PMID- 16777467
OWN - NLM
STAT- MEDLINE
DCOM- 20070511
LR  - 20220410
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 12
IP  - 2
DP  - 2007 May
TI  - The initial effects of knee joint mobilization on osteoarthritic hyperalgesia.
PG  - 109-18
AB  - Physiotherapists often employ lower limb joint mobilization to reduce pain and 
      increase function. However, there is little experimental data confirming its 
      efficacy. The purpose of this study was to investigate the initial effects of 
      accessory knee joint mobilization on measures of pain and function in individuals 
      with knee osteoarthritis. The study employed a double-blind, controlled, 
      within-subjects repeated-measures design. Thirty-eight subjects with mild to 
      moderate knee pain participated. The effects of a 9-min, non-noxious, AP 
      mobilization of the tibio-femoral joint were compared with manual contact and 
      no-contact interventions. Pressure pain threshold (PPT) and 3-m 'up and go' time 
      were measured immediately before and after each intervention. Results 
      demonstrated a significantly greater mean (95% CI) percentage increase in PPT 
      following knee joint mobilization (27.3% (20.9-33.7)) than after manual contact 
      (6.4% (0.4-12.4)) or no-contact (-9.6% (-20.7 to 1.6)) interventions. Knee joint 
      mobilization also increased PPT at a distal, non-painful site and reduced 'up and 
      go' time significantly more (-5% (-9.3 to 0.8)) than manual contact (-0.4% (-4.2 
      to 3.5)) or no-contact control (+7.9% (2.6-13.2)) interventions. This study 
      therefore provides new experimental evidence that accessory mobilization of an 
      osteoarthritic knee joint immediately produces both local and widespread 
      hypoalgesic effects. It may therefore be an effective means of reducing pain in 
      this population.
FAU - Moss, Penny
AU  - Moss P
AD  - School of Physiotherapy, Curtin University of Technology, GPO Box U1987, Perth, 
      WA, Australia.
FAU - Sluka, Kathleen
AU  - Sluka K
FAU - Wright, Anthony
AU  - Wright A
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20060613
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - Double-Blind Method
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Hyperalgesia/diagnosis/*therapy
MH  - Male
MH  - Manipulation, Orthopedic/*methods
MH  - Middle Aged
MH  - Osteoarthritis, Knee/diagnosis/*therapy
MH  - Pain Measurement
MH  - Physical Therapy Modalities
MH  - Probability
MH  - Range of Motion, Articular/*physiology
MH  - Recovery of Function
MH  - Reference Values
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Treatment Outcome
EDAT- 2006/06/17 09:00
MHDA- 2007/05/12 09:00
CRDT- 2006/06/17 09:00
PHST- 2004/09/22 00:00 [received]
PHST- 2006/01/25 00:00 [revised]
PHST- 2006/02/15 00:00 [accepted]
PHST- 2006/06/17 09:00 [pubmed]
PHST- 2007/05/12 09:00 [medline]
PHST- 2006/06/17 09:00 [entrez]
AID - S1356-689X(06)00040-3 [pii]
AID - 10.1016/j.math.2006.02.009 [doi]
PST - ppublish
SO  - Man Ther. 2007 May;12(2):109-18. doi: 10.1016/j.math.2006.02.009. Epub 2006 Jun 
      13.