The purpose of the present study to evaluate the synergistic effects of Mulligan Traction Straight Leg Raise Stretch and proprioceptive exercises in knee OA patients and effect of exercises to relive pain, stiffness and improve range of motion and functional ability of patients suffering from knee OA.

The randomized clinical trial, double-blinded study use to investigate the effect of propioceptive and mulligan exercises in knee osteoarthritis.

Conduct at Muhammad physical therapy clinic and rehabilitation centre, Multan, Pakistan.

Inclusion criteria: 1) Age 40-65 years 2) Patients with diagnosed OA 3) Both genders 4) Patients with swelling in knee joints 5) Patients with pain in knee joints 6) Patients having difficulty in walking and climbing stairs Exclusion criteria: 1) Vascular neoplasia 2) Fibromyalgia 4) Radiculopathy 5) Neuropathy 6) Tumor 7) Joint fractures 8) Vestibular problems 9) Congenital disorders

Group A will receive proprioceptive exercises, half squats, standing on just one foot, walking on the heel and toes, one-legged balance exercises and knee flexion and extension exercises while sat in a chair. Proprioceptive Exercise will be given 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes. Every exercise will be done for 1 to 2 minutes, with a 30-second break in between. Participants in the Mulligan Traction Straight Leg Raise Stretch group B will be the intervention 3 times a week for 30 minutes each session. Every session was involved performing 3 sets of 10 repetitions of straight leg lifts while using manual traction. Whereas Group C will be given both proprioceptive and MT-SLR.

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Mulligan traction straight leg raise stretch and proprioceptive exercise in treating osteoarthritis

Therapeutic utility of Mulligan traction straight leg raise stretch and proprioceptive exercise in treating osteoarthritis

Age 40-65 years
Patients with diagnosed OA
Both genders
Patients with swelling in knee joints
Patients with pain in knee joints
Difficulty in walking and climbing stairs

8 weeks

8 weeks

8 weeks

Intervention group: Group A will receive proprioceptive exercises, half squats, standing on just one foot, walking on the heel and toes (with eyes open and closed), one-legged balance exercises using a heating pad, and knee flexion and extension exercises while sat in a chair. Proprioceptive Exercise group A will be given 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes. The exercises in their program will develop from static to dynamic, including single-leg stances and balance exercises on unstable surfaces, starting with low-to-moderate intensity balance and stability exercises. Every exercise will be done for 1 to 2 minutes, with a 30-second break in between.

Intervention group: Group-B The total treatment regimen will be 8 weeks, including 24 sessions, participants in the Mulligan Traction Straight Leg Raise Stretch (MT-SLR) group B get the intervention 3 times a week for 30 minutes each session. Every session will involve performing 3 sets of 10 repetitions of straight leg lifts while using manual traction. The traction force will be adjusted according to each individual's comfort level and the repetitions were held for 15–20 seconds each.

درمانی - غیره

Intervention group: Group C will be given both proprioceptive and MT-SLR The total treatment regimen will be 8 weeks, including 24 sessions, participants in the Mulligan Traction Straight Leg Raise Stretch (MT-SLR) get the intervention 3 times a week for 30 minutes each session. Proprioceptive Exercise group will be given in 3 sessions/week for 8 weeks, with a total of 24 sessions, each lasting 45 minutes.

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