Authors (year) Patient characteristics, sample size, and mean age Intervention Frequency, follow-up time Outcome measure Results Conclusion Shenouda (2013) [31 ] Source : 45outpatients (GA = 15, GB = 15, GC = 15) and mean age (S. D) : GA = 51.93 ± 6.51, GB = 52.2 ± 5.44, and GC = 50.07 ± 5.73 GA = MWM plus exercise GB = SWT plus exercise GC = only exercise Thrice per week for 4 weeks VAS WOMAC ROM Significant difference in pain and functional disability was found in GA and GC. But, no significance difference was found between GA and GC for ROM MWM was effective in relieving knee pain and functional disability Kandada and Heggannavar (2015) [32 ] Source : 64 outpatients (GA = 32, GB = 32) and mean age (S. D) : GA = 50.13 ± 6.94 and GB = 54.72 ± 6.25 GA = MWM plus CPT GB = MIMG protocol plus CPT 2 weeks VAS ROM WOMAC Significant intragroup ( ) difference was found. But, intergroup comparison is not significant in all variables Both MWM and MIMG protocol are effective in treating OA knee Gupta and Heggannavar (2015) [33 ] Source : 60 outpatients (GA = 20, GB = 20, GC = 20) and mean age (S. D) : GA = 54.10 ± 6.69, GB = 50.95 ± 5.97, and GC = 53.35 ± 6.34 GA = MWM plus CPT GB = proprioceptive exercise plus CPT GC = proprioceptive exercise plus MWM plus CPT 3 sets of 10 repetitions, 1 session per day for 2 weeks VAS WOMAC ROM There were statistically significant changes in all outcome measures of GA and GC Statistically significant improvement was noted in knee joint proprioception on OA knee participants with Mulligan’s MWM Lalnunpuii et al. (2017) [5 ] Source : 45 outpatients (GA = 15, GB = 15, GC = 15) and mean age (S. D) : GA = 49.46 ± 5.48, GB = 48.46 ± 6.86, and GC = 47.93 ± 5.61 GA = MWM plus exercise GB = Maitland mobilization plus exercise GC = exercise only Thrice per week for 4 weeks VAS ROM WOMAC All outcome parameters ( ) are statistically improved in the experimental group compared with the control group MWM is more effective than Maitland mobilization in relieving pain and increasing ROM and functional capacity in females with knee OA Kulkarni and Kamat (2017) [34 ] Source : 30 outpatients (GA = 15, GB = 15) and mean age: not stated GA = MWM plus CPT GB = CPT One session per day for 3 days VAS 6-minute walk test Statistically significant ( ) reduction in VAS and marked improvement in the distance covered in the experimental group MWM was effective in reducing pain, and showed marked improvement in the 6-minute walk test in the experimental group Rao et al. (2018) [35 ] Source : 30 outpatients (GA = 15, GB = 15) and mean age 51.2 ± 9.2 GA = MWM followed by Maitland mobilization GB = Maitland mobilization followed by MWM 1–3 oscillations per second, 3 repetitions, for three days NPRS TUG Pain-free squat angle Within intervention, both groups showed significant changes ( ) in all outcome measures Both are equally effective in reducing pain and improving functional mobility and pain-free squat angle for knee OA Kaya Mutlu et al. (2018) [36 ] Source : 72 outpatients (GA = 24, GB = 24, G = 24) and mean age (S. D): GA = 54.19 ± 7.34, GB = 56.29 ± 6.64, and GC = 57.77 ± 6.24 GA = MWM plus exercise GB = PJM plus exercise GC = electrotherapy plus exercise Thrice per week at 1-year follow-up WOMAC VAS ROM ALF WOMAC, VAS, and knee ROM are significantly improved in the experimental group compared to the control group MWM and PJM were superior to the control group in pain, knee ROM, quadriceps muscle strength, and functional level Varma and Purohit (2018) [37 ] Source : 36 outpatients (GA = 12, GB = 12, GC = 12) and mean age (S. D) = GA = 50 ± 6.33, GB = 58 ± 5.68, and GC = 55.75 ± 4.88 GA = MWM plus CPT GB = KT plus CPT GC = only CPT Thrice per week for 2 weeks VAS WOMAC There was a statistically significant difference in each group and between groups Significant between-group differences were found Both MWM and KT reduce pain and improve function, but there was a better improvement in group A Kiran et al. (2018) [38 ] Source : 62 outpatients (GA = 31, GB = 31) and mean age (S. D) : 47.47 ± 0.61 GA = MWM plus CPT GB = Maitland mobilization plus CPT 3 sessions per week for 2 weeks VAS ROM WOMAC The mean differences of both treatment interventions were significant Patients in both groups showed improvement in pain, ROM, and functions Bhagat et al. (2020) [39 ] Source : 30 outpatients (GA = 15, GB = 15) and mean age (S. D) : GA = 53.73 ± 7.06, and GB = 56.87 ± 9.35 GA = MWM GB = Sham 3 sets with 10 repetitions, duration of follow-up not stated NPRS TUG NPRS and TUG are significantly improved in GA compared to GB after intervention MWM was effective in improving pain and functional mobility in individuals with knee OA Alkhawajah and Alshami (2019) [40 ] Source : 40 outpatients (GA = 20, GB = 20) and mean age (S. D) : GA = 56.5 ± 7.6 and GB = 56.6 ± 8.5 GA = MWM GB = sham 3 sets with 10 repetitions for 2 days VAS ROM WOMAC TUG GA showed significant improvement in pain, TUG, and knee flexion ROM ( ) But, WOMAC and knee extension ROM ( ) were not significant MWM was superior than sham in pain, physical function (walking), knee flexion and extension muscle strength, and knee flexion ROM for at least 2 days in patients with knee OA Saddam Hussain Shaik et al. (2019) [41 ] Source : 40 outpatients (GA = 20, GB = 20), mean age not mentioned GA = MWM plus CPT GB = Maitland mobilization plus CPT Three sessions per week for 6 weeks KOOS Quadriceps peak torque GA showed more statistical significance in improving pain and quadriceps peak torque than GB MWM was more effective than Maitland mobilization Pawar et al. (2019) [42 ] Source : 20 outpatients (GA = 10, GB = 10), mean age not stated GA = MWM GB = McConnell patella taping Each session 15–20 minutes, four days a week VAS VAS is significantly improved in the experimental group ( ) compared to the control group ( ) MWM is comparatively more beneficial in reducing pain than taping in OA knee patients Mahmooda et al. (2020) [43 ] Source : 30 outpatients (GA = 15, GB = 15) and mean age (S. D) = 52.80 ± 6.32 GA = MWM plus usual care GB = Myofacial release plus usual care Once a day, 5 days per week for two weeks NPRS ROM WOMAC Pain and ROM were improved in GA ( ). But, reduction of stiffness and improvement of physical function were seen in group B ( ) MWM and myofacial release were effective for knee OA in pain, ROM, and functional abilities. However, MWM produced more quick outcomes than myofacial Nigam et al. (2020) [44 ] Soure : 40 outpatients (GA = 20, GB = 20) and mean age (S. D) : GA = 58.5 (4.36) and GB = 59.4 (6.57) GA = MWM plus usual care GB = usual care Three sets of 6–10 repetitions over two weeks at 6 months WOMAC VAS ROM TUG Significant effect of MWM in favor of GA for WOMAC and VAS was found. But, no significant difference between GA and GB was found for knee ROM and TUG MWM provided clinically significant improvements in disability, pain, and functional activities six months later