Patellar mobilisation therapy (PMT) could reduce pain and improve function and quality of life for patients with knee osteoarthritis, suggests new research published in the Annals of Family Medicine.
As part of a new trial, 208 patients with knee osteoarthritis attending primary care clinics in Hong Kong were randomised to a PMT intervention group or a waiting list (control) group. Participants in the intervention group received three PMT sessions from primary care physicians at two-month intervals, along with twice-daily home exercise. The control group received PMT after the study period.
At 24 weeks, between-group comparison showed that patients in the intervention group had significantly greater improvement in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score than those in the control group (between-group difference -15.6; 95% CI -20.5 to -10.7; P<.001 significant between group differences were also observed for outcomes including womac composite function and stiffness scores.>
Patient compliance with the study was high and the authors noted the technique was easily performed in primary care practices.
“Future studies comparing PMT with other active controls will further confirm the benefits and facilitate the deployment of PMT in the real-world practice,” they said.