Manual Therapy on Activation of the Descending Pain Inhibitory System in Patients With Knee Osteoarthritis (MulliganKnee)
Musculoskeletal Manipulations, Osteoarthritis, Knee
About this trial
This is an interventional treatment trial for Musculoskeletal Manipulations focused on measuring Mulligan mobilization, Maitland mobilization, Manual therapy
Eligibility Criteria
Inclusion Criteria:
- Knee pain diagnosed with osteoarthritis of the knee using the criteria of the American College of Rheumatology
- Low or no response to pain medication for osteoarthritis knee pain.
Exclusion Criteria:
- Suffer from any disorder, syndrome or disease that may cause myofascial or neuropathic pain in the lower limbs, such as lumbar radiculopathy, meralgia paresthetica or saphenous nerve entrapment.
- Infiltration with steroids or local anaesthetics during the year prior to the patient's participation in the study or during follow-up.
- History of previous lower extremity or lumbopelvic surgery.
- Ingestion of substances of abuse that may interfere with treatment.
- Contraindications to perform joint therapy mobilizations.
- Previous diagnosis of myopathy or neuropathy (lumbo-sacral plexus)
- Cognitive deficit manifested in the clinical history (Alzheimer, dementia).
Sites / Locations
- Universidad Rey Juan Carlos
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Experimental mobilization: Mulligan
Control mobilization: AP Maitland
Mobilization will be performed while the patient actively performs knee flexion and/or extension depending on the patient's painful or limited movements. Three series of ten repetitions will be performed.
The joint mobilization, will be carried out in the knee with both hands, with displacement of the tibia from the front to the back of the femur in an oscillatory way without pain, will be carried out in blocks of 2 minutes with rests of 30 seconds with a duration of about 6 minutes.