Reflexology and Mulligan Mobilization for Knee Osteoarthritis

Официальное название

The Effect of Adding Reflexology to Mulligan Mobilization for Patient With Knee Osteoarthritis

Обзор

to investigate the effect of adding Reflexlogy to mulligan mobilization and the conventional treatment for patients with Osteoarthritis knees

Подробное описание

Knee osteoarthritis (OA), also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage. Treatment by reflexology stimulation increases blood flow to the associated organ or body part. On the other hand, the nerve impulse theory claims that reflexology stimulation boosts nervous connection to the conforming body parts. Regarding to the energy theory; organs and body parts are connected through electromagnetic fields and that these pathways are blocked in states of disease. Finally, lactic acid theory pointed that lactic acid accumulates on the soles of the feet in the form of crystals which promotes free circulation, so reduces regular flow .The effects of foot reflexology on improving physical complains of KOA. Therefore, this study was conducted to evaluate the effectiveness of reflexology foot massage on pain intensity and physical functional abilities among patients with Knee Osteoarthritis.

Mulligan's Mobilization with Movement (MWM) advocates therapist-applied accessory gliding force combined with active movement The goal of MWM is to achieve immediate pain relief possibly by regulation of the non-opioid pain sensory pathways and by correction of micro positional faults. These positional faults may result from changes in the shape of articular surfaces, cartilage thickness, fiber orientation in the capsule-ligamentous complex, and the direction of musculo-tendinous pull, causing altered mechanics in the osteoarthritic knees.

Вмешательства

• Другое Reflexology ,mulligan mobilization and conventional
  Reflexology is a systematic practice in which applying some pressure to any particular points on the feet and hands give impacts on the health of related parts of the body as (Knee reflex point, Pituitary reflex point, Entire spine, Liver reflex area, Thyroid reflex area ) Mulligan's Mobilization with Movement (MWM) apply accessory gliding force combined with active movement as (Lateral glide MWM for flexion / extension, Medial glide MWM for flexion / extension, Self-medial glide MWM for knee fl
• Другое reflexology and conventional
  Reflexology as (Knee reflex point, Pituitary reflex point, Entire spine, Liver reflex area, Thyroid reflex area ) and conventional methods as (Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound Therapy and exercises) treatment.
• Другое mulligan mobilization and conventional
  Mulligan mobilization as (Lateral glide MWM for flexion / extension, Medial glide MWM for flexion / extension, Self-medial glide MWM for knee flexion/extension: home exercise) and conventional methods as (Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound Therapy and exercises) treatment.
• Другое Conventional treatment
  Conventional methods as (Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound Therapy and exercises) treatment.

Первичные конечные точки

• visual analogue scale [Срок оценки: one month]

Вторичные конечные точки (1)

• The Knee Injury and Osteoarthritis Outcome Score (KOOS) [Срок оценки: one month]

Критерии участия

Критерии включения

• Age greater than or equal to 40 years.
• Body Mass Index ≤30 kg/m².
• All participants have Calcium Deficiency
• Osteoarthritis in mild and moderate stage not in the acute stage
• The subjects were chosen from both genders

Критерии исключения

• Deep Vein Thrombosis
• Fractures
• Gangrena Patient
• Osteopenic Patient
• Lactating or pregnant women
• Cancer
• Neurological conditions.
• Patients with injury including; (lesions, sprain, open wounds, foot ulcer and or burn of the lower extremities), hemorrhage, epilepsy, irregular heartbeat.
• Vascular (Anticoagulant Therapy, Aortic Aneurysm)
• Neurological Deficits (multilevel PIVD, Cervical Myelopathy)
• Psychological Disorders.

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Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Cairo University — Cairo

Публикации

• Bakir E, Baglama SS. The Effect of Foot Reflexology and Knee Massage With Black Cumin Seed Oil on Knee Osteoarthritis Symptoms. Holist Nurs Pract. 2026 Jan-Feb 01;40(1):56-65. doi: 10.1097/HNP.0000000000000714. Epub 2025 Nov 11. PMID 39642267
• Bhagat M, Neelapala YVR, Gangavelli R. Immediate effects of Mulligan's techniques on pain and functional mobility in individuals with knee osteoarthritis: A randomized control trial. Physiother Res Int. 2020 Jan;25(1):e1812. doi: 10.1002/pri.1812. Epub 2019 Sep 10. PMID 31502354

Идентификаторы

NCT: NCT06815016 · P.T.REC/012/005479

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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