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CTRI Number  CTRI/2017/03/008073 [Registered on: 14/03/2017] Trial Registered Prospectively
Last Modified On: 14/03/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A study of the effects of a physiotherapy treatment technique known as Mulligan technique in people suffering from knee pain over a prolonged period, i.e, more than 3 months 
Scientific Title of Study   Immediate effects of Mulligan techniques on Pain and Functional mobility in individuals with Knee Osteoarthritis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Madhura Bhagat 
Designation  Physiotherapy Postgraduate Student (MPT) 
Affiliation  SOAHS, Manipal 
Address  Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9071589663  
Fax    
Email  madhura.bhagat@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ranganath Gangavelli 
Designation  Associate Professor 
Affiliation  SOAHS Manipal 
Address  Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  9844372252  
Fax    
Email  ranganath.g@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Mrs Anupama Prabhu 
Designation  Assistant Professor 
Affiliation  SOAHS Manipal 
Address  Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Udupi, Karnataka

Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  anupama.prabhu@manipal.edu  
 
Source of Monetary or Material Support  
Madhura Bhagat,Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal- 576104  
 
Primary Sponsor  
Name  Madhura Bhagat 
Address  Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Mnanipal 
Type of Sponsor  Other [Individual] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Madhura Bhagat  Kasturba Hospital  Department of Physiotherapy, Manipal University, Manipal, Udupi - 576104
Udupi
KARNATAKA 
9071589663

madhura.bhagat@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Comittee, Kasturba Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Knee Osteoarthritis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Mulligan Techniques  Mulligan technique involves "glides"or forces delivered by a physiotherapist, causing accessory joint movements, while the subject performs active movement.  
Comparator Agent  Sham technique/ Placebo  Hand placement mimicking the treatment technique without actually delivering the gliding force 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1. Radiologically diagnosed degenerative tibiofemoral osteoarthritis with bilateral involvement, grades 1 to 3 according to the Kellgren and Lawrence classification

2.Duration of the condition: >3 months
 
 
ExclusionCriteria 
Details  1. Systemic or Local Infection
2. Osteoarthritis secondary to rheumatoid and other inflammatory and autoimmune conditions
3. Acute trauma and fractures
4, Difficulties in comprehension
5. Patellofemoral pain
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Numerical Pain Rating Scale  Immediate pre and post intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Timed Up and Go test  Immediate pre and post intervention 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/03/2017 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This study aims to investigate the immediate effects of Mulligan techniques on pain and functional mobility in individuals with knee osteoarthritis. Mulligan technique is a manual therapy technique which involves the physiotherapist administering a force causing accessory joint movements, called gliding force, and the manouvre is called a glide, while the participant actively performs the offending movement. The primary outcome measure will be pain score on Numerical Pain rating scale and the secondary outcome measure will be time taken to complete the Timed Up and Go test. This randomized, parallel group design placebo controlled trial will be conducted in a single centre, where 30 participants will be randomized in two groups of 15 members each, the experimental group receiving Mulligan technique and the control group receiving placebo which involves a mere hand placement mimicking the glide without an actual gliding force. Pre and post intervention outcome measures will be recorded after obtaining informed consent from eligible subjects, and both group members will receive conventional physiotherapy treatment post data collection. 
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