Effects of Kaltenborn Versus Mulligan Techniques in Rheumatoid Arthritis.

Summary

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.

Eligibility

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 .

Conditions2

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