This project aims to determine which of the two techniques is more effective in terms of pain reduction, disability, and ROM in patients with lower limb musculoskeletal disorders.
We conducted an electronic search from inception until February 2, 2024. We included only English language RCTs reporting relevant outcomes. Two researchers independently screened titles, abstracts, and full-text articles. We used the PEDro scale to assess the Quality assessment and all analyses were conducted using RevMan 5.4.1 software.
Nine RCTS were included involving 474 participants with lower limb disorders. Using the 10-point PEDro score grading system, One study scored 7, six studies achieved 6, and two studies scored 5. The pooled analysis of all studies showed that there is no significant difference between application of MWM VS MET regarding pain intensity (95%CI: -0.95, 0.85; P=0.91), modified oswestry disability index (95%CI: -5.52, 8.91; P=0.65) and active knee extension (95%CI: -1.33, 3.81; P=0.35).
MWM and MET were equally effective in terms of pain reduction, disability, and ROM. However, there remains insufficient evidence to recommend either the two techniques.
Studies should focus on conducting higher-quality RCTs with larger number of patients and consistent application techniques.
Muscle energy technique
Mobilization with movement
