of knee Osteoarthrosis. To Compare Effectiveness of Mulligan’s Rotation Mobilization with Movement along with Quadriceps exercises Versus Deep Heating Modality along with Quadriceps exercises in the management of Osteoarthrosis knee subjects. CONCLUSION : A Pre-test, Post-test Experimental study was conducted to compare the effect of Mulligan’s Rotation Mobilization with Movement along with Quadriceps Exercises and Shortwave Diathermy with Quadriceps Exercises in improving knee function in patients with knee Osteoarthrosis. 20 subjects with Osteoarthrosis Knee were included in this study by Consecutive sampling and randomly assigned to two groups as Group A and Group B consisting of 10 subjects each. Group A was treated with Mulligan’s Rotation Mobilization with Movement along with Quadriceps exercises and Group B was treated with Shortwave Diathermy with Quadriceps exercise. Knee Pain and Knee Function were assessed before and after the intervention by Visual Analogue Scale (VAS) and Western Ontario McMaster Universities of Osteoarthritis Index (WOMAC). When comparing the Pain mean values of Group A and Group B. Group A subjects who received Mulligan’s Rotation Mobilization with Movement along with Quadriceps exercises showed more difference than Group B who received Shortwave Diathermy with Quadriceps exercises. When comparing the Knee Function mean values of Group A and Group B. Group A subjects who received Mulligan’s Rotation Mobilization with Movement along with Quadriceps exercises showed more difference than Group B who received Shortwave Diathermy with Quadriceps exercises. Hence, it is concluded that Mulligan’s Mobilization with Movement along with Quadriceps exercises is more effective than Shortwave Diathermy with Quadriceps exercises in reducing pain and improving knee function in Osteoarthrosis knee subjects.

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