Effectiveness of Mobilization with Movement Versus Proprioceptive Neuromuscular Facilitation Hold-Relax Technique on Pain and Functional Mobility in Patients with Chronic Knee Osteoarthritis: A Randomized Controlled Trial
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Background: Knee osteoarthritis is a common degenerative musculoskeletal disorder associated with pain, stiffness, reduced mobility, and functional limitation. Manual therapy and neuromuscular facilitation techniques are frequently used in conservative rehabilitation, but direct comparative evidence between Mobilization with Movement and Proprioceptive Neuromuscular Facilitation Hold-Relax remains limited. Objective: To compare the short-term effectiveness of Mobilization with Movement and Proprioceptive Neuromuscular Facilitation Hold-Relax on pain, stiffness, physical function, and total WOMAC score in patients with chronic knee osteoarthritis. Methods: This randomized controlled trial was conducted at Khan Rehab Centre, Haleema Siraj Hospital, Rawalpindi, from 1 August 2021 to 31 January 2022. Thirty patients aged 40–60 years with chronic knee osteoarthritis were recruited through convenience sampling and randomized into two groups. Group A received Mobilization with Movement with conventional exercises, while Group B received PNF Hold-Relax with the same conventional program. Outcomes were assessed using WOMAC at baseline and after two weeks. Results: Group A showed reductions in pain, stiffness, physical function, and total WOMAC scores of 66.0%, 60.8%, 52.2%, and 55.0%, respectively, while Group B showed reductions of 56.0%, 53.5%, 50.1%, and 51.4%. Pain differed significantly between groups post-intervention, favouring Group A, while stiffness, physical function, and total WOMAC were comparable. Conclusion: Both interventions improved WOMAC outcomes, but Mobilization with Movement showed a greater short-term pain reduction.
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