Effects of Virtual Reality Rehabilitation and Muscle Energy Technique in Patients With Patellofemoral Pain Syndrome.

Not Applicable

Recruiting

• Conditions: Knee Pain Chronic; Patellofemoral Pain Syndrome
• Interventions: Other: Virtual Reality technique; Other: Muscle energy technique

• Registration Number: NCT05971966
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this randomized controlled trial is to determine the effects of Virtual reality rehabilitation and muscle energy techniques in patients with patellofemoral pain syndrome for reducing pain, enhancing knee range of motion and improve functional activities.

Detailed Description

Muscle energy technique is defined as a manual treatment in which patient produces a contraction in a precisely controlled position and direction against the counterforce applied by a manual therapist. Applications of MET to stretch and increase myofascial tissue extensibility seem to affect viscoelastic and plastic tissue property.

Virtual reality generates a virtual world in three dimensional space through a computer simulation that stimulates user senses, such as sight and hearing, making users feel as if they are immersed in it. VRBR is effective in improving knee pain, ROM, strength and functions. immersive VR is more appropriate for pain reduction, improving range of motion and functional activities. It distracts the patient and allows to perform active and rehabilitation exercises to reduce cognitive attention in pain and avoidance behavior.

Study Timeline

• Study First Submitted: 2023-07-25
• Study First Submitted QC: 2023-07-25
• Status Verified: 2023-08
• Study First Posted: 2023-08-02
• Study Start: 2023-08-30
• Last Update Submitted: 2023-08-31
• Last Update Posted: 2023-09-05
• Primary Completion: 2024-03-28
• Study Completion: 2024-04-28

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Age group 18-40
• Both males and females
• Retropatellar or anterior knee pain for atleast past 3 months
• Having knee pain in atleast 2 activities among stair ascent and descent,squatting over 90 degrees, running,jumping,kneeling and prolong sitting with knees flexed.
• Experience pain in one of the following knee tests; a) pain on patellar grinding test, b) pain on apprehension test, c) pain during resisted extension of the knee during 90 degree flexion

Exclusion Criteria

• Cervical radiculopathy
• Neurological disorder
• Pregnancy
• Rheumatoid arthritis
• Hip or ankle injuries
• Patellar instabilities
• Meniscal or ligament tear
• Who have visual or auditory problems
• With cognitive issues
• Previous surgery related to lower limbs/ radiculopathy
• having received knee injections of corticosteroids or hyaluronic acid
• knee osteoarthritis
• drug use that affects the balance during the past 72 h.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Virtual Reality technique	Virtual Reality technique	Virtual reality technique+ Conventional PT
Muscle energy technique	Muscle energy technique	Muscle energy technique + Conventional PT

Primary Outcome Measures

Name	Time	Method
Kujala questionnaire	4 weeks	It is a self administered questionnaire for patients with PFPS that consists of 13 questions that relate to specified activities, pain severity, and clinical symptoms. The scores range from a maximum of 100 to a minimum of 0, with lower scores indicating greater pain and disability.

Secondary Outcome Measures

Name	Time	Method
Goniometer	4 weeks	It is an instrument that measures the available range of motion at a joint.
Visual analogue scale (VAS)	4 weeks	VAS is a qualitative pain measurement tool that assigns integer numbers between zero and 10 to different pain levels, where zero means no pain and 10 means excruciating pain. VAS is a reliable scale to measure knee pain

Trial Locations

Locations (1)

Dr.z pain & brain physiotherapy center; 🇵🇰 Islamabad, Punjab, Pakistan