A Comparative Study To Determine The Effects Of Maitland Mobilization Vs.Mulligan Mobilization With Movement (Mwm) With Retro-Walking In Osteoarthritis
Bibliographic record
Abstract
Osteoarthritis (OA) is a chronic progressive degenerative disorder of multifactorial etiology causing greater disability and clinical symptoms among adults. Physiotherapy is the mainstay of non-pharmacological treatment in osteoarthritis. It has shown that manual therapy combined with supervised exercise program is effective in reducing pain, disability, improving range of motion and strength in patients with knee osteoarthritis. Our aim is to determine the comparative effects of Maitland mobilization vs. Mulligan mobilization with movement (MWM) with retro-walking in osteoarthritis. This is a comparative study where 30 subjects, both Male and Female with a primary diagnosis of osteoarthritis knee by the physician was recruited into two groups or intervention sequence with 15 subjects in each group. Group-A received Maitland mobilization with retro-walking and Group-B received Mulligan mobilization with retro-walking. Home exercise program was incorporated for both groups. All subjects received intervention thrice weekly for 4 weeks. Outcome measures were Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) and 6 -minute walk test. Pre-Test and Post-Test was carried out for both groups and analyzed using paired and independent t tests in an SPSS software. It is concluded that both group-A (Maitland mobilization with retro-walking) and group-B (Mulligan mobilization with retro-walking) showed improvement post-treatment. However, the intervention given in group-B (Mulligan mobilization with retro-walking) showed significant improvement in VAS in terms of pain and WOMAC in terms of pain, stiffness and dysfunction compared to groupA (Maitland mobilization with retro-walking) whereas 6-minute walk test was found to be equally effective in both group-A and group-B. It is recommended for long term treatment and follow-up and retro-walking should be included in the rehabilitation of OA knee since the level of pain has been reduced.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".