RECRUITINGINTERVENTIONAL

Effects of Kaltenborn Versus Mulligan Techniques in Rheumatoid Arthritis.

Effects of Kaltenborn Versus Mulligan Techniques on Pain, Range of Motion and Functional Disability in Patients With Rheumatoid Arthritis Of The Wrist.

About This Trial

This project was a randomized control trial conducted to check the effects of kaltenborn versus mulligan techniques on pain ,range of motion and functional disability in patients with rheumatoid arthritis of the wrist The inflammatory polyarthritis that primarily affects the tiny joints is a hallmark of rheumatoid arthritis, a chronic autoimmune illness. It is characterized by synovial joint degeneration, joint swelling, and joint discomfort, which can result in disability and early death .All patients of chronic stage,convenience sampling technique was used,subjects following eligibility criteria from Shaikh zayed hospital lahore ,were randomly allocated into two groups ,baseline assessment was done.Group A participants were given Kaltenborn mobilization along with conventional physiotherapy.Group B participants were given Mulligan mobilization along with conventional physiotherapy.Post intervention assessment was done via,VAS(visual analogue scale),goniometric measurements of wrist ranges,and QUICK DASH score.3 sessions per week were given,Data was analyzed by using SPSS.

Who May Be Eligible (Plain English)

Who May Qualify: - Age group between 18 to 65 years. Patients with less than 15degrees of flexion and 30 degrees of extension. - Male and female both are included. - Patients with chronic RA. - Consider only those patients with Ra factor positive. Patients with less than 10degrees of radial deviation and 15 degrees of ulnar deviation. - Patients willing to participate in the whole treatment session and follow up. Who Should NOT Join This Trial: - Patients who had any mental illness (Alzheimer's, Parkinson's disease, Dementia etc) - Patients who had any neurological deficit(paresthesia ,sensory loss, radiculopathy ,myleopathy) - Peripheral vascular diseases. - Any history of surgery related to upper limb. - Patients having metal implants in the upper limbs. Patients with any other serious pathology . Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Age group between 18 to 65 years. Patients with less than 15degrees of flexion and 30 degrees of extension. * Male and female both are included. * Patients with chronic RA. * Consider only those patients with Ra factor positive. Patients with less than 10degrees of radial deviation and 15 degrees of ulnar deviation. * Patients willing to participate in the whole treatment session and follow up. Exclusion Criteria: * Patients who had any mental illness (Alzheimer's, Parkinson's disease, Dementia etc) * Patients who had any neurological deficit(paresthesia ,sensory loss, radiculopathy ,myleopathy) * Peripheral vascular diseases. * Any history of surgery related to upper limb. * Patients having metal implants in the upper limbs. Patients with any other serious pathology .

Treatments Being Tested

OTHER

Kaltenborn

Per participant was randomized to receive low grade Kaltenborn manual mobilization(grade I).Any tightening of the connective tissues surrounding the joint (grade II) or oscillations followed by additional stretching (grade III).Kaltenborm mobilization is performed for wrist flexion,extension,radial and ulnar deviation.The duration of intervention will be 4 weeks,3 sessions per week, a total of 12 sessions will be given to the study participants. Each session will be last for 30 minutes .Conventional physical therapy will be given to the participants along with kaltenborn.

OTHER

Mulligan

Per participant gave concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end range applied by the patient. Mulligan mobilization is performed for wrist flexion and extension(in the form of fist)MCP joint flexion and extension,Thumb IC joint flexion and extension, abduction and adduction of fingers, The duration of intervention will be 4weeks,3 sessions per week ,a total of 12 sessions will be given to the study participants .Each session will last for 30 minutes. Conventional physical therapy will be given to the participants along with conventional physiotherapy.

Locations (1)

Shaikh zayed hospital

Lahore, Punjab Province, Pakistan