Mulligan Mobilization in Rheumatoid Hand

Kirsehir Ahi Evran Universitesi

Status: Completed

Conditions: Rheumatoid Arthritis

Treatments: Other: Mulligan Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT05660629

Ahi Evran University

Details and patient eligibility

About

The goal of this randomized-controlled study is to learn about the effectiveness of the Mulligan mobilization in rheumatoid hands. The main question it aims to answer are:

-Does mulligan mobilization reduce effusion in wrist joints with rheumatoid arthritis? Participants will take Mulligan mobilization application and active ROM exercises for their hands. Researcher will compare treatments group ith sham mobilization.

Full description

Rheumatoid arthritis (RA) is a systemic disease that can lead to chronic pain, bone and soft tissue damage, and disability retirement. Alleviating pain and maintaining joint range of motion in RA are important for reducing disability. Joint mobilizations are manual therapy techniques used to increase range of motion and reduce pain. The aim of this study is to investigate the effects of rheumatoid hand exercise and protective approach and joint mobilization applications on pain, functional status and quality of life.

Enrollment: 21 patients

Sex: All

Ages: 30 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having been diagnosed with RAS according to ACR and EULAR criteria,
• Being under the control of a physiatrist for at least 1 year,
• Have not had any upper extremity surgery in the last 6 months
• Have the cognitive capacity to understand commands,
• Not to be involved in any other rehabilitation program or study,

Exclusion criteria

• Presence of soft tissue injury and chronic bone damage in the hand,
• Presence of acute inflammation in any joint in the previous week,
• Presence of a degenerative or non-degenerative neurological condition that causes a change in pain perception,

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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21 participants in 3 patient groups

Mulligan Mobilization

Experimental group

Description:

Rehabilitation Program (Active wrist ROM exercises): * Forearm pronation and supination * Wrist flexion and extension * Wrist flexion and extension (in the form of a fist) * MCP Joint Flexion and Extension * Thumb IC joint Flexion and Extension * Abduction and Adduction of Fingers These exercises will be performed by the physiotherapist in the form of 5 seconds of movement / 15 seconds of rest, 10 repetitions a day, 5 days a week for 6 weeks. Mulligan Mobilization: * Carpal Medio-lateral Glide (open kinetics, wrist flexion and extension movement) * Carpal Rotation (open kinetics, wrist flexion and extension) * Scaphoid Antero-posterior Glide (open kinetics) * Metacarpal Antero-posterior Glide (When Clenching) * Medio-lateral Glide to PIP-DIP joints (open kinetics, fingers flexed)

Treatment:

Other: Mulligan Mobilization

Sham Mobilization

Sham Comparator group

Description:

Participants will receive sham mobilization in addition to the ROM exercises given in the Mulligan group. Sham mobilization will be done in the same position as Mulligan but without any glide force.

Treatment:

Other: Mulligan Mobilization

Control

No Intervention group

Description:

Participants will receive therapeutic patient training consisting of home exercise recommendations, basic disease information, physical activity advice, and joint protection methods.