19– 20īecause the efficacy of KT in the management of KOA remains uncertain. 18 It is known, however, that taping accompanied with the mobilization helps to support the correcting effects of mobilization and contributes to further reduction in the intensity of pain and the level of disability. The long-term effectiveness of MWM and well-designed a RCT have yet to be studied. 14– 17 A recent systematic review highlighted the problem that MWM only exhibits the immediate effects on pain and disability. MWM works on the principle of restoring the biomechanics of the knee by overcoming positional fault. Mulligan joint mobilization includes active movement and mobilization of the joint, which is termed Mobilization with Movement (MWM). In 1980, Brian Mulligan proposed a joint mobilization technique for the management of various musculoskeletal conditions to increase movement and reduce joint pain.
11– 12 The American College of Rheumatology (ACR) also recommends that patients with knee OA receive manual physical therapy in combination with knee strengthening exercises under the supervision of a qualified physiotherapist. Several studies have revealed the positive effects of joint mobilization with exercise in the management of KOA. 5– 8 However, there is limited evidence to suggest that trunk stabilization combined with either knee strengthening or trunk stability exercises improves lumbopelvic control and walking capacity. Weakness around the trunk muscles plays a crucial role in the development of knee pain, which is also linked with decreased strength of the trunk side flexor, hip abductor, lateral rotator and extensor muscles. 2 However, multimodal exercise programs for the knee are known to provide better pain relief than knee strengthening alone. Twenty-four sessions of therapeutic exercise appear to provide the most beneficial effects, but these effects have not been tested for walking capacity in a 6-minute walk test.
People with osteoarthritis tend to avoid activity due to severe pain, but exercise has proved to be an effective treatment for this condition, reducing pain and improving physical function by improving the strength of the muscles surrounding the knee joint. There is therefore a need to devise a cost effective treatment strategy to limit functional decline, joint pain and stiffness. In turn, these complications can lead to even more serious health issues, thereby further increasing the economic burden. KOA is also associated with metabolic and systemic diseases such as hypercholesterolemia, high blood glucose levels, and high blood pressure. The prevalence of walking difficulty in KOA was found to be 30%, which correlates not only with an increased institutionalization rate and health care cost, but also with decreased quality of life. Repeat 10 times rest and repeat.Walking difficulty is commonly experienced by individuals with knee osteoarthritis (KOA), restricting their ability to participate in activities of daily living (ADLs). Avoid undue pressure on the knees by sticking your buttocks out as you lower and keeping squats to less than 90 degrees. Your knees should be in alignment over the ankles and never extend past your toes. Slowly start to bend your knees and lower yourself into a squat position. Stand tall with feet hip-width apart, abdominal muscles engaged and arms down by your side. It is imperative to use correct form when doing squats, as improper form can compromise the knee joint due to extra pressure on the femur and tibia. According to Peak Performance, this implies that the squat works the quadriceps the hardest. Although the squat elicits a co-contraction with the hamstrings, a study in the "Journal of Strength and Conditioning Research" showed that the parallel squat had higher EMG activity in the major quadriceps muscles, the vastus lateralis and medialis muscles, versus the leg extension exercise. The squat is considered to be one of the best exercises for the quadriceps.