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IRCT20190316043067N1 IRCT 2019-04-23 Shahid Beheshti University of Medical Sciences Effect of wrist mobilization techniques on grip strength and force sense Study of immediate effects of Mulligan and Maitland mobilization techniques on grip strength and grip force sense in healthy young women 2019-04-30 anticipated 91 Complete https://irct.ir/trial/38351 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: This study also investigates the relationship between joint mobilization and force sense, Randomization description: Tossing a coin. Participants were allocated in one of the two groups according to what the coin indicated. Simple randomization, Blinding description: Participants are not informed which mobilization technique is applied. N/A Comparison of the effects of Maitland and Mulligan mobilization techniques on hand power. Grip strength was measured in both groups before and after applying the mobilization of the wrist using the Maitland and Mulligan techniques.. Intervention 1: Intervention group one: Maitland mobilization grade III with a frequency of 1 Hz is applied on the subject’s wrist to promote wrist extension. In grade III of Maitland mobilization technique, a large amplitude of oscillating mobilizing movements are applied rhythmically to the barrier of the range of movement. Application of the Maitland mobilization technique takes 3 minutes. In this technique, the subject is in the supine position and her forearm is placed in mid position. The physiotherapist is standing in front of the subject and grasps the radio-carpal joint of the dominant hand. Therapist’s both thumbs are placed on the dorsal side of the proximal carpal row just distal to the radial and ulnar styloid processes. Thumb and index fingers hold the scaphoid, lunate and partially triquetrum. Other fingers are placed on the palmar side of carpal bones. Before beginning the mobilization in palmar direction, joint slack is taken. Index fingers and thumbs are the major contact points which apply the force. Extension movement is applied through local grip with simultaneous wrist extension. Oscillation is finished while forearm turns back to primary position(12). Intervention 2: Intervention group: The technique was done in 3 sets of 6 movements and lasted about 2/5 minutes. The Mulligan technique includes carpal lateral glide with non-weight bearing wrist flexion/extension. The subject is in sitting position with the elbow in 90˚ flexion, the forearm in mid pronation, the wrist in resting position and the hand in neutral position. The therapist is in front of the subject and fixes the distal end of the radius laterally with the first web space. The therapist’s other hand grasped the medial side of the subject’s wrist joint. Then through the first web space a lateral glide was applied to the proximal carps. While the therapist was maintaining the lateral glide, the subject was asked to flex and extend her wrist and apply the pressure at the end of movement in favor of wrist extension. If required, slight adjustments were made to the intensity and direction of the lateral glide. Because the wrist joint was small, the mobilization was done slowly. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is no more information
public Seyedeh Forough Abtahi nezhad moghadam
1616913111, Damavand Ave, Imam Hossein SQ, School of Rehabilitation, Tehran, Iran.
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7754 2057 f.abt70@yahoo.com Shahid Beheshti University of Medical Sciences scientific Seyedmajid Hosseini
Damavand Ave, Imam Hosseini SQ, Postal code: 1616913111
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7754 2057 majid_hoseini@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) females (age 18- 30 years) with normal BMI between 20-25 Participant states that she is healthy and has no problem (asymptomatic). 18 years 30 years Female Being athletes (Exercise at least three days a week for two hours) their job is dependent on heavy manual tasks history of carpal tunnel syndrome in the previous 6 months history of wrist tendonitis in the previous 6 months history of hand fracture and immobilization for wrist or hand in the previous 6 months receiving manual techniques such as joint mobilization, massage, muscle energy technique and manipulation in the previous 6 months participants who are not willing to continue the study Rehabilitation Rehabilitation Intervention group one: Maitland mobilization grade III with a frequency of 1 Hz is applied on the subject’s wrist to promote wrist extension. In grade III of Maitland mobilization technique, a large amplitude of oscillating mobilizing movements are applied rhythmically to the barrier of the range of movement. Application of the Maitland mobilization technique takes 3 minutes. In this technique, the subject is in the supine position and her forearm is placed in mid position. The physiotherapist is standing in front of the subject and grasps the radio-carpal joint of the dominant hand. Therapist’s both thumbs are placed on the dorsal side of the proximal carpal row just distal to the radial and ulnar styloid processes. Thumb and index fingers hold the scaphoid, lunate and partially triquetrum. Other fingers are placed on the palmar side of carpal bones. Before beginning the mobilization in palmar direction, joint slack is taken. Index fingers and thumbs are the major contact points which apply the force. Extension movement is applied through local grip with simultaneous wrist extension. Oscillation is finished while forearm turns back to primary position(12). Intervention group: The technique was done in 3 sets of 6 movements and lasted about 2/5 minutes. The Mulligan technique includes carpal lateral glide with non-weight bearing wrist flexion/extension. The subject is in sitting position with the elbow in 90˚ flexion, the forearm in mid pronation, the wrist in resting position and the hand in neutral position. The therapist is in front of the subject and fixes the distal end of the radius laterally with the first web space. The therapist’s other hand grasped the medial side of the subject’s wrist joint. Then through the first web space a lateral glide was applied to the proximal carps. While the therapist was maintaining the lateral glide, the subject was asked to flex and extend her wrist and apply the pressure at the end of movement in favor of wrist extension. If required, slight adjustments were made to the intensity and direction of the lateral glide. Because the wrist joint was small, the mobilization was done slowly. Grip strength. Timepoint: Pre and immediately post intervention. Method of measurement: A hand dynamometer – model SH 5002, SAEHAN. Absolute error. Timepoint: Pre and immediately post intervention. Method of measurement: A hand dynamometer – model SH 5002, SAEHAN. Constant error. Timepoint: Pre and immediately post intervention. Method of measurement: A hand dynamometer – model SH 5002, SAEHAN. Variable error. Timepoint: Pre and immediately post intervention. Method of measurement: A hand dynamometer – model SH 5002, SAEHAN. Shahid Beheshti University of Medical Sciences Approved 2017-07-11 Ethics committee of Shahid Beheshti University of Medical Sciences, Tehran , Iran. 1616913111, Damavand AVE, Imam Hossein SQ, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)