The Immediate Effects of Passive Hip Joint Mobilization on Hip Muscle Strength in Patients With Anterior Knee Pain

Not Applicable

Completed

• Conditions: Anterior Knee Pain Syndrome; Patellofemoral Pain Syndrome
• Interventions: Other: Laying on of Hands; Other: Joint Mobilization

• Registration Number: NCT03771495
• Lead Sponsor: Sheffield Hallam University

Brief Summary

The aim of the study is to assess the immediate effects of passive hip joint mobilisation (in comparison to a sham mobilisation) on eccentric hip abductor/external rotator muscle strength on the basis of manual muscle testing with a hand-held-dynamometer within a double-blinded cross-over study design. Patients with anterior knee pain and signs of impaired hip function will be recruited in Vienna and surrounding area, measurements/data collection will be conducted by two experienced physiotherapists in a physiotherapy group practice in 1150 Vienna.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-12-07
• Study First Submitted QC: 2018-12-10
• Study First Posted: 2018-12-11
• Study Start: 2018-12-21
• Primary Completion: 2019-04-30
• Study Completion: 2019-04-30
• Status Verified: 2019-06
• Last Update Submitted: 2019-06-05
• Last Update Posted: 2019-06-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

• diagnosis: anterior knee pain
• Prescription for physiotherapeutic treatment of anterior knee pain
• signs of functional hip impairment:
• impaired hip kinematics during single leg squat
• reduced passive hip joint mobility in comparison to the other, unaffected side
• manually weak tested hip abductors/external rota-tors in comparison to the other, unaffected side

Exclusion Criteria

• intraarticular knee pathology
• preceding trauma/operation of lower extremity on affected side
• spinal disorders associated with low back pain, lumbar referred pain or nerve root irritation
• severe and/or recurring ankle sprains in recent history (significant enough, that it required a period of immobilization)
• other relevant comorbidities such as neurologic/rheumatologic/psychiatric diseases, osteoporosis and malign disorders
• pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Laying on of Hands	Laying on of Hands	grade I, very small amplitude without encountering any tissue resistance for five minutes, thus effectively a Laying on of Hands, with a verbal education of hypothesized underlying effect mechanisms.
Hip Joint Mobilization	Joint Mobilization	passive accessory movement on femur in anterior/posterior direction, grade III for four minutes and passive physiological movement of the most restricted hip joint movement, grade III for one minute (without pain), and a verbal education of hypothesized underlying effect mechanisms.

Primary Outcome Measures

Name	Time	Method
Muscle Strength	10 minutes	muscle strength data obtained from torque measurements of the hip abductor/external rotator muscles of participants before and after intervention via manual muscle testing (using a hand-held dynamometer)

Trial Locations

Locations (1)

Praxisgemeinschaft "Bewegungsoase"; 🇦🇹 Vienna, Austria