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Mobilization with movement and kinesio taping in knee arthritis—evaluation and outcomes

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Abstract

Introduction

The aim of this study was to investigate the acute effects of Mulligan mobilization with movement (MwM) and taping on function and pain intensity in patients with osteoarthritis (OA).

Materials and methods

Female patients aged between 40 and 70 years with knee OA participated in the study. The patients were divided into three groups and each group received different interventions. Group 1 received MwM and taping according to Mulligan’s concept. Group 2 received MwM and placebo taping with no recovery effect and group 3 received placebo taping. Functional tests including lifting, picking up, sit and stand-up, socket tests in addition to climbing up and down stairs, ten metres walk, and timed up and go (TUG) tests were performed before and after intervention. Pain during the test performances were assessed by a visual analog scale.

Results

Performance in all tests improved significantly in the MwM + taping group, while only sit and stand-up, ten metres walk, and TUG test performances improved in the MwM + placebo taping group (p < 0.05). Pain intensity during the tests was also significantly better after intervention in those two groups (p < 0.05). Comparison between the groups showed that the pain intensity during all tests was less and functional test scores were better in sit and stand-up, ten metres walk, and walking down stairs in the MwM + taping group than the MwM + placebo taping group.

Conclusions

MwM accompanied by taping improves pain during functional activities as well as the performance. MwM without taping may also improve pain intensity; however, it may be inadequate in increasing the performance.

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References

  1. Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, … & Sowers M (2000) Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med 133(8):635–646

  2. Van Dijk GM, Dekker J, Veenhof C, Van Den Ende CH (2006) Course of functional status and pain in osteoarthritis of the hip or knee: a systematic review of the literature. Arthritis Care Res 55(5):779–785

    Article  Google Scholar 

  3. Mulligan BR (2004) Manual therapy:“nags”, “snags”, “mwms” Etc. Optp. 5th Ed. Wellington: NZ

  4. Page CJ, Hinman RS, Bennell KL (2011) Physiotherapy management of knee osteoarthritis. Int J Rheum Dis 14(2):145–151

    Article  PubMed  Google Scholar 

  5. Takasaki H, Hall T, Jull G (2013) Immediate and short-term effects of Mulligan’s mobilization with movement on knee pain and disability associated with knee osteoarthritis—a prospective case series. Physiother Theory Pract 29(2):87–95

    Article  PubMed  Google Scholar 

  6. Hing W, Bigelow R, Bremner T (2009) Mulligan’s mobilization with movement: a systematic review. J Manual Manip Ther 17(2):39E–66E

    Article  Google Scholar 

  7. Adams T, Band-Entrup D, Kuhn S, Legere L, Mace K, Paggi A, Penney M (2013) Physical therapy management of knee osteoarthritis in the middle-aged athlete. Sports Med Arthrosc Rev 21(1):2–10

    Article  PubMed  Google Scholar 

  8. Emrani PS, Katz JN, Kessler CL, Reichmann WM, Wright EA, McAlindon TE, Losina E (2008) Joint space narrowing and Kellgren–Lawrence progression in knee osteoarthritis: an analytic literature synthesis. Osteoarthr Cartil 16(8):873–882

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Liikavainio T, Lyytinen T, Tyrväinen E, Sipilä S, Arokoski JP (2008) Physical function and properties of quadriceps femoris muscle in men with knee osteoarthritis. Arch Phys Med Rehabil 89(11):2185–2194

    Article  PubMed  Google Scholar 

  10. Strand LI, Wie SL (1999) The sock test for evaluating activity limitation in patients with musculoskeletal pain. Phys Ther 79(2):136–145

    CAS  PubMed  Google Scholar 

  11. Tunay VB, Baltacı G, Atay AÖ (2010) Diz osteoartritinde hastanede ve evde uygulanan propriyoseptif ve kuvvetlendirme egzersiz programlar. Acta Orthop Traumatol Turc 44(4):270–277

    Article  PubMed  Google Scholar 

  12. Moss P, Sluka K, Wright A (2007) The initial effects of knee joint mobilization on osteoarthritic hyperalgesia. Man Ther 12(2):109–118

    Article  PubMed  Google Scholar 

  13. Sambajon VV, Cillo JE, Gassner RJ, Buckley MJ (2003) The effects of mechanical strain on synovial fibroblasts. J Oral Maxillofac Surg 61(6):707–712

    Article  PubMed  Google Scholar 

  14. Finan PH, Buenaver LF, Bounds SC, Hussain S, Park RJ, Haque UJ, … & Smith MT (2013) Discordance between pain and radiographic severity in knee osteoarthritis: findings from quantitative sensory testing of central sensitization. Arthritis Rheumatol 65(2):363–372

  15. Windisch C, Brodt S, Röhner E, Matziolis G (2017) Effects of Kinesio taping compared to arterio-venous Impulse System™ on limb swelling and skin temperature after total knee arthroplasty. Int Orthop 41(2):301–307

    Article  PubMed  Google Scholar 

  16. Burstein H, Wright A, Timothy M (1993) Biomechanics. In: Insall JN (ed) Surgery of the knee, 2nd edn. Churchill Livingstone, New York, pp 43–54

    Google Scholar 

  17. Heck DA, Murray DG (1990) Biomechanics of the knee. In: Evarts CM (ed) Surgery of the musculoskeletal system, 2nd edn. Churchill Livingstone, New York, pp 3243–3251

    Google Scholar 

  18. Clarke ED, Scott WD, Insall JN (2001) Anatomy. In: Insall JN, Scott WD (eds) Surgery of the knee, 3rd edn. Churchill Livingstone, Philadelphia, pp 13–77

    Google Scholar 

  19. Öztürk L, Aktan ZA, Varol T (1997) Alt Ekstremite Kasları, İşlevsel Anatomi. Saray Kitabevleri, İzmir, pp 192–194

    Google Scholar 

  20. de Vos BC, Runhaar J, Bierma-Zeinstra SM (2014) Effectiveness of a tailor-made weight loss intervention in primary care. Eur J Nutr 53(1):95–104

    Article  PubMed  Google Scholar 

  21. Mounach A, Nouijai A, Ghozlani I, Ghazi M, Achemlal L, Bezza A, El Maghraoui A (2008) Risk factors for knee osteoarthritis in Morocco. A case control study. Clin Rheumatol 27(3):323–326

    Article  PubMed  Google Scholar 

  22. Howe A, Campbell A, Ng L, Hall T, Hopper D (2015) Effects of two different knee tape procedures on lower-limb kinematics and kinetics in recreational runners. Scand J Med Sci Sports 25(4):517–524

    Article  CAS  PubMed  Google Scholar 

  23. Hendry D, Campbell A, Ng L, Grisbrook TL, Hopper DM (2015) Effect of Mulligan’s and Kinesio knee taping on adolescent ballet dancers knee and hip biomechanics during landing. Scand J Med Sci Sports 25(6):888–896

    Article  CAS  PubMed  Google Scholar 

  24. Kacar C, Gilgil E, Urhan S, Arıkan V, Dündar Ü, Öksüz MC, … & Apaydın A (2005) The prevalence of symptomatic knee and distal interphalangeal joint osteoarthritis in the urban population of Antalya, Turkey. Rheumatol Int 25(3):201–204

  25. Kappetijn O, van Trijffel E, Lucas C (2014) Efficacy of passive extension mobilization in addition to exercise in the osteoarthritic knee: an observational parallel-group study. Knee 21(3):703–709

    Article  PubMed  Google Scholar 

  26. Draper DO, VanPatten J (2010) Shortwave diathermy and joint mobilizations for postsurgical restoration of knee motion. Athletic Ther Today 15(1):39–41

    Article  Google Scholar 

  27. Chaisson CE, Gale DR, Gale E, Kazis L, Skinner K, Felson DT (2000) Detecting radiographic knee osteoarthritis: what combination of views is optimal? Rheumatology 39(11):1218–1221

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Zeynep Tuna.

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Informed consent was obtained from all individual participants included in the study.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The authors confirm that the work described has not been published before; that it is not under consideration for publication anywhere else; and that its publication has been approved by all co-authors, if any, as well as by the responsible authorities—tacitly or explicitly—at the institute where the work has been carried out.

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Altmış, H., Oskay, D., Elbasan, B. et al. Mobilization with movement and kinesio taping in knee arthritis—evaluation and outcomes. International Orthopaedics (SICOT) 42, 2807–2815 (2018). https://doi.org/10.1007/s00264-018-3938-3

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  • DOI: https://doi.org/10.1007/s00264-018-3938-3

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