Exploring the Evidence: A Review of Mulligan Mobilization Technique and Proprioceptive Exercises in Knee Osteoarthritis Rehabilitation

Abstract

Background: Knee osteoarthritis (OA) presents a substantial global challenge, necessitating effective rehabilitation strategies. Mulligan Mobilization Technique (MMT), known for its pain-free approach and focus on functional movement, combined with proprioceptive exercises, which emphasize sensory feedback and neuromuscular control, are integral in managing knee OA.

Objective: This review aims to assess the evidence for the effectiveness of MMT and proprioceptive exercises in knee OA rehabilitation, exploring their benefits in symptom alleviation and underlying impairment management to foster long-term joint health.

Methods: The review involved a comprehensive analysis of various studies focusing on the implementation of MMT and proprioceptive exercises in knee OA rehabilitation. Methods of training included balance training, perturbation-based exercises, and the integration of MMT with conventional physiotherapy interventions. Studies varied in design, participant characteristics, and intervention protocols, with a focus on enhancing knee range of motion, reducing pain, and improving physical function.

Results: MMT has shown promising results in enhancing knee range of motion, reducing pain, and improving physical function. The combination of MMT with conventional physiotherapy interventions has produced synergistic effects. Proprioceptive exercises have enhanced joint stability, lowered fall risk, and boosted functional capacity. However, variability in research design and measures complicates direct comparisons and generalizability.

Conclusion: Integrating MMT and proprioceptive exercises into comprehensive rehabilitation programs is promising for enhancing outcomes in knee OA rehabilitation. Standardization in outcome measures and intervention protocols is essential for improving research reproducibility and validity. Future research should focus on elucidating mechanisms of action, refining intervention protocols, and exploring long-term effects on functional independence and joint health.

Keywords: Osteoarthritis, Knee Osteoarthritis, Mulligan Mobilization, Proprioceptive Training, Rehabilitation Management, Evidence-Based Interventions