Effects of Muscle Energy Technique With and Without Patellar Inferior Glide on Pain, Range of Motion and Disability in Patients With Patellofemoral Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Numerical Pain Rating Scale (NPRS)
研究概览
简要总结
Patellofemoral pain syndrome (PFPS) is one of the most commonly diagnosed conditions among adolescents and adults with knee complaints, accounting for approximately 25% of knee disorders diagnosed in sports medical clinics. While the etiology of PFPS is suggested to be multifactorial, several contributing factors such as lower knee extensors strength, quadriceps imbalance, weak hip abductors and overuse have been identified.
详细描述
This study will be a randomized clinical trial and will be conducted in RIMS Rehabilitation Center Multan and Hadi Physiotherapy Center Multan. Non-probability convenient sampling will be used to collect the data. Sample size of 36 subjects with age group 20-40 years will be taken. Data will be collected from the patients having patellofemoral pain syndrome. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Universal Goniometer (GU) for Range of motion and Kujala Anterior Knee Pain Scale (AKPS) for disability. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Group A will receive muscle energy technique and patellar inferior glide and conventional physical therapy while group B will receive muscle energy technique and conventional treatment. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals with age 20-40Years
- •Pain rating > 3 and < 7 on NPRS
- •Patella alta confirmed with ISI (Insall Salvati index) ratio > 1.2 on lateral knee radiograph
- •Positive Ely's test for rectus femoris tightness
- •Positive eccentric step test
排除标准
- •History of patellofemoral dislocation
- •Knee osteoarthritis
- •Recently undergo to surgery to knee
- •Fracture in knee region
- •Positive patellar tap test for knee joint effusion
- •Lateral and medial tracking of patella
- •Patients taking NSAIDs and corticosteroids
研究组 & 干预措施
Muscle Energy Technique and Patellar Inferior Glide
Muscle Energy Technique for Hamstrings and Quadriceps While the patient contract muscle (Hamstring / Quadriceps) the therapist applies a gentle controlled force. After the contraction patient release and the therapist reposition the leg into a new barrier. Intensity of contraction will be 20-25-% of maximum strength. Each contraction will be held for 5-7 seconds, followed by additional passive stretching maintained for 30 and the relaxation patellar inferior glide applied at patella: the examiner applied a gentle downward force on the patella with their right hand, while the left hand controlled the direction of the patella's movement. This will be applied for 3-4 minutes as tolerated by the patient.
干预措施: Muscle Energy Technique and Patellar Inferior Glide (Other)
Conventional Physiotherapy treatment
TENS applied, Ultrasound therapeutic modality applied, Hip and knee muscles strengthening exercises
干预措施: Conventional Traetment (Other)
结局指标
主要结局
Numerical Pain Rating Scale (NPRS)
时间窗: upto 4 weeks
The Numeric Pain Rating Scale (NPRS) is perhaps the most frequently applied scale used to quantify pain intensity in the clinical setting. It is an 11-point numeric scale, ranging from 0 indicating no pain to 10 indicating worst pain imaginable
Universal Goniometer
时间窗: upto 4 weeks
Universal goniometer (UG) is commonly used as a standard method to evaluate range of motion (ROM) as part of joint motions.
Kujala Anterior Knee Pain Scale (AKPS)
时间窗: upto 4 weeks
The Kujala patellofemoral scoring system is a tool used to assess the functional ability of the knee joint, specifically in relation to patellofemoral-related issues. This scoring system ranges from 0 to 100, with higher scores indicating better knee function and less pain, while lower scores indicate greater dysfunction and more severe pain.
次要结局
未报告次要终点