Effects of Multimodal Physical Therapy With and Without McConnell Taping in Patients With Anterior Knee Pain.

Not Applicable

Recruiting

• Conditions: Anterior Knee Pain Syndrome
• Interventions: Other: Multimodal therapy with McConnell taping; Other: Multimodal therapy without McConnell taping

• Registration Number: NCT06241053
• Lead Sponsor: Riphah International University

Brief Summary

This study aims to determine the effect Multimodal physical therapy with and without McConnell taping on pain, functional limitation and severity of symptoms in patients with anterior knee pain.

Detailed Description

The term "Anterior Knee Pain" is often used interchangeably with "Patellelofemoral Pain Syndrome" (PFPS or " runner's knee" which involves stiffness and pain when patellofemoral joint is loaded with different activities that require prolonged knee flexion, stairs climbing or descending , running, kneeling and squatting. Multimodal therapy and tapping techniques are useful for reducing pain and improving functional activities of patient daily living.

In this randomized clinical trial, Thirty participants with anterior knee pain will be randomly assigned to one of the two intervention groups: Group A: Group A will be treated with multimodal physical therapy program with McConnell taping. Group B: Group B will be treated with multimodal physical therapy program without McConnell taping. Randomization will be performed using a convenient random sampling method via lottery method. Each participant will receive a total of 12 treatment sessions.

over a four-week period. The effects of the interventions will be assessed at the beginning (first session), conclusion (eight session). Participants will be followed up after 4 weeks again. Outcome measures, including pain intensity, functional limitation and severity of symptoms will be evaluating using the Visual Analog Scale (VAS), Lower Extremity Functional Scale (LEFS) and Anterior Knee Pain Scale (AKPS) respectively. Data will be analyzed using SPSS software version 25. Normality of data will be assessed using the Shapiro-wilk test. For within-group comparisons, paired t- test will be used. To compare changes between the groups, the independent t-test will be applied, depending on the data distribution. The analysis of these outcome measures will provide. valuable insights into the impact of the interventions on participants' pain, functional limitation and severity of symptoms.

Study Timeline

• Study Start: 2023-11-05
• Status Verified: 2024-01
• Study First Submitted: 2024-01-28
• Study First Submitted QC: 2024-02-02
• Last Update Submitted: 2024-02-02
• Primary Completion: 2024-02-05
• Study Completion: 2024-02-05
• Study First Posted: 2024-02-05
• Last Update Posted: 2024-02-05

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Age 17-35 years, both male and female.
• Unilateral or bilateral pain lasting for more than 2-3 months.
• Diagnosed with patellofemoral pain by orthopedic surgeon through clinical and radiological findings.
• Positive patellofemoral grinding test, negative McCurry test and full knee range of motion.
• Pain grade 3-6 by Visual Analogue Scale (VAS).
• Pain at least in two of these positions: sitting for long time with knee bends, going up and down the stairs, squatting and running, kneeling.

Read More

Exclusion Criteria

• History of ligament sprain, meniscal injury, knee fracture, patellar dislocation and knee osteoarthritis.
• True knee joint locking or giving away and tibial or iliotibial track tendinopathy.

Pregnancy.

• Developmental dysplasia of hip and undergoing any medical treatment.
• Spinal surgery and neurological disorders.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Multimodal therapy with McConnell taping	Multimodal therapy with McConnell taping	Multimodal therapy includes core exercises, hip exercises and vastus medialis training. MacConnell taping will be applied during exercise and then nearly for 18 hours according to patient's comfort.
Multimodal therapy without McConnell taping	Multimodal therapy without McConnell taping	Multimodal therapy includes core exercises, hip exercises and vastus medialis training.

Primary Outcome Measures

Name	Time	Method
Lower Extremity Functional Scale	4rth week	The Lower Extremity Functional Scale is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The score for each task is separated in 5 categories "0" (extreme difficulty or unable to perform activity), "1" (quite a bit of difficulty), "2" (moderate difficulty), "3" (a little bit of difficulty) and "4" (no difficulty). The maximal function is 80 points.
Anterior Knee Pain Scale	4rth week	The Anterior Knee pain Scale questionnaire consist of 13 items assessing subjective symptoms and functional limitation of the patients with anterior knee pain. The score ranges from 0 (worst condition) to 100 (normal knee condition, no symptoms and no daily functional restrictions).
Visual Analog Scale	4rth week	Visual analog scale is a self-assessing questionnaire comprising 10cm line with 0 representing no pain and 10 is worst pain. Reliability of VAS in patients with anterior knee pain is .60 to .79 for usual pain and .88 for worst pain.

Trial Locations

Locations (1)

Usman Srawr; 🇵🇰 Lahore, Punjab, Pakistan