COMPARISON BETWEEN THE EFFECTS OF MULLIGAN AND MAITLAND MOBILIZATION ON PATELLOFEMORAL PAIN SYNDROME

Not Applicable

Recruiting

• Conditions: Patellofemoral Pain Syndrome

• Registration Number: NCT07004881
• Lead Sponsor: Foundation University Islamabad

Brief Summary

This study is a randomised control trial and the purpose of this study is to investigate and compare the "Effects of Maitland mobilizations and Mulligan Mobilization With Movement (MWM) in patients with Patellofemoral Pain Syndrome

Detailed Description

This study is a randomised control trial just used to investigate and compare the effects of maitland mobilizations and Mulligan's Mobilization With Movement ; with respect to:

1. Pain

2. Range of motion and

3. Function in patients with Patellofemoral pain syndrome All males and females with ages of 18 to 40 years having the Patellofemoral pain syndrome can be included in this study.

A total number of 40 participants are equally and randomly divided into two groups i.e. group A and group B. Group A recieves the Mulligan Mobilization With Movement (MWM) and group B receives the Maitland's Patellar mobilizations.

Outcomes are recorded at 0 weeks and at end of 2 weeks. Outcome measure used for pain is Numeric Pain Rating Scale (NPRS), for knee ROM is goniometery and for knee function is Lower Extremity Function Scale (LEFS).

Pre and post intervention reading of all 3 measures will then be compared and data will be analysed

Study Timeline

• Study Start: 2024-07-15
• Status Verified: 2024-08
• Study First Submitted: 2025-05-26
• Study First Submitted QC: 2025-05-26
• Last Update Submitted: 2025-05-26
• Study First Posted: 2025-06-04
• Last Update Posted: 2025-06-04
• Primary Completion: 2025-07-15
• Study Completion: 2025-07-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• 1)Referred patients from rehabilitation, orthopedic and rheumatology department 2)Both males and females of age 18-40 years 3)Having pain from at least 2 months. 4)Pain score ≥ 3 on NPRS. 5)Pain on palpation of medial or lateral Patellar facet. (12, 13) 6)Retro patellar pain in at least two of the following activities:

  • Ascending , descending stairs
  • Hopping / jumping
  • prolonged sitting with flexed knees
  • kneeling and squatting
  • Patellar tilt test

Exclusion Criteria

• EXCLUSION CRIETERIA:

The Individuals who had:

1. Positive tests/findings on physical examination for knee menisci, ligaments and bursa.
2. Chondromalacia patellae
3. Individuals with Instability of tibiofemoral joint
4. lower extremity surgery
5. Rheumatoid arthritis, other connective tissue disorders and congenital deformities.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Patellofemoral Pain	2 weeks	It will be measured using numeric pain rating scale (NPRS). Subjects select a number ranging from 0-10 according to their intensity of pain where '0' indicates no pain while '10' indicates worst pain experienced.
Range of Motion	Variable will be assessed at before and after treatment for the total interval of 2 weeks.	Universal goniometer is used to measure knee flexion and extension ranges. Patient is positioned in supine with the knee straight and foot flat on the table. Therapist stabilizes the femur with one hand. Axis of goniometer is aligned with the lateral epicondyle of the femur, stationary arm is kept parallel to the femur and moving arm is aligned with long axis of tibia. The patient is then asked to flex and extend the knee to maximum range without pain, subsequently aligning moving arm of goniometer with new position of tibia. Angle of flexion/extension are then recorded from the goniometer and documented.
Lower Extremity Function	Variable will be assessed at before and after treatment for the total interval of 2 weeks.	It is measured using Lower Extremity Function Scale (LEFS). The LEFS is a questionnaire used to assess an individual's ability to perform daily activities and functional tasks related to the lower extremities (hips, knees, ankles, and feet). It comprises of total 20 questions and patients rate their ability to perform each activity on a scale from 0 (unable to perform) to 4 (able to perform without difficulty). The total score ranges from 0 to 80, with higher scores indicating better functional ability. The total sore before and after interventions of both groups is calculated and compared.

Trial Locations

Locations (1)

Foundation University College of Physical Therapy; 🇵🇰 Islamabad, Pakistan