EFFECTIVENESS OF MULLIGAN’S SQUEEZE TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL THERAPY TO DECREASE PAIN AND IMPROVE RANGE OF MOTION IN MENISCAL TEAR-A RANDOMIZED CONTROLLED TRIAL

Authors

  • Soumya Kasturi MPT Musculoskeletal Sciences, Nizam’s Institute of Medical Sciences, Hyderabad.
  • Naga Sravana Kumar Jampa MPT Sports Sciences, Faculty of Physiotherapy, Nizam’s Institute of Medical Sciences, Hyderabad.
  • Lalith Mohan 3Associate Professor, Department Of Orthopedics, Nizam’s Institute of Medical Sciences, Hyderabad.

DOI:

https://doi.org/10.15621/ijphy/2020/v7i1/193669

Keywords:

Meniscal tear, knee pain, NPRS, PSFS, ROM

Abstract

Background: Serious, major meniscal fractures are the most common knee injuries. In the management of meniscal tears, physical therapy has shown positive results, and additional medication is required to reduce the effects of meniscal tears. This study aimed to evaluate the feasibility of the mulligan squeeze procedure in combination with conventional pain relief therapy and to increase the range of movement and functional ability of meniscal tear patients. The study aims at reviving pain, increasing ROM and stability, and improving the quality of their lives.
Methods: In this randomized controlled trial, 40 patients were chosen and randomly assigned to two groups, A and B, clinically diagnosed with a meniscal tear. The Numeric Pain Rating Scale (NPRS), the Patient-Specific Functional Scale (PSFS), and knee range of motion were reported to determine the pain level and functional capability of the patients.
Results: During the 4th and 6th week, all classes showed a significant gap (P<0.05). At the end of the 6th week, the standard variance and the overall analysis team t-test values were higher than the control group.
Conclusion: The two teams showed significant progress for NRPS, ROM, and PSFS, but the experimental group showed more significant improvement in all the parameters.

References

Rhinehart AJ. Effective treatment of an apparent meniscal injury using the Mulligan Concept. Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association. 2015; 2(1): 1-5.

Yeh PC, Starkey C, Lombardo S, Vitti G, Kharrazi FD. Epidemiology of isolated meniscal injury and its effect on performance in athletes from the National Basketball Association. The American journal of sports medicine. 2012 Mar; 40: 589-594.

Shiraev T, Anderson SE, Hope N. Meniscal tear: presentation, diagnosis and management. Australian family physician. 2012 Apr; 41: 182.

Chivers MD, Howitt SD. Anatomy and physical examination of the knee menisci: a narrative review of the orthopedic literature. The journal of the canadian chiropractic association. 2009 Dec; 53: 319.

Lowery, Douglas J and Farley, Timothy D and Wing, David W and Sterett, William I and Steadman, J Richard. A clinical composite score accurately detects meniscal pathology. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2006; 22(11): 1174--1179.

Kurosaka, M and Yagi, M and Yoshiya, S and Muratsu, H and Mizuno, K. Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear. International orthopaedics. 1999; 23(5): 271-274.

Harrison, Bradley K and Abell, Brian E and Gibson, T Whitney. The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clinical Journal of Sport Medicine. 2009; 19(1): 9-12.

udson, Robinetta and Richmond, Amy and Sanchez, Belinda and Stevenson, Valerie and Baker, Russell T and May, James and Nasypany, Alan and Reordan, Don. An alternative approach to the treatment of meniscal pathologies: a case series analysis of the Mulligan Concept “Squeeze” technique. International journal of sports physical therapy. 2016; 11(4): 564.

Kise, Nina Jullum and Risberg, May Arna and Stensrud, Silje and Ranstam, Jonas and Engebretsen, Lars and Roos, Ewa M. Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up. bmj. 2016 Jul 20;354:i3740. 2016 july; 354(3740).

Sah, Roshan and Bin, Luike and Sah, Vijay Kumar and Dhami, Keshav Singh. Approach to Meniscal Tear by Clinical Examination and Its Management: A Review. Yangtze Medicine. 2019; 3(3): 195-211.

Mordecai, Simon C and Al-Hadithy, Nawfal and Ware, Howard E and Gupte, Chinmay M. Treatment of meniscal tears: an evidence based approach. World journal of orthopedics. 2014; 5(3): 233.

Herrlin, Sylvia and Haallander, Maria and Wange, Peter and Weidenhielm, Lars and Werner, Suzanne. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surgery, Sports Traumatology, Arthroscopy. 2007; 15(4): 393-401.

Katz, Jeffrey N and Brophy, Robert H and Chaisson, Christine E and De Chaves, Leigh and Cole, Brian J and Dahm, Diane L and Donnell-Fink, Laurel A and Guermazi, Ali and Haas, Amanda K and Jones, Morgan H and others. Surgery versus physical therapy for a meniscal tear and osteoarthritis. New England Journal of Medicine. 2013; 368(18): 1675--1684.

Hudson R, Richmond A, Sanchez B, Stevenson V, Baker RT, May J, Nasypany A, Reordan D. Innovative treatment of clinically diagnosed meniscal tears: a randomized sham-controlled trial of the Mulligan concept ‘squeeze’technique. Journal of Manual & Manipulative Therapy. 2018 oct; 26(5): 254-263.

Mulligan BR, Dalkılınc, Murat, Elbasan Bulent. Manual Therapy: Nags, Snags, MWMs. 6th ed. OPTP; 2010.

Kumar, Dr.Deepak. Manual of Mulligan concept. 2nd ed.: capri 4 Physio; 2014.

Konan S, Rayan F, Haddad FS. Do physical diagnostic tests accurately detect meniscal tears. Knee Surgery, Sports Traumatology, Arthroscopy. 2009 july; 17(7): 806-11.

Varghese JG, Dilakshana S, Ganesh SD, Varshini L. A Study to Analyze the effectiveness of Mobilization with movement in OA knee Dysfunction: A Quasi Experimental Study. Research Journal of Pharmacy and Technology. 2019; 12(5): 2279-82.

Krzyzanowicz R, Gargano F, May J, Nasypany A. Analysis of Patient Outcomes When Applying the Mulligan Concept to Treat Recreational Dancers with Patellofemoral Pain Syndrome. Phys Med Rehab Sc. 2019; 1(1):1-9.

Published

09-02-2020
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How to Cite

Soumya Kasturi, Naga Sravana Kumar Jampa, & Lalith Mohan. (2020). EFFECTIVENESS OF MULLIGAN’S SQUEEZE TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL THERAPY TO DECREASE PAIN AND IMPROVE RANGE OF MOTION IN MENISCAL TEAR-A RANDOMIZED CONTROLLED TRIAL. International Journal of Physiotherapy, 7(1), 20–25. https://doi.org/10.15621/ijphy/2020/v7i1/193669

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Original Articles