Comparison Of Effect Of McKenzie Exercise And Mulligan With Movement on ROM and Physical Function in subjects with Knee Osteoarthritis- A Randomized Control Trial

ABSTRACT Background: Osteoarthritis is a progressive joint disorder marked by the breakdown of articular cartilage and the development of bony outgrowths at joint s. Physiotherapy plays a crucial role in managing this condition. Techniques such as McKenzie exercises and Mulligan’s Mobilization with Movement (MWM) are effective in alleviating pain, enhancing joint range of motion, and improving the performance of daily activities in individuals with knee osteoarthritis. Need Of Study: There is enough evidence available in this subjects with use of McKenzie exercise and Mulligan with Movement but there is a dearth of literature on the superiority of both the treatments, therefore, the present study is undertaken to observe which technique is better. Aim: To compare the effect of McKenzie and Mulligan with Movement Technique on Range Of Movement and physical function parameters in subjects with Knee Osteoarthritis. Methodology: 34 participants were included in the study and divided in Group A McKenzie Exercise and Group B Mulligan with Movement. Patients were given intervention for 3 times/week and pre and post outcomes were observed. Data were taken at baseline and after 8 weeks of intervention. Result: Data analysis was conducted using SPSS21, employing both paired and unpaired t-tests. Statistically significant improvements were noted in both groups, with group B exhibiting more pronounced enhancements. [KOOS (t= 3.61) P<0.05 & ROM (t=2.95) P<0.05]. Conclusion: The efficacy of Mulligan with Movement is greater in improving Range of Motion and physical function as compared to McKenzie exercise in patients of Knee Osteoarthritis. Keywords: Knee Injury and Osteoarthritis Outcome Score, McKenzie exercise, Mulligan with Movement, Osteoarthritis of knee, Ultrasound